The abdomen is examined in the vertical and horizontal position of the patient, using both direct and lateral lighting. Previously, the patient should expose the abdomen in such a way that all its departments, including the suprapubic and iliac regions, are accessible for examination.
Pay attention to the shape and size of the abdomen, the symmetry of both its halves, the presence of hernial protrusions, visible peristalsis and expansion of the subcutaneous venous network.
Normally, the right and left halves of the abdomen are symmetrical, the navel is slightly retracted. In normosthenics, the abdomen is moderately protruded, the costal arches are not clearly outlined. In hypersthenics, it is usually voluminous, protrusion is more pronounced. In asthenics, the abdomen is small, flattened or slightly retracted.
A uniform increase in the size of the abdomen is observed with obesity, excessive accumulation of gases in the intestines (flatulence), the appearance of free fluid in the abdominal cavity (ascites, or hydroperitoneum), as well as in late pregnancy. With obesity, the abdomen increases mainly in its middle part, the navel is retained, the thickness of the subcutaneous fat layer of the abdominal wall is significantly increased, often with deep transverse skin folds.
If an increase in the size of the abdomen in women occurs in connection with pregnancy, a brown line appears from the pubis to the umbilicus along the midline, increased pigmentation and expansion of the paralosal circles. In unclear cases, an examination by a gynecologist is indicated.
In patients with moderate ascites, especially with a flabby abdominal wall, the abdomen in the supine position is flattened due to flattening in the umbilical region and protrusion in the lateral sections (“frog stomach”). In a standing position in such patients, an increase in volume and sagging of the lower abdomen due to the movement of fluid in the abdominal cavity are noted.
With severe ascites, the stomach, regardless of the position of the body, has a domed shape, its skin becomes smooth, shiny, thinned and dry, the navel is smoothed out or even protrudes. The main causes of ascites are massive edema of renal origin (nephrotic syndrome), congestive heart failure, portal hypertension, seeding of the peritoneum with cancer metastases (peritoneal carcinomatosis). To assess the effectiveness of therapy in patients with ascites, you should regularly measure the abdominal circumference at the level of the navel with a centimeter tape.
Asymmetry of the abdomen due to bulging of the anterior abdominal wall in any part indicates a significant increase in the organ, the presence of a large tumor or cyst in this section of the abdominal cavity. So, a bulge in the epigastric region and the upper part of the right half of the abdomen is usually caused by an enlargement of the liver, in the left flank – an enlargement of the spleen, in the suprapubic region – an excessively full bladder or an enlarged uterus.
A large tumor of the kidney sometimes leads to a bulge in the corresponding lateral abdomen. Large cysts in the abdominal cavity most often come from the pancreas or ovaries. Local protrusions of the anterior abdominal wall are observed with hernias, most often formed along the white line of the abdomen, in the umbilical ring, inguinal regions and in place of postoperative scars.
Evenly retracted (scaphoid) abdomen due to spastic contraction of the muscles of the anterior abdominal wall is a characteristic sign of acute diffuse peritonitis, although it can also be observed with tetanus, meningitis, and lead colic. In addition, a uniform abdominal retraction occurs with a sharp depletion or dehydration of the body.
The use of lateral lighting allows in some cases when examining the abdomen in the supine position to identify peristaltic waves in the form of periodically raising the front abdominal wall and slowly moving elevations. They indicate the presence of obstacles to the advancement of food masses along the digestive tract.
The subcutaneous venous network in the abdomen is normally not visible. The appearance of an enlarged, sometimes clearly protruding venous pattern through the skin, most often indicates a difficult outflow of blood from the portal vein (portal hypertension) and the development of bypass anastomoses (collaterals) with the systems of the upper and lower vena cava.
The causes of portal hypertension can be cirrhosis of the liver, thrombosis or compression from the outside of the portal vein, as well as thrombosis of the hepatic veins flowing into the inferior vena cava (Budd-Chiari disease). In the early stage of portal hypertension, a venous pattern first appears in the lateral abdomen, and subsequently on its front surface.
Pronounced venous congestion in the portal vein sometimes leads to the appearance of enlarged and fancifully convoluted saphenous veins radially diverging from the navel, which is caused by the restoration of patency of the obliterated umbilical vein. Such a venous pattern was called caput medusae due to its figurative comparison with the head of the Medusa of the Gorgon, a character of the ancient Greek myth, who had many snakes on her head instead of hair.
The expansion of the saphenous veins of the abdomen (usually in its lateral parts) can also be observed with thrombosis of the inferior vena cava with the development of collaterals with the system of the superior vena cava. To distinguish collateral blood flow from the portal vein to the inferior vena cava from anastomoses between the systems of the inferior and superior vena cava, proceed as follows.
At the umbilical line, select a section of vein located longitudinally and without lateral tributaries. Put across it two fingers of the right hand folded together (palmar surface). Then, spreading the fingers apart and simultaneously pressing on the vein, displace the blood from its area located under the fingers, and then raise the overlying finger.
If the collapsed section of the vein is filled with blood and swells, then the blood flow is directed from top to bottom, i.e. from the portal vein to the inferior vena cava. In the event that the vein remains in a collapsed state, this indicates collateral blood flow in the direction from the bottom up – from the inferior vena cava to the superior vena cava.
It should also be borne in mind that, in contrast to portal hypertension, ascites does not occur during thrombosis of the inferior vena cava, but venous congestion in the lower extremities is observed, manifested by their swelling, cyanosis and expansion of the saphenous veins.
