Everything About Deep Vein Thrombosis, a Condition that Rui En Has

Singaporean artist Rui En was met with unfortunate news.

The singer and actress shared on her Instagram on 10 December 2023 that she has been diagnosed with Deep Vein Thrombosis (DVT).

This condition led to her missing the Christmas celebration concert hosted by the faith-based platform, Hai Hao Ma. 

She was initially scheduled to perform at the Suntec Convention Centre alongside other celebrities like Felicia Chin, Chew Chor Meng, Huang Kuo-lun, Annette Lee, and Charlie Goh.

 

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A post shared by Rui En (@wilderseas29)

“My right arm started swelling and mottling with bruising on Friday night,” she wrote in the post.

After a hasty trip to the hospital, Rui En detailed a series of medical examinations and scans she underwent, including an ultrasound, angiogram, CT scan, and blood tests.

The results of these assessments indicated the presence of DVT in the vein located behind her clavicle. 

The blood clot had obstructed the flow of blood to her arm, leading to noticeable swelling and bruising.

“To all the peeps going to Suntec, you have no idea how much my heart breaks and how disappointed I am that I won’t be able to be there,” she said, adding that doctors advised against her appearance at the event after she sought medical attention.

Rui En’s followers, including numerous celebrities, expressed deep concern for her condition. 

Taufik Batisah, Edwin Goh, Desmond Tan, and Tasha Low also extended their wishes for her speedy recovery, as reported by CNA.

For those unfamiliar with DVT, here’s a comprehensive guide to understanding the condition.

What is Deep Vein Thrombosis?

According to SingHealth, deep vein thrombosis (DVT) refers to the formation of a blood clot, known as a thrombus, within a deep-seated vein in the body. 

While most deep vein clots typically occur in the leg or thigh, they can also manifest in other areas. These clots have the potential to disrupt blood circulation and pose a risk of breaking free to travel through the bloodstream, potentially lodging in the lungs, causing severe damage or even death. 

When a clot becomes lodged in the lung, it is termed a pulmonary embolism (PE), a life-threatening condition.

DVT and PE are collectively referred to as venous thromboembolism (VTE) and often share the same risk factors.

According to Mayo Clinic, certain medical conditions that affect blood clotting can predispose individuals to deep vein thrombosis (DVT). 

Additionally, extended periods of immobility, such as during long-distance travel or while on bed rest following surgery, illness, or an accident, can also increase the risk of developing a blood clot in the legs.

Symptoms of Deep Vein Thrombosis

Only about half of the individuals with DVT experience noticeable symptoms. These symptoms may include:

• Swelling of the leg
• Pain or tenderness in the leg, often concentrated in one leg, and may only be discernible when standing or walking
• Heightened warmth in the affected leg region that is swollen or painful
• Alterations in skin colour or the appearance of redness

Symptoms associated with pulmonary embolism, a potentially life-threatening complication of DVT, may encompass chest pain when taking deep breaths, a rapid pulse, fainting, shortness of breath, and coughing up blood. 

Blood clots that remain lodged in the leg can lead to persistent pain and swelling.

Seeking immediate medical attention is crucial if you experience symptoms indicative of deep vein thrombosis or pulmonary embolism. 

Without prompt treatment, DVT can lead to severe complications.

Preventing Deep Vein Thrombosis

To reduce your risk of DVT, reports on SingHealth said that it’s essential to maintain a healthy lifestyle, quit smoking if you smoke, engage in regular exercise, and take steps to prevent obesity. 

In situations where the risk of DVT is elevated, such as after major surgery, it’s advisable to consult with your doctor regarding preventive measures. 

These measures may include medications like blood thinners and physical interventions like using foot/calf pumps or wearing compression stockings.

If you suspect the presence of DVT or PE (pulmonary embolism), it’s imperative to seek immediate medical assistance. Confirming the presence of DVT often involves radiological imaging, such as a duplex ultrasound of the affected leg.

Causes and Risk Factors

DVT risk factors include issues with blood flow and conditions that make blood more likely to clot. High-risk situations include spinal cord injuries, major trauma, and major surgeries. 

Certain medications and medical conditions, like chemotherapy, birth control pills, hormone therapy, and paralytic stroke, can also raise the risk. 

Other factors include:

• Obesity
• Being in bed for a long time
• Sitting for extended periods without moving
• Having varicose veins

Diagnosis and Treatments for Deep Vein Thrombosis

DVT is typically diagnosed through an ultrasound scan of the leg veins, which can reveal any abnormal blood flow.

The primary treatment for DVT involves using medications known as anticoagulants or “blood thinners.” 

These drugs slow down the formation of blood clots, allowing the body’s natural processes to dissolve them and lower the risk of DVT recurring.

Anticoagulant medications come in different forms, including injectables like heparin or low molecular weight heparin, as well as oral tablets such as apixaban, dabigatran, rivaroxaban, and warfarin.

If you ever experience the symptoms of DVT, it’s best to get yourself checked.