What to expect from a GP consultation for varicose veins

Your GP may ask about aching, heaviness, itching, swelling, cramps, bleeding, skin colour changes and whether symptoms worsen after standing. They may inspect and feel the veins and examine both legs, sometimes asking you to stand so the veins are easier to see. The clinician will look for skin damage, ulcers, inflammation or signs that another problem could be present. An ultrasound scan may be arranged to assess blood flow and plan specialist care.

Wear clothing that allows your legs to be examined. Note when discomfort or swelling appears and whether walking, elevation or standing changes it. Bring a list of medicines and mention previous clots, vein procedures, pregnancy or long periods of immobility. Gentle movement and avoiding prolonged standing may ease symptoms for some people, but ask before using compression if circulation problems or skin wounds are possible.

Seek urgent help if one leg becomes suddenly swollen, painful, warm or red, especially if this is accompanied by chest pain, breathlessness or coughing blood. Get prompt advice for bleeding from a vein, a new ulcer, spreading skin redness, severe pain or rapidly increasing swelling. Do not wait for a routine review when these changes appear.

Ask whether the veins need ultrasound assessment, which daily measures are suitable, whether compression is safe for you, and what skin changes should be reported. Discuss referral options if pain, swelling or ulcers are affecting work, sleep or walking.