Phlebitis - Phlebitis

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Phlebitis - Phlebitis
Phlebitis - Phlebitis
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Video: Phlebitis - All You Need To Know in This Short Video 3 minutes 2023, February

Superficial phlebitis

Superficial phlebitis (phlebitis, superficial thrombophlebitis, superficial venous thrombosis, varicophlebitis) is an acute inflammation of the vein wall with the formation of a blood clot in a superficial vein. It is a common disease that usually arises from varicose veins. More than 90 percent of all phlebitis can be found in varicose veins. 30 to 40 percent of patients with severe varicose veins are affected, women more often than men.


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  • What are the causes of superficial phlebitis?
  • ">How to prevent superficial phlebitis


  • ">">What are the symptoms?


  • How is the diagnosis made?
  • How is superficial phlebitis treated?
  • Whom can I ask?
  • How are the costs going to be covered?


What are the causes of superficial phlebitis?

The development of superficial phlebitis can be promoted by a number of factors. These include:

  • slowed blood flow in varicose veins and bed rest,
  • increased willingness to clot during pregnancy, during childbirth or after operations,
  • superficial injuries,
  • intravenous drug administration via catheter or infusion,
  • Hormone replacement therapy,
  • Smoke,
  • Bleeding disorders,
  • chronic venous insufficiency,
  • Infections,
  • other diseases (e.g. cancer).

How to prevent superficial phlebitis

The risk of developing superficial phlebitis can be reduced in certain situations by the following measures:

  • After operations and childbirth, getting up early with coiled legs or anti-thrombosis stocking.
  • Bedridden patients should do movement exercises several times a day.

What are the symptoms?

The affected vein is painful on pressure, the area around it is reddened, hot and swollen with a palpably coarse cord. The patient may have a fever at the same time. The inflammation sometimes takes two to six weeks to subside. The vein can be painful and hardened for months. However, thrombophlebitis can also spread and affect the deep venous system.

Frequent secondary diseases are deep vein thromboses or pulmonary embolisms.

How is the diagnosis made?

The diagnosis is made on the basis of the symptoms present and a medical examination of the affected region. In many cases, further examinations are necessary, for example to determine whether a deep vein thrombosis is also present.

How is superficial phlebitis treated?

To alleviate the symptoms, the recommended basic therapy is compression using suitable stockings or short-stretch bandages. The leg should be kept high when sitting or lying down. It is also advisable to use cooling compresses and creams and gels containing heparin. Some doctors also recommend curd wraps, but their effect has not been scientifically proven. Non-steroidal anti-inflammatory drugs (NSAIDs) that you rub in or swallow can relieve pain and help you move back to normal quickly.

Movement (walking around) as early as possible is recommended. Anticoagulant ointments may accelerate healing. Depending on the extent and localization of the thrombophlebitis, low-molecular heparins are injected.

Whom can I ask?

If the symptoms mentioned occur or if you suspect thrombophlebitis for other reasons, you should contact one of the following offices:

  • General Practitioner,
  • Specialist in internal medicine.

A normal superficial phlebitis is an unpleasant, painful, but generally harmless disease. However, it should not be underestimated because it can lead to more serious venous diseases such as venous thrombosis and pulmonary embolism.

How are the costs going to be covered?

All necessary and appropriate therapies are covered by the health insurance carriers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. With certain health insurance providers, however, you may have to pay a deductible (BVAEB, SVS, SVS, BVAEB). However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic. For more information, see Costs and Deductibles.

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