Treatment FAQ

what is the treatment for phlebitis

by Amiya Bednar Published 3 years ago Updated 2 years ago
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For superficial thrombophlebitis, your doctor might recommend applying heat to the painful area, elevating the affected leg, using an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) and possibly wearing compression stockings. The condition usually improves on its own.Dec 29, 2021

Medication

Mar 10, 2017 · Phlebitis – Treatment 1) The immediate treatment of phlebitis (or superficial venous thrombophlebitis) As outlined in the other sections,... 2) The longer term treatment/prevention of phlebitis (or superficial thrombophlebitis):

Procedures

Phlebitis Treatment Self-Care at Home An anti-inflammatory drug, such as aspirin or ibuprofen, can help lessen the pain and inflammation of superficial …

Self-care

May 04, 2016 · In addition to these natural remedies for phlebitis, it is essential you adopt a series of measures and healthy habits to help you o vercome this condition and improve your cardiovascular health: Stay well hydrated by drinking at least 1.5 to 2 litres of water per day. Look after your diet by ...

Nutrition

Aug 23, 2017 · Treating phlebitis: Phlebitis is an inflamed vein. These can usually be treated with anti-inflammatory medicine, compression, and ice and/or heat. The problem is that the inflammation is often caused by a thrombus (clot) and the only way to know that a clot is present or not is to have an ultrasound.

How to cure phlebitis with home remedies?

Aug 07, 2021 · In general, treatment usually includes oral administration of anti- inflammatory drugs , pain relievers, and antibiotics if the phlebitis is caused by a bacterial infection. He may also prescribe topical application of anti-inflammatory creams or gels.

Is heat or ice better for phlebitis?

Dec 14, 2021 · These may include: Anticoagulant blood-thinning medications. Anticoagulants reduce your blood’s ability to clot. This can help prevent an... Thrombolytic medications. Also called “clot busters,“ thrombolytics dissolve a clot. They’re typically used for more... Varicose vein treatment. If you have ...

Are antibiotics used to treat phlebitis?

Treatments for phlebitis. Phlebitis is inflammation, not infection, so antibiotics are not helpful. You can follow this advice to help reduce any pain and swelling: raise the leg to help reduce swelling; ask your doctor if compression stockings would be suitable for you to help reduce swelling; keep active to keep the blood circulating

Why is phlebitis a contraindication to massage?

Dec 29, 2021 · Use a warm washcloth to apply heat to the involved area several times daily Keep your leg raised when sitting or lying down Use a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), if …

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How long does it take for phlebitis to go away?

How Long Does Phlebitis Take to Go Away? A short-term condition of phlebitis will subside in 1-3 weeks.Jul 13, 2021

What is phlebitis caused by?

Phlebitis may be caused by damage to the vein wall or by a blood clot that blocks a vein. Inflammation caused by a blood clot, or thrombus, is called thrombophlebitis. Blood clots can occur in veins near the surface of the skin or in veins deep within your muscles.

Is walking good for phlebitis?

Phlebitis Treatment Self-Care at Home If you increase your walking, you increase blood flow. This helps prevent blood clots from developing.Oct 30, 2020

Does phlebitis go away on its own?

In most cases, superficial thrombophlebitis goes away on its own after a few weeks. If needed, we can encourage healing with: Oral or topical nonsteroidal anti-inflammatory drugs (NSAIDs)

What is the fastest way to get rid of phlebitis?

For superficial thrombophlebitis, your doctor might recommend applying heat to the painful area, elevating the affected leg, using an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) and possibly wearing compression stockings. The condition usually improves on its own.Dec 29, 2021

What does phlebitis of the leg look like?

Phlebitis is an inflammation of a vein. The vein is hot, red and lumpy. The lump is tubular in shape and it is tender to touch, it may throb and walking may be painful. The cause of phlebitis in the leg is most often a clot in the vein just under the skin.Apr 6, 2021

What happens if phlebitis is not treated?