In some patients in the upper abdomen, a peculiar girdle can be revealed from the set of dilated smallest skin veins 2-3 cm long, extending in the form of a stockade along both costal arches and perpendicular to them (Stokes belt). The diagnostic significance of this phenomenon is unknown.
In the presence of postoperative scars on the skin of the abdomen, their localization and shape give an indicative idea of the nature of the surgery and its possible complications, in particular, the adhesive process. Identification of a section of hyperpigmentation associated with the use of a heating pad in a particular abdomen indicates the presence of a long-term pain syndrome in a patient.
- What is the danger of varicose veins on the stomach and how to treat dilated veins
- Possible causes of abdominal veins
- Causes of the problem
- Symptoms of the disease
- Diagnostic methods
- Conservative treatment
- Arterial disease of the extremities
- Lerish’s syndrome
- Buerger’s disease
- Raynaud’s Disease
- Surgical intervention
- Folk remedies
- Varicose veins during pregnancy
- Course of therapy
- How to remove the sides, huh? :(. Fitness and sports
What is the danger of varicose veins on the stomach and how to treat dilated veins
Brightly defined veins on the abdomen are not a reason for panic or inaction, but for consultation with a doctor. Often this is not just a cosmetic defect, but a sign of an established disease. Phlebologists say that the veins on the stomach appear for a reason. A clear outline of the veins on the abdomen can be a clinical sign of varicose veins.
Varicose veins are a common pathology that almost everyone faces: men and women, adults and even children. First, stars and nodules appear on the skin, and then a venous network. The lower extremities have always been considered the main place of localization of the pathological process. On examination, doctors also find convoluted and dilated veins on the abdomen, back, buttocks, arms and other parts of the body. Currently, in addition to varicose veins of the lower extremities, varicose veins of the pelvic organs and rectum (hemorrhoids) are most common.
Varicose veins rarely affect the great vessels. Thin intradermal veins are usually affected first. The larger the area of damage, the more often patients experience pain, swelling and discomfort. Patients with dilated veins on the abdomen are plunged into depression, since pathology pretty much spoils the appearance.
true varicose veins on the abdomen
Dilation of the veins on the stomach can result in serious health problems. This is especially true for pregnant women. Hormonal failure and an increase in the volume of circulating blood leads to an increase in the load on the venous system and the expansion of veins on the body. In men, pathology occurs less frequently. The most susceptible to varicose veins on the abdomen are overweight individuals who abuse alcohol and smoke for a long time. Their blood is thicker, the muscles and vessels of the abdomen are weak. These factors provoke the development of the disease.
If in time to recognize the symptoms of pathology and conduct adequate treatment, you can get rid of varicose veins on the abdomen.
I don’t even know to which section this belongs. I have another first discoveries in this pregnancy. in the area where the belly passes into the body, under the chest, in the area of the ribs, on the sides and under the arms, but lower, on the back, but closer to the stomach, dilated vessels appeared. Well, I hope it’s not bursting. Well, they are directly visible with a fan – a stain of blood vessels.
A friend had a bunch of blood vessels all over his back. She went in a sundress, met with her – I really then got scared for her. But no, everything after childbirth became as usual (on the back).
But such a divot as hers, I have not seen anywhere else: he just sagged, and nothing helped (((
But she didn’t dare to do plastic surgery.
Yesterday, in the SOUL, I discovered that veins appeared on one leg (they didn’t come out, but they were clearly visible) and vessels like a purple net burst. Straight starting from the groin, but on the front side. The other leg is decent, on the belly, veins shine through just on the sides. It’s nothing? But what to do with a leg? To smear with what, maybe?
She didn’t smear anything, she didn’t wear compression, she showed the doctors – they said only if there was an opportunity – to buy the cheapest stockings for childbirth, and if I don’t buy it, then I don’t need
Contrast douche of legs perfectly removes heaviness and tones vein walls well. Having warmed up well after a shower/bath, pour cold water on your feet, then comfortably warm, so change the water up to 7 times. You can do 1-2 times a day.
– pool – I began to walk, leg pain almost disappeared. I swim very actively, in different styles, not like grandmothers in hats with daisies :)), plus I give a load to my legs in addition.
– sleep with raised legs
-see weight, relatively, of course, given B
– during the day more often lie-sit with raised legs
– do not lift heavy, do not walk much, if your legs hurt, try not to walk at all, compensate for the lack of movement by the pool
– on the Internet look – very simple venotonic exercises
baths with sea salt
-bath, but very carefully, followed by dousing my feet with cold water, I just started in this B, I’m sitting in a non-hot minute 2-3
– you personally (twins) can help a bandage
– many with veins and leg pain advise osteopaths, after 2 days I will go, I will report
– I was also advised by hirudotherapists, but since I have no major vein pathologies on the doppler of the vessels of the legs, I decided not to resort to leeches yet
– Well, for dessert – in the psychosomatics, veins and heaviness in the legs are associated with thoughts of congestion, overwhelming worries, troubles and pressure of too much responsibility taken :))) – just about the pregnant brain. I am trite trying to relate to everything easier, to look for more joys and pleasures in my position.
Varicose veins can occur not only in the lower extremities, the problem can affect other parts of the body, for example, the abdomen, and this feature is called the “jellyfish head”.
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Hello Evgeny Anatolyevich!
