swelling in foot, thrombosis maybe

[Terek]

Hello,

maybe someone can recommend doctor, hospital, clinic in Bangkok to check my swollen leg.

Blood vessels seems to be inflated. 2 weeks and it seems get better only at mornings, after walking it again is swollen and in pain. I have some suspicion , it may be thrombosis. My father had problems with veins by the way.  As I understand doctor who deals with these conditions is called phlebologist .

I have good health insurance, but never used it and have no idea which hospital, clinic, doctor would be the best to see for my condition. I try to avoid doctors generally. But if it will not get better there will be need to do some checks. 

So, maybe forum members have some recommendations which place and doctor is the best?

 

[Sheryl]

if it is one leg only then yes, a thrombosis is quite possible and needs to be treated quickly. Do not delay, can be dangerous. (If it is both legs equally then also needs to be checked out quickly but more likely a cardiac cause than a thrombosis and you'd start by seeing a cardiologist).

 

Assuming it is one leg only, what you need is a vascular specialist.

 

I suggest  https://www.bumrungrad.com/doctors/Piyanut-Pootracool

She is there tomorrow evening (but call to confirm and make appointment)

 

 

[Terek]

thanks Sheryl, I think I will follow your recommendation, as I understand appointment can be booked online, nice service, I hope nothing bad will happen till next week, as I have some other plans for tomorrow already. I have read this condition can be dangerous, but anyway I don't think doctor will be able to treat it at Friday evening, condition seems not to get worse if I not walk a lot.

[Sheryl]

The doctor most certainly can start treatment this evening.

 

It is very dangerous to delay on this. the big risk is the clot could break off and travel to your heart or lung causing a pulmonary embolism or heart attack which can be fatal.

 

Put your plans aside and see the doctor today.

[Langsuan Man]

If the ultrasound show a blockage you will immediately be put on an inject able blood thinner , most likely one of the  heparin class of anti coagulants for a week or so, followed by oral thinner like Warfarin, and INR testing 

Edited March 7, 2020 by Langsuan Man

[Terek]

thanks for information, I am still alive ???? doctor's visit can be done not earlier than next week. I don't feel bad now, even went to Gym, but leg is still inflated. I am healing it myself with Reparil gel and tablets, also Blue balm from Royal Thai Herb, cool balm, a lot of menthol gives nice cooling, supplementing garlic extract capsules and turmeric, vitamin C. Also I ordered some more supplements from iherb I think can be helpful for my condition - Nattokinase, Serrapeptase, Butcher's Broom Root Extract, Aged Garlic Extract, Ultra Omega-3, Doctor's Best, Vein Support,  maybe someone can comment is these any good if have experience.  

By the way, year ago, I also had inflated but both legs and not much pain, healed it myself with Reparil gel and tablets.

 

 

[simon43]

Put your plans aside and see the doctor today.

 

Sheryl, after seeing the latest reply from the OP, all I have to say is "You can't help stupid..."  ????

[lopburi3]

34 minutes ago, Terek said:

thanks for information, I am still alive ???? doctor's visit can be done not earlier than next week.

Did you call or just use the online system?  Ask as often, if not always, the online is only good for future appointments rather than today or emergency (but no experience with that Hospital).  In what could be an emergency it is better to see someone even if they are not the most recommended.

[gargamon]

43 minutes ago, Terek said:

Also I ordered some more supplements from iherb I think can be helpful for my condition - Nattokinase, Serrapeptase, Butcher's Broom Root Extract, Aged Garlic Extract, Ultra Omega-3, Doctor's Best, Vein Support,  maybe someone can comment is these any good if have experience.  

Stop this nonsense. You have a potentially serious significant medical issue. See a doctor.

[richard_smith237]

The Ops still alive... ???? he’s lucky...

 

 

Sheryl's advice... by 'treated quickly’ she meant now, instantly, not next week. 

 

If it is Thrombosis it could be quite serious, as in deadly if the clot were to migrate to the the heart blocking the pulmonary artery or into the lungs as pulmonary embolism.

