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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Blood Clots And Swelling In The Legs And Ankles Indicate?

Daughter has antiphospholipid syndrom and had thyroid removed 2 years ago (8 yrs) - takes shot of lovenox every day. Recently- has bad chest cold, walked in grass with bugs (significant trigger) & has period and had a bad stick for blood tests a week ago (another trigger). Developed superficial blood clots in both legs from above knee down. Blood thinner meds have been increased (2 shots) and now on doxycycline. Still has swollen ankles. Could this be cellulitus or phelbitus or something else?
Tue, 17 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Yes, it may be deep vein thrombosis or so called DVT although this is not very likely. I means that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin. Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases it include strict resting heparin infusions and aspirin. More invasive procedures are rarely required.

Hope I have answered your query. Let me know if I can assist you further.
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What Do Blood Clots And Swelling In The Legs And Ankles Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, it may be deep vein thrombosis or so called DVT although this is not very likely. I means that clot is formed inside the big leg vessel. So you need to do Doppler ultrasound to rule this. Vein thrombosis which is manifested with unilateral swelling of the leg, pain in calf and lividity of the skin. Some conditions such as pregnancy, obesity and recent surgery may increase the risk of it. This may be serious if blood clot travels to heart and lungs so it should be ruled out as soon as possible and then appropriate treatment can be started. In most cases it include strict resting heparin infusions and aspirin. More invasive procedures are rarely required. Hope I have answered your query. Let me know if I can assist you further.