Symptoms and Diagnosis of Deep Vein Thrombosis (DVT)
Symptoms of deep vein thrombosis -- a blood clot in a deep vein -- may be difficult to identify. That's because DVT symptoms are similar to many other health problems.
If you're at risk for DVT -- you are over 60, you smoke, you are overweight, you sit for long periods of time -- stay alert to DVT symptoms. If you have symptoms, learn what you can do to confirm a diagnosis.
A deep vein thrombosis (DVT) is a blood clot in a vein deep in your body. Usually it's in a lower leg, thigh, pelvis, or arm.
There aren't always symptoms. If there are, they usually include swelling and sometimes pain and tenderness.
“Typically, a person calls saying, ‘I’ve had three or four days of swelling in one of my legs and it won’t go down,’” says Terri Remy, MD, of Virginia Hospital Center.
You’re more likely to have a DVT if you:
Have a blood clotting disorder
DVT is the formation of a blood clot in a deep vein, usually in a calf or thigh muscle. DVT can partly or completely block blood flow, causing chronic pain and swelling. It may damage valves in blood vessels, making it difficult for you to get around. A blood clot can also break free and travel through your blood to major organs, such as your lungs or heart. There, it can cause damage and even death within hours.
Signs and Symptoms of DVT
Half of all DVT cases cause no symptoms. If you do have any of the DVT symptoms below -- especially if they occur suddenly -- call your doctor right away:
Swelling in one or both legs
Pain or tenderness in one or both legs, which may occur only while standing or walking
If a blood clot breaks free and travels to your lungs, it's called a pulmonary embolism, and it can be fatal. Pulmonary embolism may not cause symptoms, but if you ever suffer sudden coughing, which may bring up blood; sharp chest pain; rapid breathing or shortness of breath; or severe lightheadedness, call 911 or go to an emergency room immediately.
To diagnose DVT, your doctor will ask about your health, medical history, and symptoms, as well as perform a physical exam. However, because DVT symptoms are shared by many other conditions, you may need one or more special tests to rule out other problems or to confirm a diagnosis. These tests to diagnose DVT may include:
Duplex ultrasound. During this test, high-frequency sound waves bounce off the inside of your body, producing images of your blood vessels.
During this test, a radiologist spreads warm gel on your skin and then moves an ultrasound wand over the area. The wand sends sound waves into your body and then sends the echoing waves to a computer, which produces images of your vessels and sometimes the blood clots, as well.
Painless and noninvasive, ultrasound tests require no radiation but require a skilled person to obtain accurate results. This test is less sensitive in finding blood clots that are very deep inside the body, such as in the pelvis.
Venography. This test involves taking a special X-ray that allows your doctor to see the anatomy of your veins. Sometimes it also allows the doctor to see a clot, too. During the test, the doctor injects a radioactive dye into a vein on the top of your foot. This highlights the veins on the X-ray. Although accurate, this test carries a slight risk of increasing the chances of additional blood clots.