Complications of phlebitis may include local infection and abscess formation, clot formation, and progression to a deep venous thrombosis and pulmonary embolism. When pronounced deep venous thrombophlebitis has seriously damaged the leg veins, this can lead to post-phlebitic syndrome.Aug 7, 2018

Do I need to see a doctor for phlebitis?

If a blood clot is identified in a deep vein (deep vein thrombosis – DVT) you'll likely need to start on a blood-thinner, unless there's a contraindication. If you think you might have phlebitis, it's important to seek medical attention. You'll probably need a vein ultrasound to diagnose what's going on.

What are the first signs of a blood clot?

Arms, LegsSwelling. This can happen in the exact spot where the blood clot forms, or your entire leg or arm could puff up.Change in color. You might notice that your arm or leg takes on a red or blue tinge, or gets or itchy.Pain. ... Warm skin. ... Trouble breathing. ... Lower leg cramp. ... Pitting edema. ... Swollen, painful veins.Jun 17, 2020

What antibiotics treat phlebitis?

Cephalexin (Keflex) Cephalexin is a first-generation cephalosporin that may be used as adjunctive therapy in superficial phlebitis if infection is possible but unlikely, and if the only likely organisms would be skin flora, including staphylococci and streptococci.Feb 25, 2021

What medications cause phlebitis?

The following drugs are prone to causing phlebitis:antibiotics.hypertonic dextrose solutions (>10%)cancer chemotherapies.vasoactive medications.solutions containing calcium and potassium supplements.

Do compression stockings help phlebitis?

Top tips to prevent Phlebitis If phlebitis in your legs is connected with poor circulation, you can do the following to prevent it from happening again: Exercise regularly. Stop smoking. Wear compression support stockings or support tights such as Venosan Supportline which help keep the blood flowing through your legs.

What is the best treatment for phlebitis?

If phlebitis is localized to a small section of a superficial vein then warm compresses, oral anti-inflammatory medications (eg. Motrin), topical anti-inflammatory creams (eg. Arnica), and leg elevation may be all that’s required.

Where does phlebitis occur?

Phlebitis can occur in superficial veins (close to the skin surface) or deep veins (in the central portion of the leg). Phlebitis affecting the superficial veins is less concerning than phlebitis affecting the deep veins. If phlebitis occurs in a superficial vein (ie. close to the skin) the overlying skin will commonly be warm ...

What is the medical term for a blood clot?

When phlebitis occurs is in conjunction with superficial blood the medical term for this condition is “superficial venous thrombophlebitis,” commonly simply abbreviated as “thrombophlebitis”. When a blood clot occurs in a deep vein ...

What are the risk factors for phlebitis?

long plane flight or car ride), obesity, smoking, estrogen-containing medications (including oral contraceptives and hormone replacement therapy), clotting disorders (which may predispose to easy clotting), and externally visible varicose veins. Other risk factors include trauma to a varicose vein (eg. if your leg bumps against the dishwasher), and cancer (which can increase the risk of developing blood clots).

What to do if you have a blood clot in your vein?

If a blood clot is identified in a deep vein (deep vein thrombosis – DVT) you’ll likely need to start on a blood-thinner, unless there’s a contraindication. If you think you might have phlebitis, it’s important to seek medical attention. You’ll probably need a vein ultrasound to diagnose what’s going on. Other management recommendations will be ...

What is venous reflux?

OTHER CONSIDERATIONS. A high percentage of patients with superficial phlebitis have an associated condition known as venous ref lux. This is a condition where the valves in the leg veins have ceased to function effectively. If venous reflux is present procedures can be performed to treat the underlying problem.

Who is Peter Ford?

Peter Ford MD FACS RPVI Peter Ford, MD, FACS, RPVI, is a board certified vascular surgeon who works at Vascular Solutions in Charlotte, North Carolina. Dr. Ford specializes in the management of varicose veins and venous disease.

How to treat phlebitis?

