Friday 25 November 2016

Varicose Veins & Spider Veins – A Layman’s Guide to Vein Disease

Blood clot develops in a deep vein while making it further difficult to move past it and thus damage the vein valve. These further results in blood pooling in the veins. When blood begins to pool in the veins instead of moving upward it leads to numerous problems. Some people develop visible signs of vein disease such as varicose veins, spider veins and often sores called ulcers on the legs. 

Varicose veins are basically the swollen and raised blood vessels that twist and turn. Mostly they develop in the legs and can be perceived through the skin.

Spider veins on the other hand are smaller, purple, red and blue vessels that turn and twist. The spider veins are typically visible on leg and face.

For understanding varicose veins and why do you have them, it is crucial to have a rather general understanding of how exactly the venous and the arterial blood system works. Our blood system is made of three distinct types of blood vessels –

  • The arteries
  • The capillaries
  • The veins

Medically speaking; the arteries carry oxygenated blood away from your heart towards extremities of your body.  On the other hand; the capillaries are the small vessels, which enable the exchange of nutrients and oxygen with the rest of your body.  The veins are the vessels that help in carrying the blood back to the heart.

But before we delve any further let us now talk about the Deep and Superficial Veins

There are in fact 3 different kinds of veins in the legs. The first are the superficial ones that lie closest to the top of the skin. Then there are the deep set veins, which lie within the muscle group. Finally there are perforating veins that typically connects the superficial veins to the deep veins.

As a matter of fact; the deep veins can withstand very short periods of increased pressure.  This also means, more than 90% of the blood back up the legs toward the heart and the remaining 10% is carried by the superficial veins. This is also where the varicose veins occur. Spider veins on the other hand are milder case of varicose veins.

Once our leg muscle pump the blood out of our deep vein, the superficial veins collect more blood from our skin and from the superficial tissues and move it into our deep veins. Then our leg muscles continue to pump this blood up to the heart. Although this system works pretty well in most of the cases however there are many things that may go wrong.

Some of the situations that may cause the vein pumps to work less efficiently occur when -

  • The vein stretches out pulling the one way valves apart. Although this is typically a hereditary condition however it can be also brought by factors such as certain medication, pregnancy and aging. When the valves don’t work then blood is allowed to move backward through the veins. This backward flow is medically termed as ‘Reflux.’  When reflux occurs in the veins then blood starts to pool in the veins in our lower legs.
  • The one way valves become damaged owing to trauma or due to the presence of blood clots and for other factors. This also allows the blood to flow backward or reflux. Yes; this may also lead to blood pooling in the lower legs.
  • Blood clot develops in a deep vein while making it further difficult to move past it and thus damage the vein valve. These further results in blood pooling in the veins. 

When blood begins to pool in the veins instead of moving upward it leads to numerous problems. Some people develop visible signs of vein disease such as varicose veins, spider veins and often sores called ulcers on the legs. 

Symptoms of varicose veins

In most of the cases people experience discomfort in their legs such as pain, tiredness, aching, and heaviness cramping and swelling. Common symptoms may include:

  • Aching
  • Skin rashes
  • Brownish ‘stains’ on the skin surface
  • Blood clots within the veins (thrombophlebitis)

Prevention of varicose veins & spider veins

Some tips and techniques that may help in preventing varicose veins include -

  • Wearing support stockings
  • Controlling weight
  • Exercising regularly
  • Avoiding high heels

How the varicose veins are diagnosed?

Diagnosis of spider veins or varicose veins includes a physical examination. It will also include asking about specific questions such as family history of spider veins, duration, presence of any symptoms etc.

How are they treated?

Fortunately, 2 effective methods can be safely applied for spider vein treatment - Laser and the Sclerotherapy.

Sclerotherapy  – In this particular treatment procedure, your doctor will be injecting the veins with some medicated solution. This will help the veins to close and also cause blood to flow through other veins. Simply put; once the solution is injected it makes the blood to clot inside the vein. This makes the interior walls of the veins to stick together. Over time, the body absorbs the vein naturally. Worry not; the process is absolutely painless and can be used on spider veins on different areas of the body.

Within a few weeks the treated veins fade. This treatment is pretty effective when done well and in an apt way

Laser surgery - Laser surgery on the other hand works well. With lasers the doctor will send strong lights right into the spider veins. This will make the vein fade and then gradually disappear.

Questions to ask before going for Spider Vein treatment 

  • Which is the best treatment for me?
  • What is the cost of the procedure?
  • How long does it take?
  • What is the pain management or the anesthesia options available?
  • What should I expect after the procedure?

