Beware of Leg Clots, Warns US Surgeon General

by Gopalan on  September 17, 2008 at 10:13 AM General Health News
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Take birth control pills or hormone replacement therapy.

Have cancer, a bad bruise or a broken bone.

Have been immobile during long trips.

Smoking and obesity also increase the risk.

People who show no symptoms but have a relative who has suffered a blood clot should tell their doctor about the family history.

Symptoms include:

Swelling.

Pain, especially in the calf.

A warm spot or red, discoloured skin on the leg.

Shortness of breath.

Pain when breathing deeply.

The education campaign also applies to doctors, since studies suggest that one-third of patients who need blood thinners before surgery don't get them, Galson said.

The report includes cases of patients who are turned away despite symptoms, such as Le Keisha Ruffin, whose leg and groin pain were repeatedly chalked up to a healing caesarean-section scar.

When her leg swelled to triple or quadruple its normal size and she passed out, that was the tip-off for doctors. After a month in hospital, Ruffin, now 32, needed extensive physical therapy to resume walking normally.

Clots "tend to fall through the cracks" because they cross so many areas of medicine, said Dr. Samuel Goldhaber, chairman of the Venous Disease Coalition and a cardiologist at Boston's Brigham & Women's Hospital.

The surgeon general's workshop on DVT in 2006 revealed a lack of consensus in how health professionals deal with the disease or the best approaches, agreed Dr. Elizabeth Nabel, director of the National Heart, Lung and Blood Institute, in a preface to the report.

The report therefore emphasizes the need for increased awareness of DVT and pulmonary embolism, evidence-based guidelines, and more research on its causes, prevention and treatment, CBC News reports with AP.

Source-Medindia
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