Another way to treat phlebitis is to take anti-inflammatory medication. Since medications are considered a cause for phlebitis, some patients may be a little skeptical about taking them to treat the condition. A common recommendation from doctors is to use nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen, which are used to treat pain relating to various conditions. Something that may not be advised, however, is taking two anti-inflammatories simultaneously. This is because they could interfere with each other (e.g., ibuprofen could interact with acetylsalicylic acid). Combining medications like this can increase the risk of side effects such as abdominal ulcers, bleeding, and bruises. Patients should inform their doctor if they happen to come down with any side effects.

How to help phlebitis pain?

Phlebitis patients should apply warm compresses, preferably a wet rag, to the affected area. This is another way to reduce swelling and increase blood circulation, and on top of that, it provides pain relief.

What does it mean when your veins are red?

Phlebitis is a condition in which inflammation occurs in a vein. It is most likely to occur in older adults. With phlebitis, patients can feel a painful tenderness in the area where the inflamed vein is housed. In addition, they can feel warm and itchy in the area, which may appear red.

What causes phlebitis?

Different causes of phlebitis have been named such as an injury, surgery, infection, medications, and certain cancers. Phlebitis has also been linked to another condition called deep vein thrombosis, which is when a blood clot develops in the vein. Although no cure has been identified, there are several treatments available to patients.

How do compression socks help with phlebitis?

Phlebitis patients can ease symptoms easily by wearing compression socks. Compression can help improve blood circulation and prevent clotting. Compression socks work by putting pressure on the veins in the legs by squeezing the exterior layer, stimulating blood to flow upward into other areas of the body. In addition, compression socks can ease the ...

How to get blood out of leg veins?

Elevate The Leg Or Arm. Standing up and sitting down for long periods is known to put pressure on leg veins. The veins are already working hard enough to keep the blood flowing throughout the body and from settling into the feet area. This is precisely why elevating the affected leg or arm is so beneficial.

What is leg elevation?

Multiple techniques involve elevating the leg and arm. A common leg elevation technique is for patients to rest their legs against the wall while lying on their back. Their body will be positioned into a ninety-degree angle, meaning the butt should be against the wall.

What are the symptoms of phlebitis?

If an infection is present, symptoms may include redness, fever, pain, swelling, or breakdown of the skin. This can be similar in presentation to superficial phlebitis, but some people may have no symptoms. One may have pain and swelling throughout the entire limb.

What is the difference between a thrombus and a phlebitis?

Phlebitis (fle-BYE-tis) means inflammation of a vein. Thrombophlebitis is due to one or more blood clots in a vein that cause inflammation. Thrombophlebitis usually occurs in leg veins, but it may occur in an arm or other parts of the body. The thrombus in the vein causes pain and irritation and may block blood flow in the veins. Phlebitis can occur in both the surface (superficial) or deep veins.

What does it mean when your veins are red?

Superficial phlebitis. There is usually a slow onset of a tender red area along the superficial veins on the skin. A long, thin red area may be seen as the inflammation follows a superficial vein. This area may feel hard, warm, and tender. The skin around the vein may be itchy and swollen.

What is the name of the condition where blood clots travel to the lungs?

Large blood clots can form, which may break off and travel to the lungs. This is a serious condition called pulmonary embolism.

Can ultrasound detect blood clots?

Ultrasound can detect clots or blockage of blood flow, especially in larger, more proximal (upper leg) veins. A small hand-held instrument (probe) is pressed against your skin to help identify blood clots and where the obstruction is. This is a painless, noninvasive test.

What are the risk factors for thrombophlebitis?

Some risk factors for thrombophlebitis include the following: Prolonged inactivity - Staying in bed or sitting for many hours, as in a car or on an airplane, creating stagnant or slow flow of blood from the legs in a dependent position (This pooling of blood in the legs leads to thrombus formation.)

Is a venogram invasive?

Occasionally a venogram is needed to identify blood clots in the smaller, more distal veins. This is an invasive procedure that requires injecting X-ray dye or contrast material into a vein on the foot, then an X-ray is taken of the flow of the dye up the leg.

What are the causes of phlebitis?

