Table of contents:
- Definition
- What is an embolism?
- What are the types of embolism?
- How common is this condition?
- Signs & symptoms
- What are the signs and symptoms of this condition?
- When should I see a doctor?
- Cause
- What causes this condition?
- Blood clot
- Fat
- Air
- Cholesterol
- Amniotic fluid
- Risk factors
- What increases my risk for embolism?
- Medical history
- Prolonged immobility
- What complications might I experience in this condition?
- Diagnosis
- How is embolism diagnosed?
- Treatment
- How are embolism handled?
- Drugs
- Other operations and procedures
- What are some lifestyle changes or home remedies that can be done to treat embolism?
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Definition
What is an embolism?
Embolism is a condition in which the flow of blood in the arteries is blocked by a foreign object, such as a blood clot or air bubble.
Embolus are particles that move in our blood vessels, either in veins or arteries. Most embolism consists of clotted blood cells. A blood clot is called a thrombus and a moving clot is called a thromboembolus.
When moving down the blood vessels in the body, the embolus tends to go to the part it cannot penetrate and nest. Cells that normally receive their blood supply through this route are deprived of oxygen (ischemia) and die. This condition is called an embolism.
What are the types of embolism?
There are several types of this condition, namely:
- Pulmonary embolism
An embolus forms on the leg and is located in one of the pulmonary arteries. This condition usually goes away on its own.
- Brain embolism
When a blood clot travels to the brain, it can cause a stroke or transient ischemic attack.
- Retinal embolism
Small blood clots can block the small blood vessels at the back of the eye, usually causing blindness.
- Septic embolism
Infection causes substances to clog blood vessels.
- Amniotic embolism
During pregnancy, amniotic fluid can travel to the mother's lungs and cause a pulmonary amniotic embolism.
- Air embolism
Air bubbles in the blood can block blood flow to the arteries, usually in divers.
- Fat embolism
Fat or bone marrow can block blood flow just as air blocks blood flow.
How common is this condition?
This condition can occur in patients of any age. This condition can be treated by reducing risk factors.
The two serious conditions that most commonly result from embolism are stroke, in which the blood supply to the brain is cut off and pulmonary embolism, in which a foreign body blocks the arteries that carry blood from the heart to the lungs.
Signs & symptoms
What are the signs and symptoms of this condition?
The symptoms of this condition depend on what type the condition itself is related to. The main symptoms of a stroke are weakness or numbness in one arm and slurred speech or an inability to speak at all.
If you have a pulmonary embolism, you will feel stabbing chest pain that comes on suddenly or gradually. Shortness of breath, coughing, feeling dizzy, or fainting are also common symptoms of the condition.
If you have deep vein thrombosis (DVT), you may feel pain and swelling in one of your legs. Severe pain in the affected area, warm skin, and red skin on the back of your leg are also common symptoms of this condition.
Meanwhile, the main symptoms of embolism are:
- Short and fast breath
- Bloody phlegm
- Cough
- Dizzy
- Fainting
- Intense chest or back pain.
There may be signs and symptoms not listed above. If you have concerns about a particular symptom, consult your doctor.
When should I see a doctor?
If you have any signs or symptoms above or any other questions, please consult your doctor. Everyone's body is different. Always consult a doctor to treat your health condition.
Cause
What causes this condition?
This condition is caused by another object that shouldn't be in your blood. The object which is generally the cause of embolism is
Blood clot
Some health conditions such as obesity, heart disease, cancer, or pregnancy can cause blood to clot in the veins even if there is no bleeding.
Blood clots can travel through the bloodstream before they get stuck and start blocking blood flow to certain organs or limbs.
Deep vein thrombosis (DVT), a blood clot on the inside of a vein in the leg, is one of the main causes of pulmonary embolism.
Fat
A long fracture, such as a thighbone, can cause fat particles inside the bone to escape into the bloodstream. They can also develop after you experience burns or complications after bone surgery.
Air
An embolism can also appear when air bubbles or other gases enter the bloodstream.
This condition is of particular concern to divers. If the diver gets out of the water too quickly, the change in pressure can cause nitrogen bubbles to form in the bloodstream and get trapped in the veins.
Cholesterol
In people with severe atherosclerosis, small pieces of cholesterol can sometimes break away from the sides of the blood vessels and produce embolism.
Amniotic fluid
In rare cases, the amniotic fluid - the fluid that protects the baby in the womb - can leak into the mother's blood vessels during labor and cause a blockage.
This can lead to breathing problems, drop in blood pressure, and loss of consciousness.
Risk factors
What increases my risk for embolism?
The risk factors for embolism are:
- Obesity
Being overweight increases the risk of blood clots, especially in women who smoke or have high blood pressure.
