Phlebitis, thrombosis, embolism: what are your risks?

Phlebitis and embolism are both severe and relatively common but little-known conditions. The origin of these phenomena: thrombosis, a blood clot blocking an artery. How such accidents occur? Can we reduce the risk? The point with Doctissimo.

When blood clots form in a vein, the support is easy. On the other hand, when it comes to a deep vein (phlebitis), there is urgency. The clot (called thrombus) risk standing out, cause abrupt obliteration of a blood vessel, it is the most often pulmonary embolism. Hence the importance of carefully to know the risk factors for this disease.

Emergency situations
If you have a deep pain in a calf, accentuated when you raise your foot must be think of phlebitis. A quick reference to your attending doctor, followed if necessary an ultrasound will depart (or confirm) the hypothesis.

The signs of pulmonary embolism are often misleading and may delay the timing of the consultation: pain in the thorax, pace increased heartbeat, breathing and coughing. In other cases, the symptoms are much more important: shortness of breath even at rest, sharp chest pain, cyanosis. In all cases, immediately call your doctor or the SAMU and ensure timely care is urgent.

The capital, the main risk factor
In addition to the famous the economy class syndrome that has been much talk of him, all come to complete stop causes a stagnation of blood in the veins, and therefore a risk of thrombus formation if the situation continues.

Also, do not be surprised if in the event of prolonged bed rest or immobilization by cast your doctor prescribed daily injections of heparin of low molecular weight (LMWH, see a list). Anticoagulant medication can ease the blood and thus avoid the risk of thrombosis.

At the hospital, stays for a debilitating disease can cause a thrombosis: cardiovascular disease (heart failure) and cancers (especially if there are metastases). The riskiest are Orthopedic, gynecological, cardiac and neurological surgery. Doctors and nurses will be particularly attentive to this said thromboembolic risk.

Other acquired risk factors
Age, obesity, pregnancy and layer suites, a large venous disease (old and many varicose veins), a contraceptive estrogen or a history of thrombosis should also encourage prudence.

People with one of these risk factors must be vigilant. Feel free to wear support stockings and do some not every 2 hours. If you have several risk factors, treatment with heparin can you be preemptively prescribed by your doctor.