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Varicose veins is commonly observed in lower limbs making them engorged and twisted due to impaired venous drainage.

Medications:

  • Tab. Daflon 500 (Micronised purified flavonoid fraction 450 mg and Hesperidine 50 mg) 1 tablet twice a day for upto 4 weeks. This will help improve the venous tone and symptoms of varicose veins.

General advice:

  • Advice patients to use external compressions using elastic compression stockings.
  • Elevation of the affected extremities at night.
  • Promote weight loss and regular exercise.
  • Avoid prolonged standing, sitting or straining.

Investigations:

Venous doppler of the lower limbs will show the incompetent valves and the degree of damage.

Referrals:

For patients with severe varicose veins or venous ulcers it will be advisable to refer them to surgical team for laser ablation.