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Take the Vein Health Quiz

Which of the following symptoms are you experiencing? Choose all that apply.Varicose Veins (bulging veins)Spider VeinsCramping LegsRestless LegsUlcers (wounds)Tingling or Itching LegsAching LegsThickened or Discolored SkinPain when StandingLeg SwellingPain with walkingAbdominal painStroke symptomsUncontrolled blood pressure

Now let’s get specific.

Please share your level of discomfort with each of your symptoms.

Varicose Veins (Venous insufficiency)

Do you have a family history of blood clots?YesNo

Do you have a family history of vein problems?YesNo

Are you wearing compression stockings?YesNo

Do you have skin discoloration?YesNo

Cramping Legs

Cramping Legs (PAD) (Venous insufficiency)MildModerateSevere

Are you wearing compression stockings?YesNo

Ulcers/wounds

Where are the wounds located on your feetToes (PAD)Shin/calf area (Venous insufficiency)

Do you smoke?YesNo

Do you have diabetes?YesNo

Itching legs

Do you have rash/redness? (Venous insufficiency)YesNo

Do you smoke? (PAD)YesNo

Are you wearing compression stockings?YesNo

Pain with walking

How long can you walk before you have pain? (PAD) (Venous insufficiency)Limited walking (short distance)Moderate walking (mid-range distance)Extended walking (long distance)

Do you have diabetes?YesNo

Leg swelling (venous insufficiency) (Lymphedema)

Leg swellingSwelling all daySwelling only in the evenings

Are you wearing compression stockings?YesNo

Abdominal Pain Mesenteric artery stenosis (blockage in blood flow to the intestine)

Does your pain occur after you eat?YesNo

Is it worse with fatty foods?YesNo

Stroke symptoms Carotid artery stenosis (blockage in blood flow to the brain)

Do you have episodes of afacial droopone sided arm or leg weaknessVision changes in one eye

Uncontrolled blood pressure

How many blood pressure medications are you taking?123+

Based on this questionnaire you may have

Peripheral arterial disease

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Venous insufficiency

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Carotid artery stenosis (blockage in blood flow to the brain)

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Renal artery stenosis (blockage in blood flow to the kidneys)

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Mesenteric artery stenosis (blockage in blood flow to the intestine)

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Lymphedema

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book a consultation call

Please reselect your option wisely, or you can book a consultation call with Dr. Desai.

Almost done!

What are your top priorities today? Choose up to three.

I want toFeel better physicallyFeel confident about how my legs lookRule out serious health issuesBe proactive about my vascular healthLearn more about arterial blockages and vein health

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21212 Northwest Fwy, Suite 275 Cypress, TX 77429
(713) 400-6325
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