 

Surely what is more important that ensuring your health and handling something which is potentially life threatening.

 

Realistically, the Op should go straight to the nearest hospital now.

 

 

As another poster mentioned ‘you can’t help stupid’.....

 

 

 

[Terek]

thanks for caring so much about me ???? 

[Langsuan Man]

12 hours ago, Terek said:

thanks for caring so much about me ???? 

No, we just see you as another Steve Jobs who knew more than his still living doctors

[Sheryl]

Darwin awards come to mind.

 

I don't think the "no earlier than next week" was due to appointment unavailability. Rather the "other plans" he spoke of which he apparently values over his life.

 

 

[Terek]

36 minutes ago, Sheryl said:

Darwin awards come to mind.

 

I don't think the "no earlier than next week" was due to appointment unavailability. Rather the "other plans" he spoke of which he apparently values over his life.

 

 

Sheryl, 

I noticed the same doctor you  recommended - Pootracool practices also at Samitivej. I have been at Samitivej time ago once for little check up for insurance, so I know that place, it's ok, huge  territory,  a lot of walking, never been to Bumrungrad.  So, is Bumrungrad better opinion ?

[lopburi3]

10 minutes ago, Terek said:

Sheryl, 

I noticed the same doctor you  recommended - Pootracool practices also at Samitivej. I have been at Samitivej time ago once for little check up for insurance, so I know that place, it's ok, huge  territory,  a lot of walking, never been to Bumrungrad.  So, is Bumrungrad better opinion ?

Am sure they will both offer you free wheelchair service and take you where required.  Bumrungrad is indeed huge.

[Isaanbiker]

OP, you were asking for advice and you were given the best of it to see a doctor ASAP.

 

   If you smoke, stop smoking. If you're overweight, try to lose some weight. Please see:

 

   https://www.mayoclinic.org/diseases-conditions/deep-vein-thrombosis/symptoms-causes/syc-20352557

 

  

[Sheryl]

1 hour ago, Terek said:

Sheryl, 

I noticed the same doctor you  recommended - Pootracool practices also at Samitivej. I have been at Samitivej time ago once for little check up for insurance, so I know that place, it's ok, huge  territory,  a lot of walking, never been to Bumrungrad.  So, is Bumrungrad better opinion ?

It does not matter in the least which hospital. Only choice of doctor matters. In all hospitals you can request wheelchair.

[Isaanbiker]

4 minutes ago, Sheryl said:

It does not matter in the least which hospital. Only choice of doctor matters. In all hospitals you can request wheelchair.

It seems that the OP would still ask some.......questions right before he meets his god! 

 

You can't help people who don't want help. 

[richard_smith237]

1 hour ago, Terek said:

Sheryl, 

I noticed the same doctor you  recommended - Pootracool practices also at Samitivej. I have been at Samitivej time ago once for little check up for insurance, so I know that place, it's ok, huge  territory,  a lot of walking, never been to Bumrungrad.  So, is Bumrungrad better opinion ?

 

They probably both do autopsies... 

 

Op.. do them smart thing and get down there to any of them. 

[Terek]

OK,

it turns out it is not so serious, not thrombosis, not veins, not broken bones, but some mysterious soft tissue inflammation..

2 doctors looked at it, vascular specialist and orthopedic specialist, we did ultrasound for veins and x-rays for bones.

They prescribed anti-inflammation medicine and took blood for test, after week next appointment. Good that it is nothing serious, but bad that it is not clear what it is, leg is visibly swollen compared to other and hurts when making steps. I have visited Samitivej hospital, such a nice place, I can tell only the best about doctors and staff. I hope all will be good.

[balo]

If you have a blood clot it hurts really bad in your leg and you will not be able to walk without pain. And time is really important here to get to a hospital or you could actually die.  

But good to hear it was not thrombosis.

I had superficial thrombosis and the blood clot was located in one of the outer veins and visible on the skin.
Deep vein thrombosis you want to avoid, they can kill you. 

Never sit for more than an hour and move your legs as often you can to avoid problems. Exercise and the right diet take care of the rest.