Why I began to pay attention to this – I have already had problems with the digestive tract for about 10 years. While the basic analyzes are normal. And a month ago during the FGDS, the doctor examined that there was varicose veins of the esophagus and stomach of the 1st degree (as I understand it is minimal) and said that attention should be paid to this issue.
There were no more pathologies in the stomach (only deviations in the duodenum). After that I did another ultrasound of the abdominal organs – everything is perfect and the liver and portal vein. Complete blood count, ALT, AST, Amylase, Cp! active protein is all complete norm. At the same time, I had pain again (I had it before, although nobody had sighted the veins before the FGDS, even during pain) – despite the fact that pains that are not clear are given to the back and intensify when the head is tilted back and at night do not bother. Can they be associated with varicose veins?
- License 12.03.2018//
- Blue dot on the foot 02.03.2018//
- Deciphering the results of ultrasound of the veins of the lower extremities 01.03.2018
- Phlebangiodysplasia 27.02.2018//
- the formation of a blue ball in the area of the bend of the finger 26.02.2018//
- Angiodysplasia 26.02.2018//
- swollen vein 25.02.2018//
- Injection of the inguinal artery with methadone. 25.02.2018//
- The operation to remove the veins 21.02.2018//
- Varicose veins 17.02.2018//
- Question for the price. 11.02.2018//
- (Thrombotic) phlebitis of the pelvic area 10.02.2018//
- Veins after chemotherapy 08.02.2018//
- Vasoconstriction, PA irregularity 03.02.2018//
- Please explain the difference! 02.02.2018//
- Bruises on the legs after strength training 29.01.2018//
- Cones in veins on the arm 18.01.2018//
- Reticular varicose veins 18.01.2018//
- (untitled) 15.01.2018//
- Numb drumstick (from the front) after laser surgery on veins 15.01.2018//
SZAO of Moscow m. Strogino st. Tallinn, house number can be obtained from the administrator by phone
Possible causes of abdominal veins
Women and men of any age can observe bloated veins on their stomachs. Such a situation can occur both during a period of heavy physical exertion, and during a period of complete rest. Some perceive such an external change calmly, while others begin to sound the alarm. So what is the cause of veins?
In people who have thin skin, the venous network can stand out due to the active flow of blood. They observe this situation even when they are doing squats, push-ups or pump press.
There are times when the veins appear on the abdomen abruptly and in large numbers. Often they are observed on the lateral parts of the abdomen and in the waist area. This symptom can be observed by both adults and children.
Most people think that such a change in their body will be temporary, so they are not even going to see a doctor. But the conclusion is erroneous and incorrect. As the experience of gastroenterologists shows, this ailment can talk about serious liver diseases.
To verify your health, you must take the following steps:
- visit a gastroenterologist;
- undergo an in-depth examination;
- take a biochemical blood test;
- take a test for viral hepatitis.
If the procedures performed do not yield results, then an examination by an endocrinologist and a vascular surgeon should be immediate.
As for children, with such a symptom, you can contact a pediatric surgeon.
Self-medication is not an option!
At the first modifications of the vessels of the abdomen, it is necessary to contact qualified doctors. Self-medication with the help of advertised ointments and gels will not bring any result. Delaying with a doctor’s visit will aggravate the situation.
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Causes of the problem
The “jellyfish head” appears due to the occurrence of a barrier in the vein, as a result of which the blood begins to move along the “siding”. If the cause of this phenomenon is not eliminated, the veins will begin to expand, which will soon be noticeable to the naked eye. However, pathology is dangerous not only with aesthetic imperfections, but also with real health problems. In this case, the greatest risk of vein expansion in the abdomen is for women during pregnancy.
Portal hypertension is not a separate disease, but a syndrome that accompanies other pathologies associated with increased pressure in the portal vein. To find out the cause of this phenomenon, you need to undergo a full examination prescribed by a doctor. As possible prerequisites for portal hypertension, there are:
- cirrhosis of the liver;
- congenital anomalies;
- umbilical sepsis;
- suppuration in the abdominal region;
- endophlebitis (hepatic vein thrombosis);
- pericarditis (inflammation of the pericardial sac);
- tumor and cystic neoplasms;
- tricuspid valve insufficiency;
- inflammation in the abdominal cavity;
- complications after surgery;
- hepatosis (metabolic disorders of the liver cells);
- amyloidosis (impaired protein metabolism);
- carbohydrate dystrophy of the liver;
- helminth infection;
- sarcoidosis (increased levels of enzymes in the liver);
- cardiomyopathy (primary damage to the heart muscle);
- cancerous tumor or metastases in the liver.
The list of causes of portal hypertension is quite extensive, but the diagnosis is simplified by the fact that there are several types of this disease, each of which is associated with certain pathologies. There is intrahepatic, suprahepatic, subhepatic or combined portal hypertension. Only a doctor can determine the type of pathology and identify the cause of its formation, since for the patient the symptoms in different cases will be the same.
Before pregnancy, I never had problems with veins, there were always smooth and slender legs. And as soon as I got pregnant, it became immediately difficult to walk in heels, although my stomach was not yet visible. Further worse. Legs began to swell, pouring lead, hurt at night. At first, the gynecologist said that this is normal for the expectant mother, because the load is increasing, but when the vascular net began to come out, it became clear that this was a serious matter. Then I specifically asked the doctor about how.
