Manifestations of Varicose Veins
The main symptoms of varicose veins
Phlebology – 2008
The most basic and main features of varicose veins include:
- Heaviness in legs
- The presence of varicose saphenous veins.
Often the diagnosis of varicose veins on the legs does not cause any difficulties. The patient himself can see in his legs extended, twisted veins. But sometimes it needs to carefully examine the surface of the legs and thighs. Varicose veins can be seen only in the popliteal fossa or on the back of the legs. Sometimes varicose veins can be seen in the hip area.
Varicose veins can be seen immediately because of its vivid expression, and may be barely noticeable, for example, when a thick skin, or, for example, pronounced hair on the legs of men. Therefore it is always necessary not only to examine his feet, but also feel their fingers. It is possible to identify the tortuosity of the veins.
Another characteristic feature of varicose veins is that the veins "disappear" when the patient lies down and raises the foot (eg, puts them on a chair while resting) and swell (expand) in the upright position, especially with prolonged standing.
For varicose veins of the legs is also characteristic of a feeling of heaviness in the legs, dull pain in them, and sometimes convulsions. In addition, some patients may experience a burning sensation. All these symptoms are usually more pronounced in the evening, after work or during prolonged standing. This is usually for those people whose work involves prolonged standing on his feet in the same position (surgeons, teachers, etc.).
When varicose legs also noted a small swelling of soft tissues, usually in the feet, ankles and lower legs.
In the long varikznoy disease, especially when inadequate treatment, or if non is never performed, the disease progresses. There are trophic changes in the skin of legs and feet. They usually manifest appearance of skin tightening (eg, induration), pigmentation (spots in the form of freckles, only darker). The skin becomes dry, cyanotic, may be swelling. with the progression of varicose veins may appear sores, due to the malnutrition of the skin.
It should be noted that varicose trophic ulcers (sores and associated with postthrombotic syndrome) usually appear in the medial malleolus (that is, the inside of the shin), which is associated with a singularity of blood supply to the skin in this area.
Another common symptom of varicose veins is thrombophlebitis leg. Thrombophlebitis, in essence, is a complication of varicose veins. This formation of thrombus in the wall of the vein with the accession of inflammation vein. Thrombophlebitis is manifested in the course of the appearance of the local seal veins, redness and pain. Dimensions of a blood clot at the same time may be different. With the progression of inflammation, especially in purulent fusion of thrombus may be deteriorating, fever occur and, if not to conduct an adequate treatment, and sepsis.
Varicose veins of the legs may also, though rarely, observed bleeding from the varices ruptures. Usually such bleeding observed during the night.
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