Will you be admitted to the hospital or sent home? If a DVT is confirmed, you may be discharged and sent home with injectable or oral anticoagulant medication (sometimes called a blood thinner). That said, every patient is different, and you may be admitted to the hospital if the ER doctor believes it's necessary.
How long is hospitalization? The time a person spends in the hospital depends on how severe the clot is and whether the person's body is dissolving the clot on its own. Some people may not need to stay in the hospital at all, while others may require 1 week or more.
Sometimes a catheter-based procedure to break up or remove the clot is necessary. Other times, clot-busting drugs (thrombolytics) can be used. For venous clots, your Dignity Health doctor may prescribe blood thinners (anticoagulants) to help blood flow past the clot and prevent the clot from growing.
Immediate action required: Call 999 or go to A&E if:
DVT can be very serious because blood clots can travel to your lungs. This is called a pulmonary embolism. A pulmonary embolism can be life-threatening and needs treatment straight away.
It takes about 3 to 6 months for a blood clot to go away. During this time, there are things you can do to relieve symptoms. Elevate your leg to reduce swelling. Talk to your doctor about using compression stockings.
If your doctor can't fit you in, head to the emergency room or an urgent care facility where they have ultrasound capabilities, which they'll use to check for a clot.
If you think you have a blood clot, see a doctor right away. Blood clots in the legs can be very dangerous because they can break free and travel to other parts of the body, including the brain and heart. When a blood clot enters the lung, it can trigger a potentially fatal event called a pulmonary embolism (PE).
During the treatment, your provider will use imaging like CT or MRI scans to make sure the clot is dissolving correctly. You'll usually need to stay in the hospital for at least 1 day after the procedure.
For years, if you had a DVT, your doctor would order bed rest. This was thought to lower the risk of a clot traveling through your bloodstream to your lungs. But recent research suggests that bed rest doesn't help people with DVT and that it may be fine for you to get up and move around.
About 25% of people who have a PE will die suddenly, and that will be the only symptom. About 23% of people with PE will die within 3 months of diagnosis, just over 30% will die after 6 months, and there is a 37% mortality (death) rate at 1 year after being diagnosed.
Following a DVT, your leg may be swollen, tender, red, or hot to the touch. These symptoms should improve over time, and exercise often helps. Walking and exercise are safe to do, but be sure to listen to your body to avoid overexertion.
The Importance of Exercise if You Have DVT
Studies show that exercise also can improve symptoms of DVT, including swelling, discomfort, and redness. Physical activity can also make you feel more energized. If you have DVT, being active is especially important for your legs. That's where blood clots usually form.
Once DVT or VTE is treated, doctors recommend that patients be sure to stay active. “You want people to exercise, because the lack of exercise causes clots,” says Ellen Hillegass, a physical therapist with American Physical Therapy Association board certification in cardiovascular and pulmonary clinical specialty.
Sick Leave and Disability
In most DVT cases, blood thinners are enough to stop new clots from forming or traveling while your body gets rids of the existing clot. But severe clots may need more complex treatments or even surgery. In this case, you might need more time off from work.
Thrombolytic therapy is a treatment that dissolves blood clots. At Tampa General Hospital, our cardiovascular specialists often use this technique in emergencies when the threat of a heart attack, stroke or pulmonary embolism is imminent.
If you suspect that you have a blood clot or experience any of the signs and symptoms, you should consider going to the ED. Signs of DVT include: Swelling of the legs, ankles, or feet. Discomfort, heaviness, pain, aching, throbbing, itching, or warmth in the legs.
Apart from swelling, another sign that you should visit an ER for a blood clot is if you develop discomfort as well as pain and tenderness in one or both legs. This should be taken seriously even if the pain only manifests when you stand or walk, as it is usually another telltale sign of DVT.
Does blood clot pain come and go? Unlike the pain from a charley horse that usually goes away after stretching or with rest, the pain from a blood clot does not go away and usually gets worse with time.
Typically, your provider will ask about your current symptoms, family medical history and risk factors for clots. They will examine your extremities (arms and legs) for swelling and look for tenderness and skin discoloration. If your provider suspects a clot, they may do certain blood tests or imaging tests.
Call for medical help right away or go to an emergency room if you: Have a leg injury with a deep cut or you can see bone or tendon. Can't walk or put weight on your leg. Have pain, swelling, redness or warmth in your lower leg.
Your doctor will likely perform a physical examination, and you may undergo a venous ultrasound or a CT angiography (CTA) scan of the chest, abdomen/pelvis or head to help diagnose your condition. Treatment may depend upon whether the clot is located in an artery or a vein.
DON'T stand or sit in one spot for a long time. DON'T wear clothing that restricts blood flow in your legs. DON'T smoke. DON'T participate in contact sports when taking blood thinners because you're at risk of bleeding from trauma.
Elevate your legs above the level of your heart.
Elevate your legs when you sit or lie down, as often as you can. This will help decrease swelling and pain. Prop your legs on pillows or blankets to keep them elevated comfortably.
To help reduce the pain and swelling that can occur with DVT, patients are often told to elevate their leg(s), use a heating pad, take walks and wear compression stockings.