There are certain factors and conditions that can greatly increase the chances of developing phlebitis, among which are the following: 1 Genetic factors, because there are people who have a greater tendency to suffer from blood clots. 2 Being immobile for long periods of time, whether from lying down or resting after an operation, to many hours sitting in an airplane, etc. 3 Too many toxins in the blood, affecting the blood by making it more viscous and thick, thus causing possible circulatory problems. 4 Dehydration or malnutrition. 5 Strokes or traumatic injuries. 6 Other conditions and diseases, such as a previous injury in a vein, suffering from some form of cancer, suffering from a deterioration of varicose veins, etc. 7 Being overweight

How to reduce inflammation in legs?

Avoid placing ice directly on the skin so as to avoid burns and try to keep the leg slightly elevated, so this also contributes to good blood circulation. In the same way, taking a hot bath can also be a good alternative for reducing inflammation and give relief. 3.

What are blueberries good for?

6. Blueberries have vasodilating properties and flavonoids, which are a perfect combination for treating conditions related to poor circulation such as phlebitis, varicose veins, arteriosclerosis, etc.

Can phlebitis cause redness?

In the following OneHowTo article we explain how to cure phlebitis with home remedies by giving natural alternatives ...

How to treat a blood clot in a superficial vein?

Blood clot: Blood clot within superficial vein. Can be treated with warm compresses for 10 minutes a few times a day. May take something like advil ( ibuprofen) as directed for pain. If swelling gets worse need ultrasound to make sure no deep vein clot called dvt.

What does it mean when your vein is inflamed?

Inflamed vein: Phlebitis means that you have an inflamed vein. Usually the vein becomes hard, the skin over it swells, turns red, feels warm and hurts. It is important to know whether you have a blood clot or not though. That takes getting an ultrasound. An injury can cause phlebitis, or geting your blood drawn, or having an iv. There are medical conditions that can cause you to get phlebitis too.

Can phlebitis be occult?

Yes: While phlebitis can commonly be an isolated, benign phenomenon in patients with varicose veins, it can also be the "tip of the iceberg" of a significant occult process. Board-certified phlebologists are trained to identify clues in a patient's history that point to conditions such as hypercoagulable disorders and malignancies. Patients should seek expert medical attention for assessment/treatment.

How do you know if you have phlebitis?

These symptoms include: redness. swelling. warmth. visible red “streaking” on your arm or leg. tenderness. rope- or cord-like structure that you can feel through the skin.

What is the difference between superficial and deep phlebitis?

Superficial phlebitis can result from a blood clot or from something causing irritation, such as an intravenous (IV) catheter. Deep phlebitis refers to inflammation of a deeper, larger vein, such as those found in your legs. Deep phlebitis is more likely to be caused by a blood clot, which can have very serious, life-threatening consequences.

What is the inflammation of the veins?

Overview. Phlebitis is the inflammation of a vein. Veins are blood vessels in your body that carry blood from your organs and limbs back to your heart. If a blood clot is causing the inflammation, it’s called thrombophlebitis. When the blood clot is in a deep vein, it’s called deep vein thrombophlebitis, or deep vein thrombosis (DVT).

Is phlebitis superficial or deep?

Phlebitis can be superficial or deep. Superficial phlebitis refers to the inflammation of a vein near the surface of your skin. This type of phlebitis may require treatment, but isn’t usually serious. Superficial phlebitis can result from a blood clot or from something causing irritation, such as an intravenous (IV) catheter.

Can a blood clot cause phlebitis?

Phlebitis can be diagnosed based on your symptoms and an exam by your doctor. You may not need any special tests. If a blood clot is suspected as the cause of your phlebitis, your doctor could perform several tests in addition to taking your medical history and examining you, however.

What is the most common complication of DVT?

Sometimes people are unaware that they have a DVT until they experience a life-threatening complication. The most common and serious complication of DVT is a PE. A PE occurs when a piece of the blood clot breaks off and travels to the lungs, where it blocks blood flow. Symptoms of a PE include:

How to prevent blood clots from forming?

Some key prevention strategies include: discussing your risk factors with your doctor, especially prior to a surgical procedure. getting up and walking as soon as possible after surgery.

How to reduce swelling from phlebitis?

