Experiences of a common man!

Tag: Health

Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis (DVT): When Blood Stops Moving and Trouble Starts

#Caution: This is a blog based on personal/familial experiences and meant only to make readers aware about Deep Vein Thrombosis (DVT). It does not include medical advice or prescription.

Have you ever experienced unexplained swelling, pain, or heaviness in your leg that just wouldn’t go away?

We usually ignore them as fatigue or a simple cramp. However, we should be cautious as it could be a sign of something far more serious: Deep Vein Thrombosis (DVT).

Let’s talk about it.

How We Came Across DVT?

A leg that Ached and Swelled

On Monday, July 4, my wife, Sonu, video-called me at about 4 PM, crying, saying that her left leg had a searing burning ache and had swollen. It had been about four weeks since her delivery, and she had been breastfeeding our little son. During her night feeding sessions, she had complained of pains on waist and thighs. Her call indicated that the pain had deepened and become serious.

I took leave from office immediately and took a bike ride. The ride, which took about 40 minutes, tested my nerves. I was imagining different scenarios, from extremely dire to relatively pleasant.

Upon reaching home, I found her smiling through the pain. Everyone in my family and my neighbourhood was relieved that she was walking around, albeit slowly, and the pain had subsided. Little did we know that the pain would keep increasing.

The Mistakes We Did

Sonu’s pain had begun in the late-night breastfeeding sessions. To soothe her pain, she asked her masseuse to relieve her of the pain. Unfortunately, the pain worsened. She could not even walk to the attached bathroom.

Thinking that the condition was caused by cramping, we applied massage, ice, and warm water on the aching leg regularly. Although they provided temporary reliefs, swelling and aching continued. Sonu also took painkillers with prescription from doctors at a nearby clinic, but they did not seem to work.

Treatment

As the condition worsened, Sonu’s feet started becoming more bluish. On Thursday, at about 8 AM, we took her to Om Hospital, Chabahil and took appointment of an orthopaedic surgeon. He quickly sent her for an ultrasound. When the report showed DVT, he referred us to the cardiovascular expert. We had two choices: 1) Wait for the cardiovascular doctor till 1 PM, or 2) Go to Manmohan Cardiovascular Centre, Maharajgunj.

We chose the latter.

The doctor (not the one the orthopaedic doctor referred to) there gave her oral medicines and said it would be alright. We were not quite satisfied with the doctor, who did not look at Sonu’s state even for 5 seconds. But we bought the medicine, and as she took medicine, the pain and swelling decreased gradually.

Now, Sonu is much better and slowly resuming her daily activities. Prolonged standing, walking, or sitting can still become painful. She is still on the drugs the doctor has prescribed for the next couple of months.


Now that we described our experience, let’s come to a more formal definition.

What Is Deep Vein Thrombosis (DVT)?

Deep Vein Thrombosis is a condition where a blood clot forms in a deep vein, usually in the legs or pelvis. These veins carry blood back to the heart, and when a clot blocks them, it can cause serious problems.

In everyday life, DVT often goes unnoticed. When the clot is dense, however, it can become potentially life-threatening if the clot travels to the lungs and causes pulmonary embolism (PE).

Details on Deep Vein Thrombosis (DVT)
Original Image at https://www.scientificpublishing.com

Why Should You Care?

DVT doesn’t always come with drama. It can begin subtly:

  • A bit of pain in your calf
  • A heavy feeling in one leg
  • Slight swelling or bluish discoloration

People often mistake it for a muscle strain, standing too long, or even poor circulation. But when left unchecked, a clot can travel to your lungs, blocking blood flow and oxygen and leading to a medical emergency.

Who Is at Risk?

These people are at high risk of suffering from DVT:

  • Women in the postpartum period (especially after C-section, like Sonu)
  • Anyone who has to sit or lie down for long hours (desk jobs, long travel)
  • Someone who has had a recent surgery or injury
  • Smokers, obese or those undertaking certain medications, such as oral contraceptives, anticoagulants, and some neurosupressants
  • Someone who has a family history of clotting disorders

It should be noted that even healthy individuals can develop DVT under the right conditions.

