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Superficial Blood Clot

I have been diagnosed with a superficial bloodclot in my lower thigh. I was seen at an urgent care 5 days ago. Since I was seen the “lump” that I had has become cord like and it is thicker and longer than when seen. It’s bruised where it began and is a little red but does not really hurt, just to the touch. Sometimes feels like “pulling” when walking but it’s definitely tight due to inflammation. No swelling. Does this seem superficial? How can I be sure? It’s been 10 days since it started.

Female | 33 years old
Complaint duration: 10 days
Medications: B12, vitamin D3, hydroxyzine, gabapentin, lorazepam, metoprolol
Conditions: Anxiety, depression, high BP, varicose veins

5 Answers

It does appear superficial an ultrasound can tell for sure
Superficial blood clots are diagnosed based on history, physical exam, and sometimes ultrasound findings. Your description certainly sounds like a superficial thrombophlebitis or superficial thromboses, but an ultrasound examination is the only thing that can rule out a deep vein thrombosis (DVT) as well. It’s estimated that 25% is superficial thrombosis can have a deep thrombosis as well. If you have venous reflux or varicose vein disease, that puts you at increased risk of both DVT and SVT (clots on the deep and superficial system). It would be wise to schedule an appointment with a phlebologist which us a doctor who specializes in venous disease.
Based on what you are saying, it does sound like you may have superficial phlebitis (superficial blood clot in a vein). Unfortunately the only way to be sure is to do an ultrasound. The ultrasound can either be done at an urgent care, a radiology center, or at a vein clinic.

If it is a superficial vein clot, this usually does not require intensive therapy. Sometimes we would put you on aspirin or a medication similar to aspirin called Plavix for several weeks. Then we would do a follow-up ultrasound to make sure that the clot is resolving. The length of time that it takes for this to resolve depends on the size and extent of the vein involved. You should also benefit from using a compression stocking or wearing compression pants.

On occasion, rarely, the phlebitis can be infected. In those cases you might require antibiotic therapy.

I hope this was helpful.
Hi there. It sounded superficial venous thrombosis. You might use Tylenol or ibuprofen and apply warm compress to the area. If the pain worsened and if the leg swells up, then we need to get an ultrasound to make sure there is no deep venous thrombosis
You need a venous duplex study to distinguish and make sure you don't have
a deep vein thrombosis.