Phlebitis is inflammation, not infection, so antibiotics are not helpful. You can follow this advice to help reduce any pain and swelling: raise the leg to help reduce swelling. ask your doctor if compression stockings would be suitable for you to help reduce swelling. keep active to keep the blood circulating.

What are the symptoms of phlebitis?

Symptoms of phlebitis. Symptoms of superficial thrombophlebitis include: painful hard lumps underneath the skin. redness of the skin. This is usually on the lower leg, although it can occasionally affect surface veins in the arms, penis or breast.

How to treat a swollen leg?

You can follow this advice to help reduce any pain and swelling: 1 raise the leg to help reduce swelling 2 ask your doctor if compression stockings would be suitable for you to help reduce swelling 3 keep active to keep the blood circulating 4 press a cold flannel over the vein to ease any pain 5 take painkillers or anti-inflammatory medicine like ibuprofen – but if you’ve been prescribed anticoagulant (blood-thinning) medicine, do not take aspirin or ibuprofen unless advised to by your doctor 6 rub an anti-inflammatory cream or gel on the area if the affected area is only small

Why is my vein inflamed?

The vein becomes inflamed because there's blood clotting inside it or the vein walls are damaged. Superficial thrombophlebitis is the term for an inflamed vein near the surface of the skin (usually a varicose vein) caused by a blood clot.

Where does a blood clot travel?

There's a small chance of the blood clot travelling along the vein to where it meets a deeper vein and a deep vein thrombosis (DVT) developing. This is more likely if the surface clot extends into the upper thigh or groin, or behind the knee (in places where superficial veins meet deeper veins).

Can you take HRT while pregnant?

are very overweight. take the contraceptive pill or HRT (although these only slightly increase your risk of blood clots) are pregnant . have had a previous blood clot or another problem with the vein. have recently had injections or a drip put into the vein.

How to treat superficial thrombophlebitis?

If you have superficial thrombophlebitis: Use a warm washcloth to apply heat to the involved area several times daily. Raise your leg. Use a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), if recommended by your doctor.

How to diagnose thrombophlebitis?

To diagnose thrombophlebitis, your doctor will ask you about your discomfort and look for affected veins near your skin's surface. To determine whether you have superficial thrombophlebitis or deep vein thrombosis, your doctor might choose one of these tests: Ultrasound. A wandlike device (transducer) moved over the affected area ...

What is the best medication for a blood clot?

The medication alteplase (Activase) is used to dissolve blood clots in people with extensive DVT, including those who have a blood clot in the lungs (pulmonary embolism). Compression stockings. Prescription-strength compression stockings help prevent swelling and reduce the chances of complications of DVT.

How to remove varicose veins?

Your doctor can surgically remove varicose veins that cause pain or recurrent thrombophlebitis. The procedure involves removing a long vein through small incisions. Removing the vein won't affect blood flow in your leg because veins deeper in the leg take care of the increased volumes of blood.

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What Is Phlebitis?

What Are The Symptoms of Phlebitis?

Risk Factors

What Else Could It be?

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The treatment mainly depends upon the severity of case and the type of phlebitis.
Medication

Anti-inflammatory drugs: Maybe given orally or topically to manage symptoms.

Ibuprofen . Diclofenac


Anticoagulants: Given in the form of injection.

Heparin . Fondaparinux

Procedures

Vein ligation: Some cases require surgical procedures of removing the vein.

Self-care

Always talk to your provider before starting anything.

If one is suffering from superficial phlebitis and is otherwise healthy, then following measures may help delay the progression of the condition:

  • Use of compression stockings.
  • Elevation of arm/leg and warm compress.
  • Not sitting idle for a long period.

Nutrition

Foods to eat:

  • High fiber diet
  • Fresh fruits and vegetables
  • Have a healthy and whole diet with grains and nutrients

Foods to avoid:

  • High salt content

Specialist to consult

Vascular medicine specialist
Specializes in diagnosis and management of disorders that affect the arteries, veins and lymphatic systems.

How Is Phlebitis Diagnosed?

Treatment Options

Other Considerations

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