Expecting Mom at 7 Months: Doctor’s Concern Over Possible Blood Clot
A 35-year-old nonbinary individual, currently pregnant and measuring 5'6" at a weight of 232 lbs, has been steadily managing bipolar disorder with medications including Latuda, Cymbalta, and Lamictal over the past several years. Additionally, this person has been diagnosed with ankylosing spondylitis and has paused their biologic treatment during the course of the pregnancy, experiencing moderate symptoms by this point. Overall, the pregnancy so far has proceeded smoothly and without major complications. Earlier today, I had my routine check-up with my primary care physician, whom I hold in high regard and trust immensely. During the appointment, I brought up the calf cramps I’ve been experiencing and inquired about the possibility of incorporating magnesium supplements into my routine. After conducting a physical evaluation and observing my gait, the doctor expressed concern regarding the elevated resting heart rate and ongoing discomfort in my right calf, which intensifies when I flex my foot. Due to these symptoms, he suggested there may be a risk of blood clots and scheduled me for an ultrasound first thing tomorrow morning. In the event that a blood clot or DVT is discovered, what are the likely next steps? Should I expect a trip to the hospital? Is it advisable for my husband to accompany me, or would it be acceptable for me to drive myself? Additionally, I am curious about how significant my risk factors truly are—should I view this as a precaution and liability matter, or should I mentally brace myself for a potentially serious diagnosis? I appreciate any insights.
Answers (1)
6/17/2025, 11:20:42 PM
OpenHealth AI
It's understandable to have concerns about the possibility of a blood clot, especially given your existing medical conditions and the symptoms you're experiencing. Here's what you need to know about the situation and the potential next steps.
Summary of Main Points:
- The concern for a blood clot (DVT) is serious but often manageable.
- Immediate evaluation via ultrasound will help determine the next steps.
- Having support during this time is advisable.
Explanation:
You mentioned experiencing calf cramps and discomfort that intensifies with movement, and your doctor's concern about a potential blood clot suggests they want to rule out deep vein thrombosis (DVT). DVT can occur more frequently during pregnancy due to hormonal changes and reduced mobility. An ultrasound is a common, painless method to check for blood clots.
If a clot is discovered, treatment typically involves blood thinning medications (anticoagulants) to manage the condition, but hospitalization may only be necessary for monitoring and adjusting treatment based on the specific situation. It's important to remember that DVT can be serious, but many people successfully manage it with proper care.
Next Steps:
- Attend Your Ultrasound: Make sure to keep your ultrasound appointment tomorrow. This will clarify if there’s a clot present.
- Consider Support: It's wise for your husband or a trusted friend to accompany you, especially since anxiety can be heightened in these situations. If you do have to go to the hospital, having someone with you can provide emotional and practical support.
- Monitor Symptoms: While waiting for results, keep track of any changes in your symptoms. For example, note if the pain worsens or if you develop swelling.
- Prepare for Different Outcomes: If the ultrasound finds a clot, the doctor will discuss treatment options. If it doesn’t, the next focus may be on managing your calf cramps—potential options could include safe stretches, hydration, and possibly magnesium if cleared by your doctor.
Final Note:
While it’s important to be aware of the seriousness of a potential DVT, try not to jump to conclusions before the ultrasound results. Many health concerns can be managed effectively with early intervention. You’re taking the right steps by seeking medical advice and getting evaluated. Please keep me posted, and I wish you the best for your ultrasound tomorrow.
Related Questions
Neurological Challenges Mimicking POTS Symptoms
A 36-year-old female, weighing 265 pounds, is dealing with a complex medical history that includes conditions like Complex Regional Pain Syndrome (CRPS), bipolar disorder, anxiety, PTSD, and a splenic artery aneurysm. There is a tentative diagnosis of hypertensive Postural Orthostatic Tachycardia Syndrome (POTS). The patient experiences significant symptoms when not on medication, including a rapid heartbeat (ranging from 117 to 150 beats per minute), dangerously high blood pressure, episodes of vision impairment, difficulty walking accompanied by stumbling and falls, tremors, memory issues, and brain fog. Currently, her medication regimen includes Pristiq, lithium, lorazepam, low-dose naltrexone for pain management, and propranolol to regulate heart rates. She takes ubrelvy when needed. In January, a recurrence of severe pain radiating from her right side led to a hospital admission where her gallbladder was surgically removed due to complications. Although the surgery was successful, she subsequently developed CRPS, further complicating her health. While working in the emergency department, she experienced a sharp tearing pain associated with her known aneurysm. Unable to manage the pain, she informed her manager of her need to leave. During her walk back to her workspace, approximately 1500 feet away, she began to stagger and lost her vision, while also experiencing heavy sweating and shortness of breath. Support from coworkers was crucial, as she lost her strength and collapsed, gasping for air and experiencing vertigo. Her heart rate was recorded at almost 150 bpm and her blood pressure at 152/120. Once lying down, her vitals stabilized but would escalate again with movement. The attending nurse suspected POTS based on her symptoms. Despite efforts to provide explanations, her overnight doctor attributed her condition to anxiety. However, subsequent doctors recognized her situation increasingly suggested POTS and put her on a heart monitor after she began falling to one side, which later confirmed episodes of tachycardia over a monitoring period of two to three days. Her first cardiology appointment revealed a drop in her blood pressure when she stood, further aligning with the POTS suspicion. An echocardiogram was scheduled for the following week, but complications arose the very next morning at work, where rising distress prompted coworkers to assist her following an apparent episode of tachycardia. Administered Ativan temporarily helped alleviate some symptoms, but as her condition worsened, she was transported to the emergency department once again. After several hours of treatment, she was discharged with little clarity regarding her condition. Currently, she takes an extended-release dose of propranolol (80 mg), but without it, her heart rate can exceed 130 bpm, accompanied by memory lapses. Episodes of sporadic vision loss persist, alongside difficulty walking that has progressed to staggering or being unable to move at all, leading to falls. These occurrences are thought to be related to syncope. Neurological evaluations are underway, with initial tests like ECG and EEG returning normal results, but an MRI suggested increased intracranial pressure, though some specialists doubt its relevance. A pain specialist indicated that her pain conditions may not directly correlate but suggested central nervous system dysfunction related to stress could be a factor, as her symptoms often intensify during anxious moments. An Ear, Nose, and Throat specialist found no abnormalities causing her symptoms, and her cardiologist is pursuing further investigation at a specialized clinic, expressing concern about her ongoing employment due to the physical and financial strain it entails. The patient’s aneurysm was treated with an embolism in September, adding another layer to her intricate medical profile, and she is seeking additional perspectives on her challenging situation.
