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Old 12-20-2011, 07:22 PM
 
Location: Islip,NY
16,935 posts, read 19,672,707 times
Reputation: 17199

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This is the second time since 2007 that my husband has had phlebitis. He has varicose veins in the right leg for years. In 2007 he had it in both legs and was put on an antibitoic and asprin and 1 week later he was fine. This time he got it 3 weeks ago and it was diagnosed by our Primary Doctor, he was put on Cipro and asprin. He had an ultrasound and there are no clots. It's surface phlebitis. He has been putting warm compresses and elevating his leg. this was on December 5th, on December 7th we followed up with a vascular doctor he had seen before and his diagnosis was the same and the meds my husband was on were correct. We had a 2nd ultrasound by his office and no clots. December 12th still not back to work and it looked like the phlebitis was getting worse, so we called our Dr, and he gave us an anti inflammitory called Indomethacin which is used on patients with gout but has been shown to help phleibits swelling. December 20th still not back to work extreme pain and swelling especially near the groin and side of the knee. Since the initial diagnosis the phlebitis has spread down towards the ankle which I was told happens. I called the Vascular Doctor yesterday and the nurse who asists him told me that he does not need another antibiotic and to keep taking the Indomethacin or Naproxen. Use warm compresses and elevate. I said what about returning to work? She said it's up to each person wether ot not they feel up to going back to work. My husband works in a job which requires him to be on his feet 10 hrs a day and heavy lifting. He's only 39 yrs old. The nurse also said he has a bad case of Phleibitis and since there are no clots it just has to take it's time getting better. He's so depressed. He is hoping to return to work on the 26th and has another appointment with the vascualr Dr on the 29th, are there any other things we can do to help relieve the pain and discomfort? Should I get another opinion? He is known for being a really good Vascular surgeon in my area of LI. The veins do have to come out once the phleibitis has healed. How long does phlebitis last usually??? Thanks for listening.
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Old 12-21-2011, 07:48 AM
 
Location: Georgia, USA
21,498 posts, read 26,102,510 times
Reputation: 26457
Quote:
Originally Posted by lubby View Post
This is the second time since 2007 that my husband has had phlebitis. He has varicose veins in the right leg for years. In 2007 he had it in both legs and was put on an antibitoic and asprin and 1 week later he was fine. This time he got it 3 weeks ago and it was diagnosed by our Primary Doctor, he was put on Cipro and asprin. He had an ultrasound and there are no clots. It's surface phlebitis. He has been putting warm compresses and elevating his leg. this was on December 5th, on December 7th we followed up with a vascular doctor he had seen before and his diagnosis was the same and the meds my husband was on were correct. We had a 2nd ultrasound by his office and no clots. December 12th still not back to work and it looked like the phlebitis was getting worse, so we called our Dr, and he gave us an anti inflammitory called Indomethacin which is used on patients with gout but has been shown to help phleibits swelling. December 20th still not back to work extreme pain and swelling especially near the groin and side of the knee. Since the initial diagnosis the phlebitis has spread down towards the ankle which I was told happens. I called the Vascular Doctor yesterday and the nurse who asists him told me that he does not need another antibiotic and to keep taking the Indomethacin or Naproxen. Use warm compresses and elevate. I said what about returning to work? She said it's up to each person wether ot not they feel up to going back to work. My husband works in a job which requires him to be on his feet 10 hrs a day and heavy lifting. He's only 39 yrs old. The nurse also said he has a bad case of Phleibitis and since there are no clots it just has to take it's time getting better. He's so depressed. He is hoping to return to work on the 26th and has another appointment with the vascualr Dr on the 29th, are there any other things we can do to help relieve the pain and discomfort? Should I get another opinion? He is known for being a really good Vascular surgeon in my area of LI. The veins do have to come out once the phleibitis has healed. How long does phlebitis last usually??? Thanks for listening.
The only thing I do not see mentioned in your post is compression stockings. Prescription stockings would be a good idea, and he probably should plan on wearing them every day, even after the phlebitis gets better.

He should also be up and walking frequently, then elevate the legs when he sits down, preferably getting the feet above heart level.

If he smokes, he needs to stop. Now. Cold turkey. Ask his doctor for medication that can help.

If he is overweight, that needs to be addressed, too, in the long term.

It has now been two weeks since the last ultrasound. If he is still having severe pain, another one might be wise, to make sure clots have not started to form. Doctors' offices will be closing for Christmas, so I would call the vascular specialist's office ASAP.
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Old 12-21-2011, 08:05 AM
 
Location: Islip,NY
16,935 posts, read 19,672,707 times
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Quote:
Originally Posted by suzy_q2010 View Post
The only thing I do not see mentioned in your post is compression stockings. Prescription stockings would be a good idea, and he probably should plan on wearing them every day, even after the phlebitis gets better.

He should also be up and walking frequently, then elevate the legs when he sits down, preferably getting the feet above heart level.

