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Sara asked...

I have Thrombophlebitis.

I have been told I have Thrombophlebitis. Should I be scared of a blood clot ie turning to dvt and a clot going to my lung/heart? My large vein along inside of right thigh is hard and very tender as are the varicose veins I have behind my right knee.
I am on the pill and my Gran has told me she has had a bout of dvt and Thrombophlebitis and has the gene called prothrombrin g20221A.

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The answer

Thrombophlebitis is inflammation of the superficial veins of the legs (the veins just underneath the skin). This is less serious than a deep vein thrombosis (DVT). Thrombophlebitis usually gets better on its own after a few weeks. In some cases it can get worse and lead to a DVT. If you did have a clotting disorder like your grandmother, you could be at risk of developing DVT (especially now you have already developed thrombophlebitis).

It is certainly worth considering being checked for a clotting disorder because they can sometimes run in families. You may not be safe on the combined contraceptive pill because it can sometimes cause blood clots too. There is a safer contraception pill that you could take instead called the mini-pill. You need to discuss all of this with your doctor as soon as possible. Make sure you are on the safest pill and find out if you need to have some extra tests and treatment now you are aware of your grandmother’s history.

Answered by Dr Emmajane Down.


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