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Superficial Thrombophlebitis

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bangotti40

New User, Becoming EHEALTHy
Joined: 10 May 2004
Posts: 1
Location: Tampa, Florida
Superficial Thrombophlebitis
Posted: 05-10-04 13:17pm

I have two questions about superficial thrombophlebitis. I was taking mircette birth control pills to control heavy bleeding during periods. I am 43 years old. I was told to take a double dose by my ob/gyn because the regular dose was not effective in regulating the bleeding (this lasted for about 3 weeks leading to endometrial ablation surgery) after 3 weeks of this dosage, I developed a rather severe and persistent pain in my inside calf. After a day of pain redness appeared directly over the pain (about the size of a quarter, however, within 24 hours the redness increased in size to about the size of a dollar). As soon as the redness appeared I called my primary care physician and was seen that morning. She diagnosed a superificial thrombophlebitis (and explained why she did not believe this to be a bug bite or cellulitis) and also sent me to the hospital for a sonogram of the deep vein in the leg to rule out a deep vein blood clot. That test came back negative. She also said to stop the birth control pills immediately. Because of the impending surgery, she did not prescribe an anti inflammatory. This occurred on a saturday morning.
On monday I called the ob/gyn office to explain this situation and let them know that I was not taking the birth control pills any longer, as I did not know if this would affect the surgury (endometrial ablation). The doctor was not in until the afternoon. That afternoon, the nurse from the ob/gyn office called me back and asked a million questions about how this was diagnosed, treatment, follow up, etc. She replied that the sonogram of the leg was negative. I explained that they only looked at the deep vein, and why. The following thursday, I went in for the surgery (at the hospital) and the ob/gyn saw my leg for the first time since the pain started (8 days prior). She said that I had phlebitis, not a blood clot. I explained that the doctor who saw me the previous week at the primary care diagnosed this as a blood clot. The ob/gyn said that it couldn't be since the sonogram was negative. I explained, again, that the sonogram was only of the deep vein, not the site of the pain and redness, and was done to rule out dvt. I also said that the official diagnosis was superficial thrombophlebitis, not a deep vein blood clot. She said that diagnosis means a swelling of the vein, not a blood clot, and that there is not such thing as a blood clot in the superficial vein. Is that true? Which doctor am I to believe. I feel that an accurate diagnosis is important.
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2ferano

Extremely EHEALTHy
Joined: 23 Dec 2003
Posts: 3717

Posted: 05-17-04 14:51pm

I believe both can happen. It is awful when you have two doctors and they are disagreeing with each other. I would call the doctor who originally diagnosed you and tell her/him what your obgyn said. See if this is possible. If not, maybe get a third opinion?
But taking that high of a dose of b/c and with your age (no offense, it is just not recommended) I would not be at all surprised if it was a blood clot. They should have been more concerned with that.
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Cheryl Byers

New User, Becoming EHEALTHy
Joined: 06 Jun 2004
Posts: 1
Location: Phoenix, AZ
Pumonary Embolism And Bc
Posted: 06-06-04 13:58pm

Please, all of you, get off "the pill." I am 67, began using the pill when 25, had early hysterectomy because pill caused fibroids, kept on hrt. When I was 57,developed severe fibromyalgia, when 66, pulmonary embolism. Newest reserach on fibromyalgia indicates it is a low-grade clotting disorder. Then I developed a near-fatal lung embolism. New research shows high relationship between hrt (the pill) and blood clotting, as well as fibro.
The relationship between estrogen therapy and fibro is also suggested by the fact that fibro was unknown before the pill was invented and almost never affects men! The pill is being shown to be devastating to the health of women, and hrt is now being abandoned for post-menopausal women. Save your health. Find another method of birth control!
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2ferano

Extremely EHEALTHy
Joined: 23 Dec 2003
Posts: 3717

Posted: 06-10-04 00:53am

I am really sorry for you. I am on the pill for various reasons. Number one, it regulates my periods and relieves my cramps. Number two: it is proven to prevent cancer, number three: it keeps my ovarian cysts from growing, number four: it helps with endo, and number five: prevents pregnancy.
My aunt has fibro and has never taken the pill. No one knows what causes fibro but it is thought to be brought on by a tramatic event in ones life.

Yes, the pill can cause clotting and stroke. It is horrible and I really feel awful that you developed all of these problems. But every time anyone takes any medication, whether prescription or over the counter we are taking a chance.
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