Symptoms of the disease
The primary symptoms of the disease are directly related to the disease that caused the appearance of the “jellyfish head”. This may include the occurrence of pain, nausea, vomiting, shortness of breath, cough, discoloration of feces and urine, etc. There may also be a general deterioration in the condition: weakness, insomnia, decreased appetite, increased body temperature, lethargy, dizziness, heart rhythm disturbance, etc. . d.
Gradually, symptoms that are characteristic of portal hypertension also appear, these include:
- a sharp increase in the size of the spleen;
- varicose veins in the abdomen;
- accumulation of fluid in the abdominal cavity (ascites);
- digestive disorders;
- venous bleeding;
- lack of appetite;
- the formation of spider veins.
translucent but not changed abdominal veins during pregnancy – normal variant
non-pathological visible veins on the abdomen due to weight loss
veins on the abdomen arising from excessive power loads
pathological veins on the abdomen arising from dangerous conditions – in particular, portal hypertension
Risk factors or harbingers of varicose veins on the abdomen are: obesity, bad habits, physical inactivity, hereditary predisposition, prolonged hormone therapy or chemotherapy.
During pregnancy, the veins in the abdomen expand due to hormonal imbalance due to excessive release of progesterone by the placenta, which affects estrogens and androgens. At the same time, the strength and elasticity of blood vessels and skin changes, the valves weaken, the blood stagnates, the veins expand. In the early stages, this process is associated with rapid weight gain, and in later stages it is due to a sedentary lifestyle.
Varicose veins are a common disease that does not have age or gender restrictions. At the initial stages, the pathology does not cause concern and is a cosmetic defect, which is easily eliminated with the help of modern hardware procedures. As the disease progresses, impaired blood flow in the saphenous veins leads to severe swelling, which puts pressure on the internal organs and causes their dysfunction. Mostly varicose veins affect the lower extremities, less often spreads to the back and the peritoneum.
Violation of the outflow of venous blood occurs under the influence of the following factors:
- systematic lifting of heavy objects in front of the abdomen;
- taking hormonal drugs;
- hormonal and metabolic dysfunction;
- sharp weight loss;
- improper diet;
- genetic predisposition;
- concomitant pathologies of the cardiovascular system;
- bad habits;
- portal hypertension;
- violation of the consistency of blood.
Normally, veins can appear on the skin in people who are diligently attending the gym.
It is important to note that bulging veins may be a natural condition, and not a consequence of pathology. With a sharp loss of weight, the body loses fiber, so the vessels are distributed close under the skin. With prolonged classes in the gyms, vein transillumination is also noted, which is associated with the development of the muscular skeleton and the strengthening of the vascular walls.
To treat the disease more quickly and with less effort and money, you need to contact a gastroenterologist as soon as the first symptoms of the problem appear. It is especially important to recognize portal hypertension during pregnancy, since in this case an individual approach of an obstetrician-gynecologist will be required.
Diagnosis of the disease begins with a general examination of the patient by the doctor, collecting anamnesis data and compiling a picture of the course of the pathology. After this, the symptoms are examined and, if there is a suspicion of portal hypertension, general blood and urine tests, a biochemical test of venous blood, a hepatitis test, etc. are prescribed.
Also, along with laboratory analyzes, instrumental examination procedures can be prescribed – ultrasound, X-ray examination of potentially clogged veins, splenoportography, etc.
After the doctor has established that the symptoms observed in the patient indicate varicose veins due to portal hypertension, you can proceed to therapy. It should be comprehensive and include medications and surgical procedures. Treatment with folk remedies is also possible, but only after agreement with the doctor and only as additional methods of alleviating the patient’s condition.
. Another feature of fat cells concentrated in problem areas is a violation of the transport of fats across the cell membrane. The shell of these damaged, abnormally large cells becomes extremely dense, and the fat inside them becomes tight and poorly excreted. Recently, a new line of cosmetics has appeared that helps partially solve this problem.
The main active ingredient in such products is phosphatidylcholine (phosphatidylcholine). At its core, it is also fat. It is necessary for repairing the membranes of fat cells, as it contains a large amount of phospholipids, and its distinctive feature is the ability to restore the transport of fatty acids through the cell membrane of fat.
Preventive measures to prevent the expansion of veins on the abdomen:
- Relaxing bathtubs and contrast showers,
- Massage and swimming
- Frequent walks in the great outdoors
- Drinking plenty of fluids
- The fight against smoking and alcoholism,
- Balanced diet,
- Normalization of body weight,
- Wearing a bandage
- Physical therapy classes.
In late pregnancy, experts recommend pregnant women to sleep on their sides and wear compression underwear. Expectant mothers with revealed portal hypertension should be carefully observed by a gynecologist, hepatologist and phlebologist, regularly take tests that monitor the composition of the blood. In most cases, delivery takes place without complications.
Often, in the early stage of the development of the disease, you can do only with medical treatment, since the problem is not started. At a later date, conservative therapy is combined with medical procedures and operations to achieve the desired result. An especially attentive doctor needs to be in the treatment of portal hypertension in a woman during pregnancy, since this disease can very seriously affect both her and the baby.
For therapy, the following groups of drugs can be prescribed:
- Pituitary hormones. These funds contribute to the normalization of blood flow, as they affect the reduction of hepatic blood flow and a decrease in pressure in the portal vein.
- Nitrates. Provide a decrease in blood flow in the liver due to the accumulation of blood in small vessels.
- Beta blockers. Reduce blood flow to the liver by reducing heart contractions.
