Varicose veins
Varicose veins are superficial veins that have become enlarged and twisted. Typically they occur just under the skin in the legs. Usually, they result in few symptoms but some may experience fullness or pain in the area. Complications may include bleeding or superficial thrombophlebitis. When varices occur in the scrotum it is known as a varicocele while those around the anus are known as hemorrhoids. Varicose veins may negatively affect the quality of life due to their physical, social, and psychological effects.
Often there is no specific cause. Risk factors include obesity, not enough exercise, leg trauma, and a family history of the condition. They also occur more commonly in pregnancy. Occasionally they result from chronic venous insufficiency. The underlying mechanism involves weak or damaged valves in the veins. Diagnosis is typically by examination and may be supported by ultrasound. In contrast, spider veins involve the capillaries and are smaller.
Varicose veins are very common, affecting about 30% of people at some point in time. They become more common with age. Women are affected twice as often as men. Varicose veins have been described throughout history and have been treated with surgery since at least A.D. 400.
TREATMENT
Treatment may involve lifestyle changes or medical procedures with the goal of improving symptoms and appearance. Lifestyle changes may include compression stockings, exercise, elevating the legs, and weight loss.
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