Symptoms That Shouldn’t Be Ignored

If you ever notice symptoms like:

  • Pain that starts in the hip, thigh, or calf
  • Swelling or a leg feeling “tight”
  • Burning or warmth in one leg
  • Discoloration: a leg appearing bluish or reddish
  • Difficulty walking, even after resting

What Helps?

This is not a medical advice article, so we won’t tell you what medicine to take although there are many oral as well as intravenous medicines available. But these can be helpful

  • Awareness about the symptoms of DVT
  • Early diagnosis through immediate visit to the hospital and advice from medical professionals
  • Regular movement during long travel or desk work
  • Elevating your legs while lying down or sleeping
  • Knowing your body, especially during postpartum recovery

When people act early, complications can often be avoided.

A Final Word: Be Gentle with Your Body

Your legs carry you. If something feels off, listen.
Let your legs rest, elevate them when needed, and never hesitate to ask questions or see a doctor when in doubt.

Sometimes, knowing what not to ignore is just as important as knowing what to do. Had we known about DVT earlier we might have been more cautious.

Awareness can save lives. Share this post with someone who might need it.


>>> Read the Nepali version of this post: https://storiesofsandeept.com/2025/08/18/deep-vein-thrombosis-dvt-np/

On Scientific Inquisition

We humans have always been guided by two fundamental systems: Faith and Science. Faith implores us to live life as it is and accept what comes in life as the will of God or fate. It has its own pros and cons, which I shall not discuss here. Science, on the other hand, urges us to transcend the boundaries that are created by our surrender to the fate. The advancement in medicine and technology is the result of inquisitive minds who studied the nature and imagined what else they could do with the knowledge they gained. They also disseminated the knowledge they obtained so that it would not be lost with time.

Suppression of knowledge and scientific inquisition in Europe during the Middle Age (5th to15th century) led to numerous wars, widespread famine and submission to fate. During this period in the history of humanity, also known as the Dark Age, several scientific discoveries are said to have lost. Scientists were termed “heretics” by the Church and were executed. The Renaissance Period, of which the Republic of Florence and Leonardo da Vinci are central, gave rise to art and through it, promotion of scientific discoveries, inventions and rediscoveries.

In the ancient Indian sub-continent (most of the times attributed to the Indus Valley Civilization), the Vedas and Upavedas, and later the Upanishads promoted the culture of scientific and logical discourse. Proverb such as Vaade Vaade Jaayate Tatwabodha (वादे वादे जायते तत्वबोध:), i.e. knowledge is gained through debates is alone sufficient to understand the importance of discourses in order to discover the truth of the world. The knowledge however came under the control of few people on the administration for centuries. The lack of effective dissemination of the ancient wisdom has created a lot of problems in the sub-continent.

Scientific discoveries have made things possible that were treated only as imagination in the past. The discovery of sea-routes brought people closer, the invention of aeroplane reduced the time for the journeys between different parts of the world, the invention of telegraph and telephone changed the way messages were shared. On the basic principles of navigation, aerodynamics and telecommunication, the humanity has moved from the Age of Cultivation to Age of Global Communication.

Not just that, humanity has also given up the instant submission to fate. In the Dark Age, Black Plague killed thousands of people in Europe. Venice, because of the lack of burial grounds, suffered the most. Instead of contemplating that the disease was spreading through the canals, they believed they were suffering the wrath of God and their loss was God’s will. In the modern age, humans do not readily submit to Faith when they encounter diseases. They investigate the disease, their causes and work on the vaccines and inoculation.

As students of Geology, a branch of science, we have gained some fundamental knowledge about the Earth and how it works during the four-year B.Sc. programme. We have learnt to observe the rocks and soils, to ask what they are and why they are there. We have familiarized ourselves with the Earth processes and the benefits and the problems they bring. We have studied about natural hazards and some ways to mitigate them. We can strive to learn more and publicize what we know. We can make the world a better place.

