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    Thrombophlebitis

    Phlebitis, superficial phlebitis, deep vein thrombosis

    Thrombophlebitis is swelling (inflammation) of a vein caused by a blood clot.

    Causes

    The following increase your chances for thrombophlebitis:

    • Being hospitalized for a major surgery or with a major illness
    • Disorders that make you more likely to develop blood clots
    • Sitting for a long period of time (such as on a long airplane trip)

    There are two main types of thrombophlebitis:

    • Deep venous thrombosis (affects deeper, larger veins)
    • Superficial thrombophlebitis (affects veins near the skin surface)

    Symptoms

    The following symptoms are often associated with thrombophlebitis:

    • Inflammation (swelling) in the part of the body affected
    • Pain in the part of the body affected
    • Skin redness (not always present)
    • Warmth and tenderness over the vein

    Exams and Tests

    The health care provider can usually diagnose the condition based on how the affected area looks. You may need to have your pulse, blood pressure, temperature, skin condition, and circulation frequently checked to make sure you don't have complications.

    If the cause cannot be easily identified, one or more of the following tests may be done:

    • Blood coagulation studies
    • Doppler ultrasound
    • Venography

    Treatment

    In general, treatment may include support stockings and wraps to reduce discomfort as well as medications such as:

    • Analgesics (pain killers)
    • Antibiotics (if infection is present)
    • Anticoagulants (blood thinners) to prevent new clots from forming
    • Nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen to reduce pain and inflammation
    • Thrombolytics to dissolve an existing clot

    You may be told to do the following:

    • Keep pressure off of the area to reduce pain and decrease the risk of further damage
    • Raise the affected area to reduce swelling

    Surgical removal, stripping, or bypass of the vein is rarely needed but may be recommended in some situations.

    For more specific recommendations, see the particular condition (superficial thrombophlebitis or deep venous thrombosis).

    Outlook (Prognosis)

    Thrombophlebitis and other forms of phlebitis usually respond to prompt medical treatment.

    Superficial thrombophlebitis rarely causes complications.

    Complications of deep vein thrombosis include blood clots in the lungs (pulmonary embolism) or chronic pain and swelling in the leg.

    When to Contact a Medical Professional

    Call your health care provider if you have symptoms of thrombophlebitis.

    Call your health care provider promptly ifthrombophlebitis symptoms do not improve with treatment, if symptoms get worse, or if new symptoms occur (such asan entire limb becoming pale, cold, or swollen).

    Prevention

    Routine changing of intravenous (IV) lines helps to prevent thrombophlebitis related to IVs.

    If you are taking a long car or plane trip, walk or stretch your legs once in a while and drink plenty of liquids. Wearing support hose may help.

    If you are hospitalized, your health care provider may prescribe medicine to prevent deep venous thrombosis.

    References

    Ginsberg J. Peripheral venous disease. In: Goldman L, Shafer AI, eds. Cecil Medicine. 24th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 81.

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    • Deep venous thrombosis, ...

      illustration

    • Venous blood clot

      illustration

      • Deep venous thrombosis, ...

        illustration

      • Venous blood clot

        illustration

      Tests for Thrombophlebitis

        Review Date: 5/5/2012

        Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.

        The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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