Varicose Veins

[Letseng]

I'm looking for recommendation for phlebologist/vascular surgeon in Bangkok for varicose vein issue. I wear compression stockings. Suddenly an area on the lower leg is slightly painful & red = vein inflammation? I would like to see somebody asap. Thank you.

[Will B Good]

6 minutes ago, Letseng said:

I'm looking for recommendation for phlebologist/vascular surgeon in Bangkok for varicose vein issue. I wear compression stockings. Suddenly an area on the lower leg is slightly painful & red = vein inflammation? I would like to see somebody asap. Thank you.

 

Make sure it's not DVT.....sharpish.

[Letseng]

11 hours ago, Will B Good said:

 

Make sure it's not DVT.....sharpish.

Tks

 I did consider this. 

[Sheryl]

6 hours ago, Letseng said:

Tks

 I did consider this. 

Yes, needs to be immediately evaluated.

 

Pretty much all the hospitals in Bkk have vascular surgeons.

 

Where in Bangkok? Public or private?

[newbee2022]

On 1/28/2025 at 8:46 PM, Letseng said:

I'm looking for recommendation for phlebologist/vascular surgeon in Bangkok for varicose vein issue. I wear compression stockings. Suddenly an area on the lower leg is slightly painful & red = vein inflammation? I would like to see somebody asap. Thank you.

A hospital visit is priority to check DVT or even VTE 

[Surasak]

On 1/28/2025 at 8:46 PM, Letseng said:

I'm looking for recommendation for phlebologist/vascular surgeon in Bangkok for varicose vein issue. I wear compression stockings. Suddenly an area on the lower leg is slightly painful & red = vein inflammation? I would like to see somebody asap. Thank you.

Sounds like Venous insufficiency?  As you say, see a Vascular surgeon A.S.A.P.

[ericbj]

Two that state on their web-sites that they have vein surgeons:

 The Bangkok Hospital in Bangkok (MRT to Petchaburi Exit 1, thence hospital minibus to hospital every hour)

 The Yanhee Hospital in Bangkok (almost next to Bang-O station on MRT Blue Line)

 

Visited four other hospitals before these and all four were useless.

[dlclark97]

Recommend Bangkok Nursing Home (BNH) on Convent Rd.

[Sheryl]

As has been explained, any large hospital, public or private,  will have vascular surgeon.  And any vascvular surgeon can evaluate this.

 

Still waiting for OP to indicate a preferred location and whether public or private.

 

He should not delay.

[Letseng]

On 1/29/2025 at 2:31 PM, Sheryl said:

Yes, needs to be immediately evaluated.

 

Pretty much all the hospitals in Bkk have vascular surgeons.

 

Where in Bangkok? Public or private?

Private as it is easier.

[Letseng]

2 hours ago, Sheryl said:

As has been explained, any large hospital, public or private,  will have vascular surgeon.  And any vascvular surgeon can evaluate this.

 

Still waiting for OP to indicate a preferred location and whether public or private.

 

He should not delay.

Went to Bumrungrad as this was easiest & instant appointment.. Doc offhand decided it isn't  DVT but just a phlebitis. Didn't want to do ultrasound. Just got medication. I'm not too happy as I have experienced different treatment in Europe.

[Letseng]

4 hours ago, ericbj said:

Two that state on their web-sites that they have vein surgeons:

 The Bangkok Hospital in Bangkok (MRT to Petchaburi Exit 1, thence hospital minibus to hospital every hour)

 The Yanhee Hospital in Bangkok (almost next to Bang-O station on MRT Blue Line)

 

Visited four other hospitals before these and all four were useless.

Thanks.

[Letseng]

3 hours ago, dlclark97 said:

Recommend Bangkok Nursing Home (BNH) on Convent Rd.

Did you get treatment there for varicose vein problem? 

 

[Sheryl]

1 hour ago, Letseng said:

Went to Bumrungrad as this was easiest & instant appointment.. Doc offhand decided it isn't  DVT but just a phlebitis. Didn't want to do ultrasound. Just got medication. I'm not too happy as I have experienced different treatment in Europe.

 

If you want a second opinion (or further treatment for your varicose veins) I suggest this doctor

 

https://phyathai2international.com/doctor/Dr.Supachai-Chanvitan/208/cn

 

https://www.vejthani.com/doctor/dr-supachai-chanvitan/

 

 

[Letseng]

1 minute ago, Sheryl said:

 

If you want a second opinion (or further treatment for your varicose veins) I suggest this doctor

 

https://phyathai2international.com/doctor/Dr.Supachai-Chanvitan/208/cn

 

https://www.vejthani.com/doctor/dr-supachai-chanvitan/

 

 

Many thanks. Yes, I do want a 2nd opinion.