- Synthetic analogues of somatostatin. Contributes to the narrowing of arterioles in the perihepatic zone, which helps to reduce pressure.
- Diuretic drugs. Contribute to the removal of excess fluid and harmful substances in a natural way through urination.
- Synthetic analogues of lactose. Contribute to the cleansing of the intestine from harmful substances accumulated in it due to the development of the disease.
- Antibiotics. They are prescribed provided that the disease that causes varicose veins in the abdomen is caused by pathogens. Antibiotics contribute to their destruction and prevent further development.
All these drugs have a serious effect on the human body and have an impressive list of contraindications. For this reason, you can not prescribe certain drugs on their own, this can lead to irreparable consequences, especially in the treatment of varicose veins during pregnancy. Only a doctor should prescribe this or that remedy after the patient has passed all the tests and compiled a medical history.
Arterial disease of the extremities
As a result of atherosclerosis of the lower extremities, a chronic ischemic focus is formed, characteristic of Lerish’s syndrome. The clinical manifestations of these diseases almost completely coincide, having the only difference in that the intermittent claudication in atherosclerosis stopped in a low position (on the calf muscles) and does not spread upward.
Diagnostic methods are characteristic of Lerish’s syndrome, where ultrasound is a priority.
Surgical treatment according to indications, which is ischemia of IIB, III, IV degrees (bypassing the femoral-popliteal-tabial segment using various prostheses or a large saphenous femoral vein of the patient). In special cases, surgery is performed by percutaneous dilatation of the arteries and endarterectomy.
Conservative treatment of atherosclerosis of the lower extremities does not differ from that of Lerish’s syndrome.
Buerger’s disease (thromboangiitis obliterans, endarteritis obliterans obliterans) is a very serious inflammatory disease that occurs with severe ischemia and frequent venous node damage due to thrombosis.
The reasons cannot be said in the affirmative, but the provocateurs have been reliably identified. This is hypothermia and smoking.
Unfortunately, the young age is not insured against such a disease and it occurs mainly in males of 18-35 years old. The pathological process usually does not extend beyond the lower extremities, however, it does not affect one leg, but occurs simultaneously in both. The characteristic clinical picture is manifested in three options, but pain in the foot and fingers are almost always present:
- The first option is distinguished by the acuteness and malignancy of the process and affects mainly young people;
- The second is characterized by a more calm undulating course (subacute) with exacerbations and remissions of various durations;
- The third option can last for years (chronically), slowly progresses and has prolonged remissions.
The most prominent symptom of Buerger’s disease is considered to be treatable, prone to infection ulcers on the toes. This indicates damage to the arteries of the foot and lower leg and the prospect of the spread of the pathological process to the popliteal and femoral arteries.
Effective diagnostic methods are:
- Measurement of finger and ankle blood pressure;
- Determination of the spectrum on the arteries of the foot and pressure on the arteries of various levels;
- Transcutaneous determination of oxygen tension on the foot and lower leg in vertical and horizontal positions;
- Doppler ultrasound, duplex scanning;
- Seldinger angiography for planning reconstructive surgery.
Treatment of obliterating endarteritis is a difficult and not always solvable task. Buerger’s disease is treated only in a hospital setting, where rheopoliglyukin infusions are prescribed, which are supplemented with hormones, anticoagulants, antiplatelet agents, and vasodilators.
Surgical treatment – reconstruction of arteries, the outcome of which is determined by the severity of ischemic lesions.
Acute obstruction of the arteries of the limbs resulting from thrombosis in young people who already have thromboangiitis or elderly with atherosclerosis, and embolism of the main arteries in people with “embologous” diseases, is formed under the influence of several factors:
- The effect of an inflammatory or atherosclerotic process on the arterial wall;
- Violation of hemodynamics (central and regional).
Usually, acute obstruction of the arteries is accompanied by arterial spasm in two limbs, even if the second is recognized as healthy. The clinical picture of the disease is expressed by acute ischemia syndrome:
- Sharp pain;
- Cold limb;
- Sunken veins;
- Violation of sensitivity and motor activity;
- A sudden stop of the pulse.
Compared to embolism, the course of thrombosis is less acute. This is due to the long stenosing process in the arteries and the formation of collaterals.
Treatment depends on the condition of the patient and the severity of the disease, which is determined by the degree and localization of the ischemic focus. In the acute period, as a rule, infusions of reopoliglukin and sodium bicarbonate are prescribed, then vasodilators, hemodesis and anticoagulants are used.
Surgery is performed according to indications in accordance with the general condition of the patient and localization of ischemia.
Congenital arteriovenous fistulas (malformations) are most common on the lower extremities, although the upper ones are no exception. In addition, this pathology can easily be localized in the internal organs: liver, kidneys, lungs.
Pathological changes occur as a result of venous hypertension and distal hypoxia, the cause of which is bypassing the arterial segment with arterial blood, which is discharged directly into the venous channel. The disease is congenital and manifests itself literally from the first days of a child’s life.
Diagnostic methods to help establish a diagnosis:
- Occlusive plethysmography is able to capture the moment of a sudden increase in volumetric blood flow in the affected area;
- Duplex scanning – compares the increased volumetric blood flow with the norm, detects the increased size of the vessel itself;
- Angiography, which is shown in determining the localization of a pathological lesion in the arterial bed.
The increase in peripheral circulation disorders leads to a decrease in the functional abilities of the limb, which is an indication for surgical treatment, which is carried out in several stages.
