Blood clots: what to watch for and how to lower your risk

A blood clot can be life-saving in the right place, but deadly in the wrong one. That’s the tightrope: clots stop bleeding, yet the same process can block a vein or artery and cause major harm. Knowing the signs and simple prevention steps can make a real difference.

What causes blood clots?

Clots form when blood thickens and sticks together. Common triggers include long bed rest or long flights, recent surgery, injury, and some cancers. Hormone pills or hormone therapy, pregnancy, obesity, smoking, and older age raise the odds too. Genetic conditions that make blood more likely to clot exist, but most clots happen because of a mix of risks you can often control.

Think about how your lifestyle and medical history stack up. Did you have surgery recently? Are you sitting for hours on a trip? These everyday situations matter. If you use birth control or hormone therapy, or you’ve had blood clots before, tell your doctor — that changes prevention and treatment choices.

Warning signs and how clots show up

The most common clot in the leg is called deep vein thrombosis (DVT). Spot it by sudden swelling, warmth, redness, or a heavy aching pain in one leg. If a clot travels to the lungs, that's a pulmonary embolism (PE) — a medical emergency. Watch for sudden shortness of breath, sharp chest pain when you breathe, coughing up blood, or feeling faint. Don’t guess — these symptoms need urgent care.

Tests doctors use include an ultrasound for leg clots, a D-dimer blood test to check clot activity, and CT scans for suspected lung clots. Those tests help decide whether you need blood thinners or other treatments.

Treatment usually starts with anticoagulant medicines, often called blood thinners. They don’t dissolve a clot instantly, but they stop it growing and lower the risk of new clots. For life-threatening clots, doctors may use clot-busting drugs or remove the clot directly. Your doctor will pick the safest option based on your situation.

So what can you do right now? Move. If you travel, stand and walk every hour, flex your ankles, and drink water. If you’re recovering from surgery or have a high risk, compression stockings and prescribed blood thinners may be advised. Manage weight, quit smoking, and discuss hormone medications with your doctor if you’re at risk.

If you suspect a clot, don’t wait. Call emergency services for chest symptoms or get urgent care for sudden leg swelling and pain. Early treatment lowers complications and speeds recovery.

Need help figuring out your risk? Ask your primary care doctor or a nurse. Bring a list of medicines, recent surgeries, and family history of clots — that short checklist can guide safer choices and protect you from surprises.

Apr 29, 2023
James Hines
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