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What are the first signs of a blood clot in the leg?

Symptoms of DVT in the leg are: throbbing or cramping pain in 1 leg (rarely both legs), usually in the calf or thigh. swelling in 1 leg (rarely both legs) warm skin around the painful area. red or darkened skin around the painful area. swollen veins that are hard or sore when you touch them.

nhs.uk - DVT (deep vein thrombosis) - NHS

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DVT (deep vein thrombosis) is a blood clot in a vein, usually the leg. DVT can be dangerous. Get medical help as soon as possible if you think you have DVT. Urgent advice: Ask for an urgent GP appointment or get help from NHS 111 if: You think you have DVT. Symptoms of DVT in the leg are: throbbing or cramping pain in 1 leg (rarely both legs), usually in the calf or thigh

swelling in 1 leg (rarely both legs)

warm skin around the painful area

red or darkened skin around the painful area

swollen veins that are hard or sore when you touch them These symptoms can also happen in your arm or tummy if that's where the blood clot is. You can call 111 or get help from 111 online. What DVT in a leg can look like Red and swollen right leg caused by DVT Credit: DR P. MARAZZI/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/440619/view Immediate action required: Call 999 or go to A&E if: You have symptoms of DVT, such as pain and swelling, and: breathlessness chest pain DVT can be very serious because blood clots in your veins can break loose, travel through your bloodstream and get stuck in your lungs. This is called a pulmonary embolism. A pulmonary embolism can be life threatening and needs treatment straight away. Who is more likely to get DVT A DVT is more likely to happen if you: are over 60

are overweight

smoke

have had DVT before

take the contraceptive pill or HRT

have cancer or heart failure

have varicose veins There are also some temporary situations when you're at more risk of DVT. These include if you: are staying in or recently left hospital – especially if you cannot move around much (like after an operation)

are confined to bed

go on a long journey (more than 3 hours) by plane, car or train are pregnant or if you've had a baby in the previous 6 weeks

are dehydrated Sometimes DVT can happen for no obvious reason.

How DVT is diagnosed If a doctor thinks you have DVT, you should be referred to hospital within 24 hours for an ultrasound scan. The scan shows whether blood is flowing normally through the vein. You may also have an X-ray of the vein (venogram). For this, you will be injected with a dye to show where the blood clot is. Treatment of DVT You may have an injection of an anticoagulant (blood thinning) medicine called heparin while you're waiting for an ultrasound scan to tell if you have a DVT. After DVT is diagnosed, the main treatment is tablets of an anticoagulant medicine, such as warfarin and rivaroxaban. You will probably take the tablets for at least 3 months. If anticoagulant medicines are not suitable, you may have a filter put into a large vein – the vena cava – in your tummy. The filter traps and stops a blood clot travelling to your heart and lungs. A newer treatment involves breaking up and sucking out the clot through a small tube in the vein. You usually need to take anticoagulant medicine for several months after this treatment. DVT in pregnancy is treated differently. It is treated with anticoagulant injections for the rest of the pregnancy and until the baby is 6 weeks old. Read more about DVT in pregnancy. Recovery from DVT Some lifestyle measures will help you recover from DVT. After you leave hospital, you will be encouraged to: walk regularly

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keep your affected leg raised when you're sitting

delay any flights or long journeys until at least 2 weeks after you start anticoagulant medicine

Tips to prevent DVT Do stay a healthy weight

stay active – taking regular walks can help

drink plenty of fluids to avoid dehydration – DVT is more likely if you're dehydrated Don’t do not sit still for long periods of time – get up and move around every hour or so do not cross your legs while you're sitting, it can restrict blood flow

do not smoke – get support to stop smoking

do not drink lots of alcohol Going on a long journey If you're travelling for 3 hours or more by plane, train or car, there are things you can do during the journey to reduce your risk of DVT. These include wearing loose clothing, drinking plenty of water, avoiding alcohol and walking around when possible. Going into hospital If you go into hospital, your healthcare team should check your risks of DVT. If they think you're more likely to get DVT, you may be given treatment to prevent it, such as medicine or compression stockings (knee-high elastic socks that help your blood circulation), while you're in hospital. You may continue treatment after you leave hospital because a blood clot can happen weeks later. You can also help protect yourself against DVT while you're in hospital by: staying active and walking around if you can moving your toes (up and down) and ankles (in circles) if you have to stay in bed – your healthcare team may give you some exercises to do

nhs.uk - DVT (deep vein thrombosis) - NHS

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