A group of diseases, the companion of which is extravasal compression of the subclavian arteries and brachial plexus, is called “compression syndrome at the exit from the chest.”
The clinical picture of the disease is manifested by various vascular and neurological disorders of a local nature:
- Pain in the hands;
- The onset of rapid fatigue of the fingers, which makes it difficult to perform certain types of work (writing, sewing).
The disease has several typical syndromes that serve as the basis for diagnosis.
The treatment is conservative symptomatic or surgical.
Raynaud’s disease occurs from a spasm of the small arteries of the limbs, tongue or tip of the nose and is considered to be “female”. Why it appears, where it originates from is still unknown to science.
Symptoms of Raynaud’s disease cause a lot of trouble, because at first patients do not feel very sick, but they do not consider them to be absolutely healthy. Pain in the fingers (usually on the hands) and coldness at first are the only manifestations of the disease, to which over time a violation of tissue trophism, edema and cyanosis, small areas of necrosis on the nail phalanges join.
The diagnosis is based on capillaroscopy of the nail bed and a cold sample (assessment of the condition of the hand after immersing it in cold water for a couple of minutes).
Treatment is carried out with dilating peripheral vessels, antiplatelet agents, vitamins. Apply barotherapy, plasmapheresis, physiotherapeutic treatment, and in some cases – percutaneous nerve stimulation. Surgical treatment is carried out in exceptional cases.
The inferior vena cava (v. Cava inferior) is the largest vein, located on the posterior wall of the abdomen to the right of the abdominal aorta, passes through the hole in the tendon center of the diaphragm into the chest cavity, where it soon flows into the right atrium. It is formed at the level of IV – V lumbar vertebrae by the fusion of the right and left common iliac veins. Each common iliac vein is formed by the fusion of the internal and external iliac veins of its side.
Blood flows from the veins of the lower half of the body along the inferior vena cava: from the abdomen, pelvis and lower extremities.
The pelvic veins lie near the arteries, have the same names and are also divided into internal and parietal.
Parietal veins flowing into v. iliaca interna, accompany the eponymous artery. These include: iliac-lumbar vein, v. iliolumbalis; superior gluteal veins, vv. gluteae superiores; inferior gluteal veins, vv. gluteae inferiores; obstructive vein, v. obturatoria; lateral sacral veins, vv.
In the walls of the internal organs of the pelvis and near the organs, small venous vessels form venous plexuses: cystic, rectal, uterine, etc.
All the veins of the pelvis: both internal and parietal – carry blood into the internal iliac vein. It lies next to the artery of the same name and, merging with the external iliac vein, form a common iliac vein of its side. The external iliac vein is located next to the artery of the same name and receives blood from the femoral vein, of which it is a continuation. In addition, small veins flow into it from the lower part of the anterior abdominal wall.
The veins of the lower limb, as well as the veins of the upper limb, are divided into superficial and deep.
The superficial veins of the free part of the lower limb anastomose with deep veins; the largest of them contain valves. In the area of the foot, the saphenous veins form a dense network, which is divided into the plantar venous network, rete venosum plantare, and the dorsal venous network of the foot, rete venosum dorsals pedis. Superficial veins of the sole anastomose with deep veins.
Large saphenous vein, v. saphena magna, formed from the dorsal venous network of the foot. Heading up, it passes along the front edge of the medial ankle to the lower leg and follows the subcutaneous tissue along the medial edge of the tibia. Along the way, she takes a series of superficial veins of the lower leg. Having reached the knee joint, the vein goes around the medial condyle at the back and passes to the anteromedial surface of the thigh. Following proximally, v. saphena magna perforates in the area of hiatus saphenus the surface leaf of the broad fascia of the thigh and flows into v. femoralis.
Small saphenous vein, v. saphena parva, begins from the lateral part of the subcutaneous dorsal venous network. She bends behind the lateral ankle and, heading up, goes to the back surface of the lower leg. Having reached the popliteal fossa, the vein lies under the fascia, enters the depth of the fossa and flows into the popliteal vein.
Even during pregnancy, some perceive varicose veins in the abdomen as the norm, but this is not at all the case. A similar phenomenon indicates an advanced stage of the course of portal hypertension and is one of the indications for surgical intervention. In most cases, shunting is performed, but in serious situations, spleen removal or liver transplantation may be indicated.
In relation to dilated veins, specialized medical events can be performed. These include suturing or dressing of pathological areas, endoscopic sclerotherapy, endoscopic installation of traction rings and other operations.
Alternative therapy is still used in the treatment of many diseases, but in the case of portal hypertension, it can only complement the effect of conservative and traditional medicine. Before using any prescription that affects the severity of symptoms, you need to consult a doctor, especially for women during pregnancy. There are several most common drugs used for varicose veins in the abdomen.
Firstly, a decoction of dandelion is used, for the preparation of which you need to pour a glass of boiling water 1 tablespoon of powder prepared from the dried roots of this plant. The resulting mixture must be infused for 10-20 minutes and drink without diluting with water. Apply the product several times a day in the form of heat.
Secondly, beet juice has a good effect, it must be taken 100 ml 2-3 times a day 30 minutes before eating. Thirdly, you can make an herbal collection, consisting of nettle leaves, rose hips, chamomile and yarrow inflorescences, mixed in a ratio of 2: 4: 2: 1. It is necessary to pour 2 tablespoons of the resulting mixture of 0,5 l of hot boiled water and boil over low heat for 20 minutes. The resulting broth should be taken 2 tablespoons three times a day between meals.
