Warning signs and complications of varicose veins

ENGLISH
Most varicose veins do not suddenly become emergencies, but some changes should not be ignored.
- Redness, heat, pain or a firm cord
- Sudden one-sided swelling
- Brown or firm ankle skin
- Bleeding or a slow-healing wound
1.Superficial vein inflammation
- A vein may suddenly become red, hot and tender.
- It may feel like a firm cord.
- Assessment determines its extent and proximity to deep veins.
2.Skin change and wounds
- Long-term pressure can darken ankle skin.
- Skin may become itchy, thick or firm.
- Severe disease may cause a slow-healing venous wound.
💡 Warning signs and next steps
| Warning sign | Possible issue | What to do |
|---|---|---|
| Red, hot, tender cord | Superficial inflammation or clot | Arrange prompt assessment |
| Sudden one-sided swelling | Deep vein thrombosis must be excluded | Seek urgent care |
| Skin discoloration | Chronic venous pressure | Arrange vascular assessment |
| Bleeding or wound | Needs bleeding and venous care | Apply pressure and seek care |
Note: Chest pain, shortness of breath or coughing blood requires emergency care.
References
- De Maeseneer MG, et al. ESVS 2022 Clinical Practice Guidelines. Eur J Vasc Endovasc Surg. 2022;63:184–267. View source
- Gloviczki P, et al. SVS/AVF/AVLS Guidelines Part II. J Vasc Surg Venous Lymphat Disord. 2024;12:101670. View source
This article is for health education only and does not replace individual medical assessment. Seek urgent care for acute symptoms.
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