Stay well!

Wednesday 2 November 2016

Dealing with Depression after a Heart Attack is crucial - Says the Cardiologists in Orange County

Modern research shows a physiological connection between heart health and mental health. According to the cardiologists and researchers stress and anxiety can typically elevate the stress hormones and thus can impact your heart rate and blood pressure. Talk to the cardiologists for complete heart health and to deal with your depression after a heart attack.

Yes, depression, anxiety, stress and coronary heart disease (CHD) are common conditions and often occur together.

In fact for years researchers and doctors thought that the link between heart health and mental health was purely behavioral. However that thinking has started to change. Modern research shows a physiological connection between heart health and mental health. Simply put; the chemical and the biological factors that trigger the psychological issues also have an enormous influence on heart health.

The Link between Stress and Heart Health

Now there are evidences to show that as high blood pressure, high cholesterol levels and smoking, depression can also be a risk factor for heart diseases. In fact stress, anxiety and depression can affect the recovery of people after a heart attack and thus increase their risk of future heart attacks and further heart problems.

Although research does not firmly link stress and heart health however the growing belief is that - stress, depression, anxiety are the additional risk factors  and are even more dangerous than the established risk factors.

According to the cardiologists and researchers stress and anxiety can typically elevate the hormones such as cortisol and adrenaline and thus can impact your heart rate and blood pressure

Depression after a heart attack is common

Statistical data shows

  • ·        15% of heart attack survivors become seriously depressed in the first few weeks
  • ·        Another 25% experience milder levels of anxiety and depressive symptoms
  • ·        4 in 10 patients do experience quite severe emotional responses

(Data Source: bhf.org.uk)

Emotional disorder is common after an attack. Like any other brush with death, heart attack can unleash intense negative emotion. Survivors often feel stressed, depressed, confused and nervous. Unfortunately many slip into the abyss of depression. You may go through a range of negative emotions such as depression, fear, anger and loneliness.

Although feeling bleak may seem natural after an attack however depression is something which should not be taken lightly. When left untreated depression can simply hasten death

How common is depression after a coronary attack?

The answer is simple - Very common.

  • ·        20% of all heart attack survivors suffer from major depression
  • ·        Another 20% suffer from mild to moderate depression
  • ·        Every 1 out of 3 long-term heart attack survivors slip into chronic depression

How dangerous is depression for heart health?

For heart patients depression can be deadly. Statistical data reveals shocking facts –

  • ·        Majorly depressed heart patients are more likely to die within 6  months of a heart attack
  • ·        Depressed heart patients are more likely to suffer future heart attacks

Still the question remains unanswered – why depression and heart disease is such a dangerous cocktail?

Well; the answer to the question however lies in the body's own natural reaction to anxiety and stress. Depression can trigger the release of stress hormones. These hormones in turn increase the heart rate, increase the blood pressure and thus disrupt the heart rhythm and damage the heart muscle. Research has also revealed that these hormones can also expedite the process of building up fatty plaques in the arteries, thus setting the perfect stage for future attacks.

Depression also sap the survivor’s will to live and to fight heart disease. A study reported in the “Archives of Internal Medicine” revealed –

A depressed heart patient is more reluctant to give up smoking, drinking and eating a low fat diet and in following doctor’s advice than a non depressed heart patient.

How can you actually protect yourself from depression?

You should know the signs and symptoms of depression to best protect yourself and your loved one from it.

National Institute of Mental Health says that it can be called depression if a person has at least any 5 signs from the following signs and symptoms for 2 weeks.

  • ·        Frequently feeling sad and empty
  • ·        Loss of interest in all activities
  • ·        Unhealthy eating and sleeping patterns
  • ·        Unnecessary crying
  • ·        Thoughts of death
  • ·        Fatigue
  • ·        Difficulty in concentrating
  • ·        Difficulty in remembering
  • ·        Feeling helpless
  • ·        Feeling worthless
  • ·        Irritability
  • ·        Unexplained pains and aches

Seek help right away if you think you or your loved one is suffering from depression after a heart attack.

Talk to the cardiologists in Orange County for complete heart health and to deal with your depression after a heart attack. You may even join a support group for heart attack survivors to talk with people and help each other.

Play your part well to fight with stress and depression. Daily walks are certainly a good exercise to start with. Walking is always enjoyable and it may improve your mood, increase your energy level and give you some strength to fight with your heart disease.