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.
|
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.
|
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!
|
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.