Other folk remedies can also be used to eliminate specific symptoms.
Firstly, a decoction of dandelion is used, for the preparation of which you need to pour a glass of boiling water 1 tablespoon of powder prepared from the dried roots of this plant. The resulting mixture must be infused for a minute and drink without diluting with water. Apply the product several times a day in the form of heat.
- Prepare the root of the dandelion (chop it), pour everything with boiling water (a glass), wait about an hour, until the remedy infuses.
- A decoction of chamomile, nettle, and rosehip helps a lot. Take in an equal amount of grass, fill with water, boil all 30 minutes.
- Green walnuts need to be poured with olive oil. Wait 40 days until everything is well infused. After lubricating the skin.
- In 200 ml of water add apple cider vinegar (teaspoon). Mix and drink everything before meals. Also, the solution is used to wipe the skin.
- Apply finely chopped raw potatoes to the affected area.
So, the veins on the stomach not only spoil the appearance, but also can have a serious impact on health. Carefully monitor your well-being!
Varicose veins during pregnancy
Women during pregnancy should carefully monitor their own health, since any negative manifestations will affect not only her, but also the baby. At the first signs of varicose veins on the abdomen, you should consult a doctor. The danger is that in neglected cases in which timely treatment was not carried out or incorrect therapy was used, an artificial termination of pregnancy may be prescribed to save the mother.
A pregnant woman with portal hypertension should be constantly monitored by a doctor and take the necessary tests. Regular monitoring of blood composition, liver and spleen.
In this case, the woman must be informed of all possible complications for herself and the child during pregnancy and childbirth.
If portal hypertension is not started and can be treated, childbirth can pass without complications. Moreover, due to the nature of the disease, not only obstetrician-gynecologists, but also surgeons and hematologists should be present on them. Varicose veins, which arose as a result of portal hypertension, are not an absolute indication for Caesarean section, so in most cases a woman gives birth on her own.
the girls had something like this: it hurts for several days on the sides of the abdomen (where the legs end :)) it hurts as if it had been training hard in the gym. And today I noticed in strong daylight that the smaller and longer veins crawled out from the pubis (sorry for the details) to the protruding hip bones (they seem)
Confused – they say on the left – then I read – on the right – enlighten! And another question, who is observed at TsAGiP? And what is it to give birth?
After the first child was born (1 years ago), the abdominal muscles somehow parted and if you lie down and then try to stand up (strain the abs), the stomach becomes a “house” with a “ridge” from the navel to the ribs. I didn’t like it, but it didn’t interfere. And now I was suddenly puzzled – maybe it’s a hernia? Maybe it’s somehow sewn up? But will they let me give birth with this? Now is a week. Thanks for answers.
This week a pregnant strip on my stomach began to appear. The truth is still quite pale, but I already see it! I wonder why it is in the middle, namely the strip! If it appears, does anyone need this? And further. There was a feeling that my stomach, in the sense of skin, was about to burst! He had scratched it before and was scratching, and now the central part of the abdomen is just in a lot of tension. Can’t stretch marks be avoided?
Hence the conclusion – the baby was just somehow uncomfortable lying, so it bulged mostly in front, and on the sides it was empty
Yesterday all evening he groaned there and quietly bulged out in all places, most likely changed his pose! But today I am again as a person. HURRAH!
Hello, I have a gestational age of 6 weeks, the abdomen periodically pulls in the lower abdomen but slightly. I was at the doctor and he said that everything is in order, but I still care a little. Sometimes I feel a slight throbbing pain in the lower abdomen, on the side. It doesn’t hurt me, but I’m very afraid that something might be wrong. Could you say whether this can be normal. I mean this slight throbbing pain. Maybe someone had the same thing?
From right to left sipping, tingling – normal, not scary. The main thing is to listen to yourself and do not worry. In addition, the doctor also confirmed that there was no concern. So everything will be fine! Take care of yourself and the fuzz!
Girls, in this pregnancy, varicose veins are manifested strongly. By evening, the veins on the hands simply swell. Strong venous veins appeared on the abdomen. What to do with the veins on the legs, I know. And with palms and belly.
In this B, blue veins shine through this B almost all over my body, especially on my stomach, sides and legs, but they are just visible and that’s it, no inconvenience. The wreaths began to appear stronger on the hands, and indeed the fingers on the hands swell strongly (all the rings only fit to the middle of the finger), the hands hurt.
I do not think that all this can be called varicose veins, just the specificity is pregnant. organism.
I have from the very beginning B legs hurt and even varicose veins in the most intimate place got out, and painful, it hurt in the groin. The ZhKshny therapist ordered me to drink Flebodia-600 (she immediately warned that it was not a treatment, but to improve her well-being), my legs immediately stopped hurting, and sometimes there was still discomfort in the groin.
But what about hemostasis?
Girls, but my question arose after a conversation with my husband ? We saw a man with a seam after the operation – he goes straight through the stomach, and the navel goes around the arc, and again straight. I suggested that in this case, the navel can be removed and the suture should be done exactly in the center (aesthetically, the stomach is damaged anyway), and the husband says that it is impossible that something important should remain from the very beginning from birth, and it is needed. And the question is – after cutting the umbilical cord, what happens to the vessels in the child? How do they disappear? Where to.