If he smokes, he needs to stop. Now. Cold turkey. Ask his doctor for medication that can help.

If he is overweight, that needs to be addressed, too, in the long term.

It has now been two weeks since the last ultrasound. If he is still having severe pain, another one might be wise, to make sure clots have not started to form. Doctors' offices will be closing for Christmas, so I would call the vascular specialist's office ASAP.
He does not smoke, has lost 95 lbs, already called the Vascular doctor this past Monday and the last ultra sound has confirmed no clots. He has compression stockings but the phlebitis is too painful to even try and get them on. It hurts to walk but he's been trying. They see no cause for alarm and said he can wait to see them on the 29th.Today is not as painful. All of the suggestions you mentioned have been done and he has the compression stockings but they are a pain in the butt to get on as it is and with the phlebitis almost down to the ankle it hurts to try and put them on.He is going to have the veins taken out sometime in February, we have to discuss it with the Vascular Dr next week. He has already said they need to come out. Thanks for your input.
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Old 12-21-2011, 08:38 AM
 
Location: Georgia, USA
21,498 posts, read 26,102,510 times
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The only other suggestion I would have is to perhaps use Ace wraps for compression. They are not as good as the stockings but could help.

I can empathize with getting the hose on. It is difficult even when your leg does not hurt.

I hope he feels better soon.
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Old 12-21-2011, 02:22 PM
 
Location: Islip,NY
16,935 posts, read 19,672,707 times
Reputation: 17199
Quote:
Originally Posted by suzy_q2010 View Post
The only other suggestion I would have is to perhaps use Ace wraps for compression. They are not as good as the stockings but could help.

I can empathize with getting the hose on. It is difficult even when your leg does not hurt.

I hope he feels better soon.
Thanks and Happy Holidays to you
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Old 12-21-2011, 03:25 PM
 
Location: Georgia, USA
21,498 posts, read 26,102,510 times
Reputation: 26457
You're welcome!
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Old 12-27-2011, 05:51 AM
 
Location: Islip,NY
16,935 posts, read 19,672,707 times
Reputation: 17199
update, after 3 weeks home, elevation and rest my husbands leg is better and he's back to work as of today. It's still sore and swollen in 1 spot but he goes back to the vascular Doctor this Thursday to see how it is and to discuss having the varicose veins removed from his leg.
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Old 12-27-2011, 07:52 AM
 
Location: Georgia, USA
21,498 posts, read 26,102,510 times
Reputation: 26457
Great news!

Happy New Year!
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Old 12-27-2011, 04:30 PM
 
Location: In a house
13,258 posts, read 34,623,814 times
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During the times that he -is- resting, have him do so with his legs elevated higher than hip-level (like, in a lazy-boy recliner tilted all the way back).

This is going to be a stretch, but do you have access to essential oils? If you do, try geranium, or rose geranium. The latin name is pelargonium graveolens, or pelargonium roseum. Saturate a q-tip with the oil, undiluted, and dab it *gently* over the vein.

Geranium is a "specific" for bruises. That means, it is known, very specifically, for being useful in the treatment and reduction of bruises. A bruise is a bunch of broken blood vessels in an isolated spot. Geranium breaks up the pooled blood. I don't think I've ever heard of it being used for clots, but since it's near the surface of the skin, this might be helpful in reducing the pain and swelling.

Since it's not being used for a systemic problem (such as infected wounds, internally, for heart conditions, or central nervous disorders), the brand and/or source of the oil shouldn't be an issue. Aura Cacia has a basic essential oil of geranium. Just make sure it's not a "scented oil" or a "fragrance oil." Those would be synthetics, and serve absolutely no function at all, other than to provide a nice smell.
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Old 12-27-2011, 05:53 PM
 
Location: Islip,NY
16,935 posts, read 19,672,707 times
Reputation: 17199
Quote:
Originally Posted by AnonChick View Post
During the times that he -is- resting, have him do so with his legs elevated higher than hip-level (like, in a lazy-boy recliner tilted all the way back).

This is going to be a stretch, but do you have access to essential oils? If you do, try geranium, or rose geranium. The latin name is pelargonium graveolens, or pelargonium roseum. Saturate a q-tip with the oil, undiluted, and dab it *gently* over the vein.

Geranium is a "specific" for bruises. That means, it is known, very specifically, for being useful in the treatment and reduction of bruises. A bruise is a bunch of broken blood vessels in an isolated spot. Geranium breaks up the pooled blood. I don't think I've ever heard of it being used for clots, but since it's near the surface of the skin, this might be helpful in reducing the pain and swelling.

Since it's not being used for a systemic problem (such as infected wounds, internally, for heart conditions, or central nervous disorders), the brand and/or source of the oil shouldn't be an issue. Aura Cacia has a basic essential oil of geranium. Just make sure it's not a "scented oil" or a "fragrance oil." Those would be synthetics, and serve absolutely no function at all, other than to provide a nice smell.
Thanks, I will try and get some.
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