Consistent high pressure in the veins may lead to bleeding for some patients. These sites are small, and in most cases they are no larger than a pinhole. However, this problem may be alarming at times. The bleeding is a signal of underlying high pressure in either the deep or superficial venous systems.
These hemorrhages usually occur around the ankle, but spontaneous bleeds can also occur where high venous pressure is being forced through small veins.
If bleeding is occurring, the patient should immediately elevate their leg. This will release pressure and help to stop the bleeding. Constant pressure should be applied to the location and medical attention sought as soon as possible.
If you seek assistance at the emergency room, they may treat the bleed by closing the opening with a suture. However, you should seek a consultation with a doctor experienced in the treatment of venous disease. That doctor will know the correct method for treating these bleeds by injecting a dilute foamed sclerosant solution into the vessels. Further diagnostic testing may be done at the time of sclerotherapy to determine the cause of the bleed.
The patient here had a spontaneous bleed of a small varicosity on the front of their leg in association with larger unseen varicosities.
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