Description
Thrombophlebitis is a clot in a vein that is superficial (near the surface) and associated with inflammation of the vein. It is common in people with varicose veins but can occur in any situation where the blood flow is sluggish (pregnancy, immobilization). Intravenous drug abusers and people who require intravenous medications are at increased risk for this condition.
Symptoms
Symptoms include pain, redness and swelling along the affected vein. In some instances, the vein feels hard like a cord.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical will be performed. Often, the diagnosis can be made by history and physical alone. Sometimes more testing may be done to exclude other medical problems associated with thrombophlebitis. An ultrasound may be done to exclude a deep clot.
Tests:
Complete blood count (CBC), Activated partial thromboplastin (aPTT or PTT), Prothrombin test (PT, INR), Ultrasound
Specialists:
Internal Medicine, Vascular Surgery, Family Practice
Workup:
A history and physical will be performed. Often, the diagnosis can be made by history and physical alone. Sometimes more testing may be done to exclude other medical problems associated with thrombophlebitis. An ultrasound may be done to exclude a deep clot.
Tests:
Complete blood count (CBC), Activated partial thromboplastin (aPTT or PTT), Prothrombin test (PT, INR), Ultrasound
Specialists:
Internal Medicine, Vascular Surgery, Family Practice
Treatment
Treatment includes bed rest, elevation and warm compresses. Nonsteroidal anti-inflammatory drugs (NSAIDs) are often helpful. If your doctor is suspicious that there is also an infection, you may be prescribed antibiotics.