Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem.
Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized.
Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins?
Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy.
Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases.
Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition.
What to do in phlebitis:
1. Eliminate all offending foods.
2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day.
3. Don’t sit with legs crossed – that clamps down of the veinous blood flow.
4. Elevate legs as often as possible.
5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent.
6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial.
7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief.
8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better.
9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first.
10. If symptoms get worse with fish oil therapy, you better return to your physician – soon! Read More
Blog: On Health. On Writing. On Life. On Everything.
News from My Summer Reading Pile
August 14, 2010
Remember my summer reading list? Slowly I am making my way through, devouring one Commissaire Maigret after the other. This is what I found:
“He had a bath, followed by a cold shower, and ate a substantial breakfast while watching the rain fall as continuously as on a November morning. At nine o’clock he had the ballistic expert on the line.” (Excerpt from “Maigret and the Surly Inspector”)
Not only James Bond – Commissaire Maigret also is fond of cold showers! Georges Simenon wrote this story in 1946. Something that was once common wisdom, namely that a cold shower does one good, has mostly been forgotten.
Just as a reminder – here are the benefits of ending each hot shower/bath with a cold shower (don’t do it if you have uncontrolled high blood pressure and/or arterial disease).
A daily cold shower
• boosts immune function
• lifts your mood
• fights fatigue and hangover
• normalizes your blood pressure
• decreases chronic pain
• trains and improves blood circulation – arterial and venous
• detoxifies the body
• deepens breathing, relieving obstructions in the lung
• tones subcutaneous connective tissues
• improves lymphatic circulation
• rejuvenate and heals skin
• regulates the activity of all glands (pituitary, thyroid, adrenal, ovaries/testes
• enhances motivation for physical exercise
• is helpful in diabetes, obesity, gout, rheumatic diseases, chronic fatigue, varicose veins and hemorrhoids
• regulates sympathetic/parasympathetic nerve system (the non-voluntary part of the nerve system) to an optimum
Now that the water is summer-warm it is the perfect time to begin cold showers. In February, it will be murder – I am screaming every time I have to get into the cold shower. But I do get in! Read More
Cold Sitzbath
July 12, 2010
Another name for the cold sitzbath is “happy half bath” – and “sitzbath” is a translation from German. The original word is “Sitzbad,” where “bad” obviously means bath, and “Sitz” comes from to sit.
I coined the term happy half bath because there is nothing more refreshingand and uplifting - short of dunking into the ocean in Maine - than filling a tub with a few fingers’ breadth of cold water and sit there for a few minutes; usually one to two. The water can be reused.
Besides that it is the perfect refreshment on a sweltering summer day, a cold sitzbath also has beneficial effects for health – not only for mood. Sebastian Kneipp (1821 to 1897) who, as a priest, had a bit of a problem with the other gender and sexuality, said that a cold sitzbath is good for “down there”, meaning it relieves all kinds of pelvic ailments – from infertility and decreased libido (in both sexes) to pelvic pain, leucorrhea, hemorrhoids, anal fissures and after episiotomies (then often with chamomile extract). For gynecological purposes one can also buy special basins.
A cold sitzbath helps against varicose veins (a diet low in inflammatory foods helps, too!).
A cold sitzbaths is not a good idea if you have acute urinary tract infection or acute prostatitis. For chronic prostatitis it might actually be helpful. And don't do it when you have acute lower back pain.
Another indication for a cold sitzbath is insomnia. Staying for a moment in the cold water, then going to bed, you can feel how the blood leaves your overworked brain and warms your feet – both important conditions to find sleep.
And a Happy Half Bath keeps your private parts functioning and beautiful! Read More