- Pregnancy
The weight of the baby pressing on the veins in the pelvis can slow down blood flow from the legs. Clots are more likely to form when blood flow slows down.
- Smoke
For reasons that are not entirely clear, tobacco use predisposes some people to blood clot formation, especially when combined with other risk factors.
- Additional estrogen
The estrogen in birth control pills and hormone replacement therapy can increase clotting factors in your blood, especially if you smoke or are overweight.
In the case of pulmonary embolism, things that increase your risk of developing the condition are:
Medical history
You have a higher risk of developing this condition if a family member has had blood clots in the veins or pulmonary embolism. This condition may also occur due to an inherited disorder that affects the blood and makes it more prone to clot.
Some of the health conditions that increase your risk of developing pulmonary embolism include:
- Heart disease
Cardiovascular disease, such as heart failure, increases the chance of clots forming.
- Cancer
Some cancers - especially pancreatic cancer, ovarian cancer and lung cancer - can increase levels that help blood clot. Chemotherapy further increases the risk of the condition.
Women with a personal or family history of breast cancer who take tamoxifen or raloxifene also have a higher risk of developing blood clots.
- Operation
Surgery is a major cause of blood clotting problems. For this reason, drugs are given to prevent clots before and after major surgery.
Prolonged immobility
Blood clots tend to form during periods of inactivity, such as:
- Bed rest
Staying in bed for a long time after surgery, heart attack, broken leg, trauma, or any serious illness makes you more susceptible to blood clots.
- Long journey
Sitting in a narrow position during long journeys can slow blood flow in the legs, which contributes to clot formation.
What complications might I experience in this condition?
Embolism, especially the lungs can be life threatening. About a third of people with this condition that go undiagnosed and untreated do not survive.
However, when the condition is diagnosed and treated promptly, that number can drop. In rare cases, small embolism can develop over time and cause chronic pulmonary hypertension or what is known as chronic thromboembolic pulmonary hypertension.
Diagnosis
How is embolism diagnosed?
In addition to examining physical symptoms and asking for medical history, the condition is diagnosed by the following tests:
- A chest UX-ray, ventilation perfusion (V / Q) scan, CT scan or angiography of the lungs will be performed to look for objects obstructing blood flow.
- For the diagnosis of deeper veins or brain scans, stroke, angiography, Doppler ultrasound studies or impedance plethysmography (IPG) may be performed to look for blocked arteries.
Treatment
The information provided is not a substitute for medical advice. ALWAYS consult your doctor.
How are embolism handled?
Treatment for embolism depends on the case, size and location of the blockage. Ways to deal with embolism are:
Drugs
- Anticoagulant drugs
These drugs, including warfarin, heparin, and low-dose aspirin can be recommended to break up embolism and prevent blood flow from clots.
- Thrombolytics
When a blood clot dissolves on its own, there is a drug given through a vein that dissolves rapidly. This medication is intended for life-threatening situations because it can cause sudden and severe bleeding.
Other operations and procedures
- Clot removal
If you have a very large, life-threatening blood clot in your lung, your doctor may remove it through a tube (catheter) that is threaded through your vein.
- Vein filter
A catheter can also be used to place the filler in the main vein of the body. This procedure is usually performed for people who cannot take anticoagulant drugs or when anticoagulants are not working properly and quickly.
- Hyperbaric space
Air embolism is handled in a hyperbaric space where the air pressure is higher than normal, which can reduce air bubbles on the body
- Cutting of the artery
To remove the blockage, surgery will be performed by cutting the affected artery and objects that are blocking blood flow.
What are some lifestyle changes or home remedies that can be done to treat embolism?
Lifestyle and home remedies that can help you deal with embolism are:
- Drink lots of water
Water is the best fluid that can prevent dehydration, which can lead to blood clots. Avoid drinking alcohol, which can make you lose fluids.
- Take a break from a sitting state
Walk on a plane several times an hour. If you are driving, stop every hour and walk around the car a few times.
- Move in your chair
Flex your ankles every 15 to 30 minutes.
- Use support stocking
Your doctor may recommend this to help improve circulation and movement of fluids in your legs.
- Get physical
Moving as quickly as possible after surgery can help prevent pulmonary embolism and speed up overall recovery.
- Apply a healthy diet
Eat a nutritious diet, which is low in fat, high in fiber, including whole grains, fruit and vegetables at least five servings a day.
- Limit salt
Limit your daily salt intake to less than 6 grams per day.
- Lose weight
If you are overweight or obese, you should do regular exercise and a calorie diet for weight loss.
- Sports
Get at least 150 minutes of exercise per week.