What Are the Chances of Getting More Pulmonary Embolism Again

prevent DVT from coming back

Surgery, pregnancy, obesity — a number of factors tin can increase your gamble of deep vein thrombosis (DVT), a blood clot that forms in a deep vein. The largest hazard factor: Having experienced a previous episode of DVT.

The chances of having a 2nd DVT or pulmonary embolism, in which a blood clot travels to the lungs, are about 11 percent after the first year and near 40 pct after 10 years, according to research published in a 2007 consequence of Haematologica. Other studies have put recurrent take chances of DVT at around 11 to xv percentage within one year. Your personal take a chance depends on factors such as the cause of your first DVT, how long ago you had it, and other factors, similar having cancer.

Just at that place are too a number of changes yous can make in your life to reduce your chances.

DVT Run a risk Factors

DVT stems from a number of different causes. The National Heart, Lung, and Blood Institute explains that blood clots may form because of damage to the lining of a vein or tissue, considering your blood is thicker than normal, or because your blood isn't moving every bit quickly as information technology should.

Whether it's the first instance or recurrent DVT, risks for DVT include a genetic risk for clotting, hormone utilize or pregnancy, surgery, injury to the vein, cancer, and periods of immobility, says vascular surgeon Luigi Pascarella, Doctor, assistant professor of surgery in the division of vascular surgery at the Academy of Iowa Hospitals and Clinics in Iowa City.

Medication and Stockings for DVT

If you have had DVT, your doctor may prescribe medication to assist preclude a recurrence. Some people will exist able to finish taking that medication with a doctor'southward permission nearly three months after their episode and take it once more only during periods of high risk, such as surgery, according to clinical practice guidelines published in Chest in 2012. Others may need to take blood-thinning, or anticoagulation, medication for a longer time to prevent DVT.

Your doctor might also recommend compression stockings, which lightly squeeze the legs and help blood menstruum.

"A patient with history of recurrent DVT is recommended for lifetime systemic anticoagulation and pinch stockings," Dr. Pascarella says. "While compression stockings do not prevent recurrence of DVT, they do reduce the risk of post-thrombotic syndrome [vein damage resulting in pain, swelling, and hyperpigmentation] and the development and recurrence of venous ulcers."

Your doctor could besides recommend additional testing to determine whether you have an underlying condition that increases your DVT risk. If you do, your treatment plan volition also demand to address this status.

seven Means to Reduce Recurrent DVT Risk

Follow these steps to reduce your hazard of having another DVT:

  • Take medications as prescribed. Taking claret-thinning medication co-ordinate to your doc'southward instructions should aid reduce your risk.
  • Check in with your doctor. As your overall health status changes, brand sure that all your doctors know nigh your DVT take chances and so they can assistance y'all with whatsoever treatment adjustments you need. For example, knowing about your DVT risk might cause your doctor to make unlike recommendations regarding hormone treatments, cancer treatment, or surgery.
  • Get fit. Existence more physically active and achieving a normal weight could help reduce your hazard. "Deep vein thrombosis is usually associated with increased weight and low mobility in postsurgical and debilitated patients," Pascarella says. And people who are overweight or obese take a higher risk of recurrent DVT than those at normal weight, according to a review of research published in Scientifica. How much you should exercise or how quickly you should lose weight will depend on your electric current wellness and fitness, so work with your medical team to develop an exercise program that suits your situation.
  • Stop smoking. Tobacco use may be a cause of DVT, says Pascarella. And smoking cigarettes has been shown to multiply the DVT gamble from other factors, like being obese, co-ordinate to research published in PLoS Medicine in 2013.
  • Keep good records. Take annotation of when you had your DVT, where in your body it occurred, and how information technology was treated. This information could help doctors better manage your treatment for other weather condition.
  • Stay in motion. In add-on to doing regular practice like walking or swimming, you lot should try to be active throughout the day, Pascarella says, especially during long trips by machine or plane. In general, if you sit down for long periods, get upwards and walk or stretch every 60 minutes or so, he recommends. If you're in a state of affairs where yous can't move easily on your ain, talk with your md or physical therapist well-nigh how to move.
  • Exist cautious with leg massage. People who are in treatment for DVT could loosen a clot with vigorous massage, co-ordinate to the University of Texas at Austin'due south Academy Health Services. Check with your medical squad to find out whether some form of massage is an option for you and, if then, what technique to apply.

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Source: https://www.everydayhealth.com/hs/dvt-awareness/prevent-recurrent-dvt/

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