Deep Vein Thrombosis

Common Condition

A blood clot forming in a deep vein, usually in the leg, that can be life-threatening if the clot breaks free and travels to the lungs causing pulmonary embolism.

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Symptoms

Swelling in the affected leg
Pain or tenderness in the leg
Warmth in the affected area
Redness or discoloration of skin
Visible surface veins
Heavy or aching feeling in the leg
Pain that worsens when bending foot upward
Leg fatigue
May have no symptoms (silent DVT)
Symptoms usually affect one leg

Causes

1
Prolonged immobility (bed rest, long flights)
2
Surgery, especially hip or knee replacement
3
Injury to veins
4
Cancer and cancer treatment
5
Heart failure
6
Inherited clotting disorders
7
Hormone therapy or birth control pills
8
Pregnancy and postpartum period
9
Obesity
10
Smoking

Treatments

Anticoagulants (blood thinners)
Heparin (initial treatment)
Warfarin or NOACs (long-term)
Thrombolytics for severe cases
Compression stockings
IVC filter for those who can't take blood thinners
Catheter-directed thrombolysis
Elevation of affected leg
Early mobilization when safe
Prevention during high-risk situations
When to See a Doctor

Seek emergency care immediately if you have leg swelling with sudden shortness of breath, chest pain, rapid heartbeat, coughing up blood, or fainting—these may indicate pulmonary embolism.

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About Deep Vein Thrombosis

Deep Vein Thrombosis: A Silent but Serious Threat

Deep vein thrombosis (DVT) is a blood clot in a deep vein, usually in the legs. The real danger is pulmonary embolism (PE)—when the clot breaks loose and travels to the lungs.

Virchow's Triad: The DVT Risk Factors

  1. Slow Blood Flow: Prolonged immobility, paralysis, sitting for extended periods
  2. Blood Vessel Damage: Surgery, injury, IV catheters
  3. Increased Blood Clotting: Inherited disorders, cancer, pregnancy, hormonal medications

Recognizing DVT

Classic Symptoms:

  • Swelling in one leg (rarely both)
  • Pain or tenderness, often starting in the calf
  • Warm skin over the affected area
  • Red or discolored skin

The Danger: Pulmonary Embolism

PE is a medical emergency. Warning signs:

  • Sudden shortness of breath
  • Sharp chest pain, worse with breathing
  • Rapid heart rate
  • Coughing, possibly with bloody mucus

Prevention

During Travel: Walk around every 1-2 hours, do leg exercises, stay hydrated.

During Hospitalization: Follow mobility recommendations, use compression devices.

General Prevention: Maintain healthy weight, don't smoke, stay active.

"Ang dugo ay dapat dumaloy—huwag hayaang mamuo sa maling lugar." (Blood must flow—don't let it clot in the wrong place.)