Thoughts about diving after Deep Vain Blood Clot in leg

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sherm1234

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Had a deep vain blood clot in my leg late in Oct. 09. Went on blood thinning medicines for 6 mo. till it was dissolved. Found out during tests that I was more acceptable to clots due to my genes. My wife is now saying that she has talked to her doctor and he said that diving should be off limits. Any thoughts on this subject, so maybe I can convince her it is OK.
 


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If it were me, I would start with a call to DAN for a name of a MD with a solid hyperbaric background in my area. I would schedule an appointment and get a full evaluation done. I would then follow his/her advice.

With all due respect to your wife and her doctor, the doctor has not examined you nor your test results. Nor do we know if they are trained in dive medicine.
 
Been there, done that. Damn I was lucky. Had a sore leg that week, shrugged it off as a sore muscle, age, getting soft - and forged ahead with my newly certified GF flying in from Houston to go dive a spring fed hole in NM. It got worse over the weekend which I blamed on activity and cold water, but I finally broke down and went to see my Doc on Monday. I thot the nurse was going to faint when she looked at my leg. It was a long, trying afternoon but he sent me home for bed rest and outpatient treatment. I was still on the coumadin when I went back to diving, but then I've known divers who stayed on it for years and kept diving.
Also, did you mean Oct '08?
Yeah, are you still in this or was that last year.

Eh, you're a young looking fellow with a wife so you perspective would be different from mine. Talk with DAN, take your wife with you to talk to your own doc.

good luck
 
My wife is now saying that she has talked to her doctor and he said that diving should be off limits. Any thoughts on this subject, so maybe I can convince her it is OK.

Hi sherm1234,

Since your wife's doctor has neither examined nor treated you, and does not appear to be either a vascular or diving medicine specialist, s/he does not seem to be in a proper position to comment with confidence about your return to SCUBA.

In an otherwise healthy and fit individual, a history of a single episode of deep vein thrombosis (DVT) that resolved completely with anticoagulation (which was then discontinued), does not constitute an absolute contraindication to diving.

Of concern is that an individual who is predisposed to clot formation on a genetic (e.g., Factor V Leiden) or other (e.g., obesity, cigarette smoking, hypertension) basis may develop future DVTs and that one of these will move to the lung and lodge there as a pulmonary embolism (PE), a potentially fatal situation.

Moreover, a number of experts believe DVT's relationship to flying has long been underestimated. Travel itself does predispose to DVT (e.g., Meta-analysis: Travel and Risk for Venous Thromboembolism ? Ann Intern Med).

I am not aware of any research linking DVT and SCUBA. However, there are some possible effects of diving (e.g., dehydration, platelet aggregation and coagulation activity in response to circulating gas bubbles) that could conceivably contribute to/aggravate DVT.

Diving should only be resummed after clearance by a qualified specialist.

Regards,

DocVikingo

This is educational only and does not constitute or imply a doctor-patient relationship. It is not medical advice to you or any other individual and should not be construed as such.
 
This was in Oct. 08 and I am in great health. Never smoked and planning on checking in with my own doctor to hear his ideas. Thanks for all the great support
 
I'd be interested in the physician's assessment -- make sure you talk to your hematologist or whoever did the workup for the coagulopathy, and not a GP.

Aside from the travel, and the small component of volume depletion that goes with immersion diuresis, I can't come up with anything about diving that would increase your risk of developing another DVT. The travel issue is real, however.

You have a lifelong increased risk of clotting. Avoiding any activity where having a pulmonary embolus might be more dangerous (they're dangerous anyway) would mean a serious curtailing of your possibilities in life. It's possible to be too worried about things . . . but we all have to do risk assessments on the things we choose.
 
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