[Letseng]

On 1/30/2025 at 11:07 AM, ericbj said:

Two that state on their web-sites that they have vein surgeons:

 The Bangkok Hospital in Bangkok (MRT to Petchaburi Exit 1, thence hospital minibus to hospital every hour)

 The Yanhee Hospital in Bangkok (almost next to Bang-O station on MRT Blue Line)

 

Visited four other hospitals before these and all four were useless.

 

[Letseng]

Just now, Letseng said:

 

Your recommendation of Bangkok Hospital was very helpful. The doc we had seen at the hospital nr. Nana had made the problem worse which resulted in an emergency situation. Bangkok Hospital  got it right immediately. Great treatment & care by vascular surgeons. 🙏

 

[Sheryl]

23 minutes ago, Letseng said:

Your recommendation of Bangkok Hospital was very helpful. The doc we had seen at the hospital nr. Nana had made the problem worse which resulted in an emergency situation. Bangkok Hospital  got it right immediately. Great treatment & care by vascular surgeons. 🙏

 

Name of surgeon, please?

 

And did it turn out to be a DVT?

[ericbj]

3 hours ago, Letseng said:

Your recommendation of Bangkok Hospital was very helpful. The doc we had seen at the hospital nr. Nana had made the problem worse which resulted in an emergency situation. Bangkok Hospital  got it right immediately. Great treatment & care by vascular surgeons. 🙏

 

Thank you for letting me know.

 

I was treated by the other hospital I mentioned, and it seems they did a good job of correcting the inadequate flow of blood, up the two deep veins in each leg to the heart; as witnessed by an ultrasound scan done at the Bangkok Hospital.  My two existing ulcers healed over immediately after the application of silicone stents to reduced their (in places) diameter from an excessive 10 mm to a normal 5 mm.

 

However my lack of any great knowledge on the subject caused me to question the Hospital's desire to remove the many superficial veins in my legs.

 

My understanding (such as it is) is that blood plasma is deliberately leaked from the veins to the lymphatic system through very fine capillaries, too narrow to admit the entry of particles such as red and white blood cells.  When the blood in the veins is not flowing correctly back to the heart, its increased weight at the bottom of the legs can cause excessive leakage of blood-plasma into the lymphatic system thus giving rise to swelling [lymphoedema], leading potentially to extremely painful ulcers.

 

These so-called venous ulcers weep not venous blood but lymph.  I had lymphoedema for maybe ten years during the hot dry season in Thailand before the first appearance of ulcers (in mid-summer in the south of France).

 

My thrice-repeated query
"Will the continued removal of these veins [some had already been removed] impact upon the supply of blood-plasma to the lymphatic system?"
met with these responses:
1.  Avoidance, by speaking of an unrelated matter;
2.  "We must remove many veins"; and
3.  "We must remove all the veins."

 

Since my question remained essentially unanswered, I was disconcerted, and sought advice at the Bangkok Hospital.  The vein surgeon I saw there told me all the veins in my feet had already been removed, and that no further removal of veins in the legs was necessary.

 

This enabled me to speak firmly to my doctor at the other hospital that I wished no further removal of veins.

 

For information, the method adopted of removing the superficial veins [which I assume exist for a purpose, just as do the appendix, the tonsils, etc.] was to inject some chemical into them that causes them to gum up and die.  This can only be done in stages over a prolonged period because of the formation of blood clots.  Blood containing only some of the clots thus generated are subsequently sucked out using a hypodermic syringe.

 

The lymphatic system is a vital part of the anatomy, until recently largely neglected by the medical profession.  The lymph carries nutrients to the body's cells and carries away their metabolic waste products.  On its way to the liver the lymph passes through a series of lymph nodes that do a partial detoxification, the better to protect the liver which effects the final detox.

 

I suspect that many doctors, once they have acquired their professional qualifications, have neither the time nor the inclination to devote themselves to the findings of the latest medical research.

 

I recall how back in the late '70s I took to task a doctor, a friend of the family, about his profession's lack of interest in therapies other than pharmaceuticals, surgery, and radiation.  His reply was that when he studied medicine, pre-war, most of the remedies used were natural ones, but now their information came from the pharmaceutical companies.

 

[safarimike11]

On 1/28/2025 at 8:46 PM, Letseng said:

I'm looking for recommendation for phlebologist/vascular surgeon in Bangkok for varicose vein issue. I wear compression stockings. Suddenly an area on the lower leg is slightly painful & red = vein inflammation? I would like to see somebody asap. Thank you.

I have suffered from Deep Vein Thrombosis in my lower left leg for just over 2 1/2 years. My doctor tried various medications (including a week of twice daily injections round the belly button (which I did myself from home), but he ended up with prescribing my 60 mg LIXIANA (edoxaban) tablets, one a day after breakfast. The appearance of my left leg soon became identical to my right leg: no discolouration. The only problem is that they are 106 baht each - available on prescription only.