Conversation: The conversation between human and AI assistant.
[|Human|] Hi I flew Australia to USA using Cexane 80mg twice per day and stopped four days after return. Had signs of DVT and PE forming and went back on clexane for further 4 days, Now having bad leg pains again like things shooting through veins. Feel completely flattened on energy 10 days post travel. I have protein C deficiency and had 3XDVT and 2xPE before. Last DVT was on 9.5mg warfarin. Any advice?
[|AI|]  Hello ! As you are a diagnosed patient for protein C, so it is more likely you get DVT again and again. But before I jump to conclusions straight away I would ask my patients following-how much time has elapsed since pain started-does pain increases with walking or moving legs/restriction in movements?-have you got fever?-is there any redness in calf region.-do you feel pain in touching calf muscles-have you experienced shortness of breath? Do following test:-leg Doppler/INR LEVELS-D-dimers-CT-angio if shortness of breath and Doppler and Drivers are positive, as this test is invasive one. HOPE I HAVE ANSWERED YOUR QUESTION. PLEASE FEEL FREE TO CONTACT IF YOU STILL HAVE QUERIES. PLEASE RATE THE ANSWER AS YOU LEAVE.  WISH YOU BEST OF HEALTH!