Conversation: The conversation between human and AI assistant.
[|Human|] I am in my 1st trimester in pregnancy (5th pregnancy). After giving birth to my youngest 18months ago, I developed a painful leg with swelling and was given clexane and a scan which turned out not to be a clot. I have just noticed it s hurting my leg to walk so have had a look and it s a big bruise looking vein, should I be concerned? I ve had previous DVT and about a stone overweight.
[|AI|]  Hello, and I hope I can help you today. If you had a DVT before during pregnancy, you do have an increased risk of recurrence.  Women who have a history of DVT during pregnancy also should be on DVT prophylaxis to prevent clots if you don't already have one.  So you should see an OB or especially a dermatologist (high-risk specialist) who is comfortable prescribing Heparin (or similar medication) and you will need to begin preventative injections. However, DVT by definition is a deep vein thrombosis, which means the veins you can see are not DVDs.  If they become clotted, the treatment is warm compresses as much as possible, leg elevation and wearing support stockings.  So I do not think your symptoms now are due to DVT, however you do need to be on preventive medication for safety for the rest of the pregnancy. I hope this information was helpful and that I answered your question adequately. Best wishes for the rest of the pregnancy,