There is no doubt that the Earthquake of 2072 B.S. (2015) gave rise to a mass awareness about how that particular earthquake occurred. Some people used to say, with much politicisation, “There are two plates: Indian and Chinese. The Indian plate moves to the North to encroach the Chinese plate. Nepal is in middle. That was why the earthquake occurred.”

While I myself tried to remove politics whenever I could, there is a mass of people who believe the above statement to be true. They are right that Nepal lies in between two plates. But most of them are not aware what “plate” really is and that the Earth’s lithosphere is made of a number of plates. As a student of Geology, I feel that we have a lot to do to make the public aware of what the plates are and how they are formed.

We, ourselves however should be ready to face skepticism. Science is not a belief system. Whenever scientists come across hypotheses and theories, they first question, “Is it true? What are the evidences?” A hypothesis can become a major theory if evidences support it. The theory of Plate Tectonics is a common example. If the evidences from submarine navigation and Paleomagnetic studies had not been available, the theory would still have remained a hypothesis. Similarly, if a new hypothesis can challenge and prove that it is stronger than an existing theory, the existing theory, even if popular, will be discarded.

Many people put a blame upon science for the problems we’ve been facing. Sure, guns and bombs have been developed by science and are being used to inflict terrors. Nuclear weapons have threatened the existence of our dear home itself. The knowledge of making explosives and harnessing nuclear energy was not bad itself. Gunpowder and dynamite were used in construction works, and nuclear energy has become an important source of energy in many nations. That’s why I firmly believe that it’s not science that is faulty. The fault is on our crooked desire of using knowledge that we have.

In short, as a student of science, I appeal to everyone to gain right knowledge from the nature, from each other and from what our ancestors have passed on to us. I urge everyone to deliver the knowledge to the public and to the generations to come. Because only with the right knowledge, we the make the world a better place.

[The above article was intended to be the editorial for GEOWORLD Students’ Magazine, Vol. 8, 2017. It was heavily cut in the magazine for the sake of relevance and space]

Zika Viral Infection- What is it?

As I was scrolling down the Facebook page on my phone, I came across a news on Image Khabar, which shocked me. It said that the World Health Organization (WHO) had warned the Americans not to conceive children. I also saw something new- Zika virus. (I first thought Jika because the news is in Nepali!) I immediately googled to get some information on it.

History
The Zika virus was first discovered in the rhesus monkeys in the year 1947 in the Zika forest of Uganda. The monkey in which the virus was discovered had suffered from mild fever. The first reported case in humans was in 1952 from Uganda and Tanzania. Since then, the disease was believed to be a mild one but the WHO now classifies it as an “emerging” disease. Recent outbreaks have occurred at French Polynesia (2013) and Brazil (2015).

Mode of Transmission
The disease transmits through the vector Aedes aegyptii, the mosquito also responsible for dengue. Recently, it has also been found to have transmitted sexually.

Symptoms
According to the WHO, the symptoms are similar to that of Dengue. Mild fever, rashes on the skin, conjunctivitis, headache lasting for 2-7 days are the major symptoms. In children, microcephaly occurs hampering the mental growth. The virus can be detected on blood culture.

Treatment
There is no vaccines or medicines developed for the treatment of the disease. Paracetamol can be used for the symptoms above.

Warnings
The WHO has warned that the disease might spread fast in the USA and in the peripheral nations. It has also warned of pregnancy during the outbreak of the disease.

Conclusion
Adaptation and evolution of the vector and the virus is spreading a “new” disease as an epidemic every year. Last year, it was Ebola, this year it is Zika. There might be another outbreak next year. The WHO and the media should be active to spread information about the recent outbreaks. Had the WHO not warned the USA, no one would have known about the disease. This situation should be changed. There should be an immediate breaking news once an outbreak is known. Preventive measures should be taken before the disease turns into an epidemic.

References
1. www.who.int/mediacentre/factsheets/zika/en/
2. https://en.m.wikipedia.org/wiki/Zika_virus
3. mobile.nytimes.com/2016/01/26/health/two-cases-suggest-zika-virus-could-be-spread-through-sex.html

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