The main symptoms of phlebitis of the lower extremities
Chronic or acute inflammation of the venous wall is called phlebitis. There are cerebral, post-injection (signs of post-injection phlebitis will be discussed below), migratory, allergic, painful and portal vein phlebitis. According to the localization of inflammation of the venous wall, the disease is classified as periphlebitis, endophlebitis, panphlebitis.
Causes of the disease:
- chemical effect on the vein;
- mechanical damage (phlebitis of a vein on the hand after a catheter);
- varicose vein inflammation;
- infection.
Provocative factors include: excess weight, prolonged bed rest, sedentary lifestyle, long-term immobilization of a limb, injuries, pregnancy, excessive physical exertion. The first sign of the disease, in particular vascular phlebitis after an injection, is throbbing pain and a feeling of tension in the tissues surrounding the affected area.
Clinical manifestations of phlebitis
With acute superficial phlebitis, the vein is tense and painful. The skin in the affected area thickens and turns red. In some cases, red stripes appear along the course of the vein. The patient's temperature rises, weakness is noted, symptoms of general intoxication increase. With a chronic form of the disease, the symptoms are more smoothed out.
Acute phlebitis of deep veins is characterized by intense pain, swelling at the site of inflammation and milky white skin color.
Symptoms of phlebitis of the lower extremities are hyperemia of the skin in the area of inflammation, swelling, general weakness, increased body temperature, rapid fatigue.
Phlebitis of the portal vein is characterized by general intoxication of the body: weakness, vomiting, cramp-like pain in the liver and headache. The patient has a high temperature, profuse sweat and increasing jaundice.
Phlebitis after vascular injection is accompanied by sharp pain radiating to the shoulder and fingers, thickening of the puncture site as a result of blood accumulation, and tension in the limb.
Complications of pathology:
- thrombophlebitis;
- chronic venous insufficiency;
- thrombosis;
- pulmonary embolism (PE);
- abscess (with infectious phlebitis).
On our website Dobrobut.com, you can book a consultation with a specialist who will tell you how to avoid phlebitis of the upper extremities after a drip. Registration online and by phone.
Diagnostics
The superficial form of the disease, as a rule, does not cause doubts and the diagnosis is made after a thorough examination of the patient and collection of anamnesis. To confirm deep phlebitis, the specialist will prescribe additional examinations: ultrasound angioscanning of subcutaneous vessels, CT scan, phlebography. Laboratory tests - comprehensive blood analysis, coagulogram, analysis for C-reactive protein and prothrombin index.
How to treat acute phlebitis of deep leg veins
Treatment of inflammation of superficial veins is carried out on an outpatient basis, in other cases hospitalization in a hospital is recommended.
Treatment of phlebitis - drug therapy:
- nonsteroidal anti-inflammatory drugs (NSAIDs);
- venoprotectors (drugs to restore microcirculation);
- antibiotics;
- antihistamines, anticoagulants;
- antithrombotic agents.
External therapy - the use of anti-inflammatory gels and vasodilators (means that improve tissue microcirculation and promote the elasticity of vessel walls). Please note that a compress with ointment for phlebitis of superficial veins is recommended only as an auxiliary therapy.
Physiotherapy - UFO, UHF, iontophoresis, solux, reflexology, acupuncture, laser and cryotherapy. The main task of physiotherapeutic procedures is to eliminate the residual phenomena of phlebitis.
During the treatment period, the patient is shown bed rest with an elevated position of the affected limb. After removing the exacerbation, doctors recommend using elastic bandages and compression knitwear.
Prevention of phlebitis after vascular injection
The main recommendations are quite simple. A healthy lifestyle, a daily set of physical exercises, timely treatment of infectious and inflammatory diseases, a professional examination every six months will help to avoid serious pathologies and preserve your health for a long time.
If you still have questions and need the help of a specialist, make an appointment in a convenient way for you and find out how to treat acute phlebitis of the deep veins of the leg and which dosage forms will be effective in your case.
Related services:
Phlebology
2.3К views
