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What are varicose veins?

Varicose veins are the veins which are swollen and enlarged due to the pooling of blood. They can be seen under the skin with a naked eye; they appear twisted, lumpy bulging blue or dark purple in colour. Usually, they appear in legs but can appear in other body parts as well.

What are its signs and symptoms?

Varicose veins remain asymptomatic for long in most patients. Common symptoms of the condition are

  • Pain in legs
  • Swelling of legs
  • Cramps in legs or calves
  • The appearance of spider-like green veins on the calves and thighs
  • Itching at the site of varicose veins
  • Dry scaly, irritated skin
  • Sore skin which doesn’t heal quickly

What are the main causes?

Due the weakness of valves and walls of the veins, there is pooling of blood in the veins leading to them to be swollen, twisted and coiled i.e., varicosed. Usually, the valves push blood upwards against gravity but when they are weakened, blood in the veins accumulate which causes varicose veins.

Risk factors include

  • Standing for long periods e.g. painters, bus/train conductors, teachers, etc.
  • Female gender
  • Pregnancy
  • Obesity
  • Old age
  • Family history of varicose veins
  • Rare conditions such as, tumour in the pelvis, existing blood clot in veins.

How it is diagnosed and treated?

The doctor will examine the legs for any changes in

  • skin colour
  • healed or unhealed leg ulcers
  • warmth of skin
  • redness

Doppler ultrasound scan is recommended to check the blood flow of the veins, to detect blood clot if any. Not very common, but an angiogram may be advised to confirm the diagnosis.

Treatment includes the following measures:

  • Compression stockings – it helps to decrease the swelling and gently compresses the legs which helps to push the blood upwards to the heart, reducing the pooling of the blood.
  • Ablation therapy- radiofrequency ablation, laser ablation to destroy the varicosed vein.
  • Sclerotherapy- where an agent is injected to shut the supply in the vein.
  • Surgery (phlebectomy)- removal of the affected vein as parallel veins exist for blood supply.
  • Ligation and stripping of affected vein in severe cases.

Self-care includes the following:

  • Avoid standing for long hours continuously.
  • Keep legs elevated for 15 mins at least 3-4 times a day
  • Weight loss to decrease the pressure on the lower extremities.
  • Do more physical activity to improve the blood circulation. Walking or swimming are good options.
  • Take care of any open wounds or sores if any.
  • Keep the legs moisturized and avoid skin getting dry, cracked.
  1. Medicines for Varicose Veins

Medicines for Varicose Veins

Medicines listed below are available for Varicose Veins. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
ADEL 29 Akutur DropADEL 29 Akutur Drop200
Bjain Pulsatilla LMBjain Pulsatilla 0/1 LM39
MahacalMAHACAL TABLET 15S5
SBL Carduus benedictus Mother Tincture QSBL Carduus benedictus Mother Tincture Q 100
Smuth CreamSMUTH 30GM CREAM77
Bjain Carduus benedictus DilutionBjain Carduus benedictus Dilution 1000 CH63
Mama Natura ChamodentSchwabe Chamodent Globules88
Bjain Pulsatilla Mother Tincture QBjain Pulsatilla Mother Tincture Q 351
RutinRUTIN TABLET172
SBL Prostonum DropsSBL Prostonum Drops 104
AsklerolAsklerol 3% W/V Injection107
SBL Strontium bromatum DilutionSBL Strontium bromatum Dilution 1000 CH86
TroydocaTroydoca 30 Mg Injection80
Bjain Carduus benedictus Mother Tincture QBjain Carduus benedictus Mother Tincture Q 199
Schwabe Pulsatilla MTSchwabe Pulsatilla MT 148
Dobesil HDOBESIL H CREAM 30GM55
Bjain Strontium bromatum DilutionBjain Strontium bromatum Dilution 1000 CH63
Omeo Sinus-Relief DropsOmeo Sinus-Relief Drops 111
Schwabe Carduus benedictus MTSchwabe Carduus benedictus MT 88
Schwabe Pulsatilla LMSchwabe Pulsatilla 0/1 LM80
SBL Stobal Cough SyrupSBL Stobal Cough Syrup 108
SBL Cicaderma OintmentSBL Cicaderma Ointment 48
SmuthSMUTH CAPSULE121
Schwabe Strontium bromatum CHSchwabe Strontium bromatum 1000 CH96
VenexVENEX 300MG TABLET 10S23

Do you or anyone in your family have this disease? Please do a survey and help others

References

  1. MedlinePlus Medical Encyclopedia: US National Library of Medicine; Varicose veins
  2. National Health Service [Internet]. UK; Varicose veins.
  3. National Heart, Lung, and Blood Institute [Internet]: U.S. Department of Health and Human Services; Varicose Veins
  4. Bruce Campbell. Varicose veins and their management. BMJ. 2006 Aug 5; 333(7562): 287–292. PMID: 16888305
  5. Office of Disease Prevention and Health Promotion. Varicose veins and spider veins. [Internet]
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