Varicose Veins (cont.)
What are varicose vein symptoms?
Many people with varicose veins do not have any physical symptoms. They may,
however, have concerns over the cosmetic appearance of the varicose veins.
Some of the common symptoms of varicose vein include:
- aching,
- cramping,
- itching,
- swelling, and
- fatigue.
Some people may complain of a
dull ache and pressure sensation from varicose veins.
Some less common but more severe symptoms of varicose veins may include
bleeding, thrombophlebitis (formation of blood clot within the varicose vein),
and ulceration of the skin overlying the veins. These complications of varicose
veins need to be evaluated by a doctor promptly.
How are varicose veins evaluated (diagnosed)?
Evaluation of varicose veins includes a thorough general physical examination
by a doctor. This will include asking about family history of varicose veins,
duration, presence of any symptoms, and any worsening or expansion of the
varicose veins. The individual's height, weight, and other medical conditions
need to be noted as well.
In addition, general inspection and palpation (feeling the veins) as well
evaluation for any bleeding or ulcers are typically performed.
Standing up for about 5 to 10 minutes can make the veins more visible, and
this may further aid the doctor in assessing the extent of the varicose veins.
Can ultrasound be used to evaluate varicose veins?
Ultrasound of the veins can assist in evaluating the varicose veins.
Ultrasound can help in delineating the anatomy of the veins involved.
Doppler ultrasound (a device which can detect and measure blood flow) may also provide
additional information such as the competency of and flow through the valves in
the perforating and the deeper veins. This information is especially useful if
surgery or other procedures are being considered.
Next: What treatments are available for varicose veins and spider veins? »
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