Deep Vein Thrombosis

Clinical Features:

• 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.

Investigations:

• Serum lipid profile 
• RBS 
• Venography
• Duplex Venous USG 
• MRI

Rx :

• Elevation of affected leg by pillow
  

1. Inj. parinox(enoxaperin) ( 60 mg)....subcutaneous... bd....7 days

OR

Tab.kinexa (Ribaroxaban)(15 mg) 

• 1+0+1.....21 days

2. Then tab.Kinexa (10 mg)

• 1+0+1.....3 month/ 6 month/ continue

3.Tab.Epitra ([post id="474" title="Clonazepam"])(0.5 mg)

• 0+0+1.....10 day

4. Cap.Pantonix ([post id="393" title="Pantoprazole"])(20 mg)

• 1+0+1......10 day ( 30 min before meal)

5.Tab.Napadol ([post id="452" title="Paracetamol+Tramadol"])

• 1+0+1.....5 day ( if pain)

6. Tab.Motigut([post id="465" title="Domperidone"]) (10 mg)

• 1+1+1.....5 day ( b/ m)

Note:

• Kinexa 3 month dibo if below knee & cause of DVT is reversible
• 6 month if cause not found/ persistent risk factor
• Continue life long ...if recurrent

Advice:

• Bed Rest
  
• 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.