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
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.
For venous clots, you will take blood thinners (a)nticoagulants to prevent the clot from growing and help blood flow past the clot. You may also need a procedure to place a filter in your vena cava, the large vein that carries blood to your heart. The filter will stop the clot from entering your heart or lungs.
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.
You can usually stay at home to have your DVT treatment. But you may need to be admitted to hospital if you have any complications or certain problems that put you at higher risk.
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 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.
Full blood thinning effect is achieved within 2–3 h. Therefore, there is no need for the initial injections with an additional blood thinner. After being stopped, warfarin takes 5–7 days to clear the body.
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).
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.
Seek emergency care if you experience: Cough that produces bloody sputum. A fast heartbeat. Lightheadedness.
Duplex ultrasonography is an imaging test that uses sound waves to look at the flow of blood in the veins. It can detect blockages or blood clots in the deep veins. It is the standard imaging test to diagnose DVT. A D-dimer blood test measures a substance in the blood that is released when a clot breaks up.
An X-ray is then taken that enables your doctor to see images of your veins in your legs and feet, so they can look for blood clots.
Get advice from 111 now if you think you have a blood clot
throbbing or cramping pain, swelling, redness and warmth in a leg or arm. sudden breathlessness, sharp chest pain (may be worse when you breathe in) and a cough or coughing up blood.
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.
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.
You may have an injection of a blood-thinning medicine called heparin while you're waiting for an ultrasound scan to see if you have a DVT (deep vein thrombosis). The main treatments include: blood-thinning medicines, such as warfarin or rivaroxaban – you'll probably need to take these for at least 3 months.
Approximately 60% of patients will recover from a leg DVT without any residual symptoms, 40% will have some degree of post-thrombotic syndrome, and 4% will have severe symptoms. The symptoms of post-thrombotic syndrome usually occur within the first 6 months, but can occur up 2 years after the clot.
It is important to start treatment right away for DVT. 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.
While a pulmonary embolism can be life-threatening, most patients survive DVT and need to learn how to live with the risk of recurrence. Your healthcare provider will probably prescribe anticoagulants, or blood thinners, which may be needed for as little as three months but can be lifelong treatment.
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.
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.