Unusual Urges to Consume Non-Food Items
At 23 years old, I am contending with various health issues, including anemia (with an iron saturation of 6%), and I’ve read that this might be influencing my bizarre cravings. There’s more going on with my health, but delving into all of it would take quite a while. Recently, I stumbled upon a video showcasing cleaning techniques, and I experienced an intense and unexpected hunger when I witnessed the soap lathering. Despite having dinner afterward, my cravings persisted, and regular food has proven ineffective at satisfying my appetite. To provide some background, I also have bipolar II disorder, ADHD, OCD, PTSD, and generalized anxiety disorder. These peculiar cravings appeared following several stressful experiences in my life. In the past, I was compelled to induce vomiting due to an OCD ritual, which I believed was linked to avoiding “bad luck.” Logically, I understood that there was no connection, but at one point, I was so entangled in these thoughts that I restricted my food intake entirely, convinced that eating brought misfortune. I was also unmedicated during that challenging period. Fortunately, I managed to break those cycles a few years ago, but now I face an ongoing struggle with overwhelming hunger. I find myself in the obese category today, unlike previously, and I am actively pursuing options for gastric bypass surgery due to my incessant appetite. Although I feel confident I won’t actually consume soap, I am concerned that sharing these cravings might jeopardize my chances of qualifying for the procedure. Still, if there’s a viable solution, I’d like to discover it. These cravings don’t dominate my thoughts, yet whenever I come across soap—either in videos or in person—I get this overwhelming desire to consume it. It’s as if I believe that succumbing to this urge would somehow provide relief and satisfaction. I’ve made a conscious effort to limit my viewing of such cleaning videos but find myself tempted to order edible chalk to see if that might alleviate my unusual hunger.
Impact of Tegretol Overdose at Age 7
As a woman now in her late thirties, I reflect back on a significant event from my childhood. At just seven years old, I accidentally ingested a large quantity of Tegretol, a medication prescribed to my brother for his epilepsy. Without realizing the danger, I swallowed a handful of those pills and fell asleep on the couch next to my mother. To my surprise, I regained consciousness a week later in a hospital bed. My mother recounted that I had suffered a seizure, at which point she found herself unable to awaken me, leading to a state of coma. Once I awoke, the emotional shift was profound; I transitioned from sadness to experiencing a tumultuous range of feelings. I am now curious about how such an overdose could have impacted my brain function. I attempted to search online for insights but came up empty-handed. Any information or shared experiences related to brain effects from similar situations would be greatly appreciated. Thank you in advance!
Young Plumber with Herniated Discs Seeks Guidance
Greetings, medical professionals. I am a 17-year-old plumber who has dedicated the past two years to this trade, beginning when I was just 15. About two years ago, I was involved in a car accident that led to the discovery of three herniated discs: one located in my upper back, while the other two are situated in the mid to lower back region. While it's possible that these injuries stemmed from the accident, I suspect they might not be entirely related. Interestingly, disc problems seem to be common in my family. I'm concerned about my prospects moving forward. What can I expect in terms of health as I age, especially regarding these injuries? Moreover, how can I prevent a situation where I may struggle with mobility in my 50s or 60s? For some time, my pain subsided, but recently, I've started to experience discomfort again in the mid to lower back area, reminiscent of what I felt initially. Any advice or insights would be greatly appreciated!
Seeking Clarity on a Pediatric Surgical Experience
One of my earliest recollections involves surgical gauze wrapped around my genitals and being cautioned to exercise caution regarding my circumcision. This incident dates back to around 1972, when I was roughly three years old. My brother, who was eleven at the time, corroborates this memory and recalls that the bandage remained in place for "a few weeks." His recollection is a bit unclear, but he does remember seeing me running around without pants and with a gauze dressing. He believes the dressing wasn't overly bulky and doesn't recall any stent being used. However, I am aware that his memory may not be completely accurate based on other conversations we've had. He recalls being informed that I underwent surgery for an undescended testicle, yet was never made aware of a circumcision being involved. Later, a physician indirectly confirmed that I had undergone an early orchidopexy. This memory piques my curiosity, particularly since my parents have never brought it up with me. I have knowledge of having glanular/coronal hypospadias, and the details of my situation appear to align with images I’ve encountered depicting partial hypospadias corrections. This leads me to wonder if my circumcision might have actually been related to hypospadias surgery. Unfortunately, any tangible proof of these events was lost when I underwent gender confirmation surgery as a trans woman three decades ago. It's conceivable that the standard circumcision procedure typically performed at birth could have been postponed, given that I was born slightly premature and had significant Rh disease and hypoxia. But could it have been deferred until I reached the age of three? I have made attempts to obtain my medical records, but unfortunately, they have been destroyed over the years. While I understand that definitive answers may be elusive, I would greatly appreciate any insights or thoughts on this matter.