Hii, I am Siddhesh 27 years of age. I suffered from pulmonary embolism recently. I recently had color doppler test which clarifies that I do not have dvt in my legs. I have varicose veins in my legs and one of my doctor suggested to have operation for varicose. 1) I just wanted to know whether its necessary to have the operation done 2) what are the chances of further getting dvt or pulmonary embolism 3) What sort of precautions should I take for not getting dvt again. 4)Can varicose veins leads to dvt. 5) now it has been 4 months so can I resume gym and sports related activities. Thankyou.

Dr. Subhash TiwariGeneral Physician42yrs exp

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Vaicose veins may get thrombosed but the possibility of a thrombus getting dislodged from the wall is far less as compared to deep vein thrombosis. As the doppler has not shown any evidence of dvt in deep veins of legs, the basic question remains, that wherfrom the thrombus got away to cause pulmonary embolism. Fortunately nothing untoward occurred but presuming it was from saphenious vein, precautions are essential. Avoid long immobilization of limbs, squeezing pressure on calves, very heavy exercises to leg muscles etc. Monitor your bleeding time, clotting time, prothrombin time and inr at regular intervals. As for getting operated, the decision is risk oriented. If there had been direct evidence of some clot in leg veins, it would have been strongly indicated. You may need to continue with low dose anticoagulants for some period. 

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