Varicose veins secondary diseases
Untreated varicose veins often lead to complications
Anyone with varicose veins should take them seriously, because venous diseases tend to get progressively worse and do not go away on their own. Even if the symptoms of varicose veins may initially seem rather banal, for many they soon cease to be so and the quality of everyday life can be significantly reduced by the condition. And not only that. Varicose veins can also lead to serious complications and secondary diseases. Because every varicose vein, even if it does not hurt, represents a disturbance of normal blood circulation. If varicose veins are left untreated for a long time, they can lead to skin discoloration, chronic inflammation of the skin and severe nutritional disorders of the tie. These can manifest themselves especially in the ankle area and on the lower leg as hardening, brown discoloration or light pigment disorders of the skin. Without the right therapy, even phlebitis, thrombosis or an open leg can occur in late stages, which are much more difficult to treat. Patients with severe complications also tend to resign themselves to the disease. Thus, many people with open leg suffer for years before they finally seek help.
The complications can be avoided if the varicose veins are detected early and treated properly! Therefore, take even small changes and complaints in your legs seriously and consult a doctor early on. Chronic venous insufficiency (CVI) is the term used to describe the consequences described above. Complications of a long-standing backlog of blood in the legs due to leaking venous valves summarized. Chronic venous insufficiency is often the result of untreated varicose veins, but can also be caused by deep vein thrombosis or other congenital venous diseases.
Swollen legs due to edema
Strongly itching eczema
The water retention that typically occurs in the ankle area or. Edema occurs because the return of blood from the legs no longer functions adequately, resulting in a permanent increase in blood volume and prere in the pathologically dilated veins. As a result, watery fluid from the venous or lymphatic system leaks into the tie and accumulates there. The swelling is painless and typically indentable, meaning that when you press on the swelling with your fingers, a dent remains in the tie that takes time to disappear. Edema worsens in the summer months depending on weather conditions. Often only noticeable at first by conspicuous lacing when taking off socks in the evening. But at the latest when the shoe, which still fit well in the morning, is clearly too tight in the evening, the swelling is noticed. Over time, inflammatory skin irritations with itching occur – the so-called eczema. Such edema should not persist for a long period of time, as it can lead to chronic skin changes. Edema can lead to serious circulatory problems and-. Nutritional disorders of the skin. If the blood stasis lasts for years, the skin can no longer withstand it. Due to the transfer of blood components such as iron pigment from the defective veins into the tie, dark brown discolorations, also known as hyperpigmentation, can form. The skin changes are usually found in the area of the lower leg, especially in the ankle region. In the course of time chronic inflammations develop. The constantly increased prere in the tie leads to a remodeling of the tie. The skin hardens, the so-called dermatosclerosis develops. After repeated inflammations, painful scars (atrophie blanche) may remain in the skin. With these severe complications, the risk of an open leg is greatly increased.
Brown discoloration of the skin
Venous inflammation, also known as thrombophlebitis, is a painful inflammation of the superficial veins and is particularly common in varicose veins. The surrounding tie may also become inflamed. The inflammation of the veins is noticeable by a local warming with pain as well as swelling and redness in the affected area. The vein may be palpable as a coarse, painful strand or lump. In case of phlebitis, you should consult a doctor, because phlebitis can develop into a dangerous thrombosis of the deep veins of the legs.
Varicose veins of the connecting veins (perforating veins) are often characterized by a bulging, the blow-out phenomenon.
The increased prere in the vein due to the reversed blood flow causes the bulging of the vein together with the overlying skin. The vein is then particularly superficial. Bleeding can easily occur due to small injuries.
These bleedings are not painful and are often noticed very late, so that especially elderly people run the risk of bleeding to death during sleep.
Open leg (Ulcus cruris)
The open leg or Ulcus cruris is, as the name suggests, an open, usually weeping wound in the lower leg area or on the feet, which no longer heals on its own. Fortunately, this serious complication of venous disease occurs in Germany in only 0.7% of the adult population.
In many cases, long untreated varicose veins are responsible for the open leg. The cause of the open leg is the lack of blood circulation. Nutrient supply of the affected tie due to the vein disease. The acute trigger is often a small injury to the pre-damaged skin. An open leg is usually bacterially colonized. Often shows clear signs of inflammation in the immediate area.
Deep vein thrombosis and pulmonary embolism
Deep vein thrombosis is a blood clot in the deep veins of the leg. The veins are partially or completely closed by the blood clot. Thrombosis can cause pain or swelling in the calf and leg, but it can also be completely painless. Thromboses can occur in the case of various illnesses such as z. B. occur in the case of heart disease or after operations.
If the blood flow in the vein slows down and the vein wall is damaged, blood platelets accumulate at the damaged site and clump together to form a blood clot (thrombus). Accordingly, thrombosis can occur particularly easily with varicose veins and as a result of phlebitis.
In the worst case, a thrombosis can lead to a pulmonary embolism if parts of the blood clot are carried away by the blood, flushed toward the lungs and clog vessels there. A pulmonary embolism is life-threatening if important vessels in the lungs are blocked.