. Mild pain in the lower abdomen can occur several times during the day, but as a rule, they quickly disappear if a woman occupies a position convenient for her. Sometimes periodic discomfort in the lower lateral abdomen appears with constipation, which is also common in pregnant women.
Girls who already know who is sitting in the tummy, or who have experience with the first child, I would like to know your opinion about the correspondence of the child’s gender and the shape of the tummy (with girls – more round tummies, and with boys – sticking forward, more angular) . With my first boy and most of my friends, as a rule, it was like this. And you?
I thought it seemed to me, but my husband confirmed yesterday I have a solid small tubercle not in the center of the abdomen, but shifted to the right. I didn’t notice this with the first two. My stomach will be on my side. Where is it from you?
. It gives us a signal that some changes are taking place in our body. Drawing pains in the lower abdomen During pregnancy, hormones are produced that affect the intestines: the movement of food through the intestines is slower. In this regard, overstretching of its individual sections is possible, very often constipation occurs.
In such a situation, a woman may be disturbed by dull, bursting pains in the lower abdomen on the sides (usually on the left), as well as increased gas formation. Unpleasant sensations in the abdomen disappear as food is digested, but can be repeated with errors in nutrition. To avoid constipation, you need to drink more liquid, eat fermented milk products, as well as foods rich in fiber (raw vegetables, fruits, bran bread). Good prevention of constipation and pain associated with it, amp ;.
Well, I knew that the second time the stomach appears earlier. Because the abdominal wall is already stretched, and the muscles are no longer the same. But so much so. I look at my stomach (of course, the subject of pride, love and stroking) and I’m a little scared. Because in my 26 weeks I have it the way it was last time after 30. At 33 somewhere.
Girls! Please tell me, maybe someone had: at 39 weeks there appears (2nd day) a rather strong pulling pain in the right side, and gives up and down the abdomen. Sometimes it lasts 20 minutes and passes, sometimes periodically for 5 minutes in 10-15. Could this be training fights or something serious and should I see a doctor? Yes, the baby is quite active.
But I can say that the other day I was lying in the hospital connected to monitoring (my blood pressure and contractions, and the baby’s heartbeat were recorded), so I had such a condition that suddenly got very sick in the lower right abdomen – like some kind of attack
And on the monitor – a strong fight was recorded. Although all the other contractions felt completely different.
Maybe it will calm you down a little ?
But it’s really better to consult a doctor.
. To prevent violations of the uteroplacental circulation, bed rest is recommended – lying on the left side for several hours a day. This will partly be the answer to your question: “On which side is better to sleep during pregnancy?”, However, this is not so important, the main thing is not on the stomach and not on the back. Naturally, you won’t sleep on your stomach because of an enlarged uterus, and it’s not recommended to sleep on your back, because a growing uterus squeezes the blood vessels located on the back of the abdominal cavity and disrupts the flow of blood to overlying organs (ce.
. To prevent violations of the uteroplacental circulation, bed rest is recommended – lying on the left side for several hours a day. This will partly be the answer to your question: “On which side is better to sleep during pregnancy?”, However, this is not so important, the main thing is not on the stomach and not on the back. Naturally, you won’t sleep on your stomach because of the enlarging uterus, and it’s not recommended to sleep on your back, because the growing uterus squeezes the blood vessels located on the back of the abdominal cavity and disrupts the flow of blood to the overlying organs (heart, brain), which causes a decrease in blood pressure, dizziness, even loss of consciousness. These phenomena are called “inferior vena cava syndrome” and they could be more pronounced.
Varicose veins: causes, prevention, exercise, treatment
. A decrease in the height of the uterine fundus is possible with the transverse position of the fetus, when the baby is located in the uterus so that the head and pelvic end are on the sides. With the transverse position of the fetus, delivery through the natural birth canal is impossible. The size of the uterus is greater than the expected gestational age also with multiple pregnancy.
Course of therapy
To get rid of dilated veins, you need to be treated. At the initial stage, conservative treatment is enough. When the pathology begins to progress, not do without surgery. Only with the help of complex treatment can an amazing effect be achieved.
The doctor prescribes a number of drugs for the patient:
- Angioprotectors, venotonics – Venarus, Detralex.
- Medicines to improve blood circulation. For example, Cavinton.
- Diuretics that help remove accumulated fluid. Often prescribed furosemide.
- Anti-inflammatory drugs for relieving spasm – Ibuprofen.
- Medicines to improve metabolism.
- Vitamin C, P, B.
To restore the function of hepatocytes, the use of hepatoprotectors is necessary. For example, Lipoid, Essential.
For pregnant women, gentle treatment is needed. Most often, an ointment with a venotonic effect is prescribed. The tool does not adversely affect the fetus. If there are no contraindications, plant venotonics are prescribed.
The operation is not suitable for the elderly, patients with advanced tuberculosis, as well as those with cancer.
How to remove the sides, huh? :(. Fitness and sports
I can hike to a state of herring to lose weight, but they all do not go away And I don’t need to write about an unsuccessful model of pants. My whole life was successful, and then all of a sudden. I understand that “for 30” it was harder, it used to be easier. Maybe exercises Any kind of thing? It’s precisely on the sides – the so-called lifebuoy. Wraps (besides in the joint venture so that)? Salon procedures I can’t pull purely financially now. *** Subject moved from the joint venture: gatherings conference
That is, I singled out for myself the essentials – the arms are extended and with a load, and the rise to a fairly high “step” in one step without the help of hands. Well, repeated repetition of this.