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Q: I have hemachromatosis caused by excess iron in my body. To get rid of the iron, I get a pint of blood removed every 6 months. At my most recent bloodletting, a clot formed in the vein at the spot in my forearm where the needle was. Do I need to worry about this? Am I at risk for other clots and a stroke? Should I continue the bloodletting?
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The Trusted Source
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Howard LeWine, M.D.

Howard LeWine, M.D., is chief editor of Internet Publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

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May 09, 2013
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A:

What happened to you this time is quite common. My guess is that the needle was left in place just a bit longer than usual after they stopped the bloodletting. Any time normal blood isn’t moving, it will clot.

If the area where the clot formed is a red and tender, it still isn’t dangerous. Doctors call the problem superficial phlebitis. It is treated with warm compresses. You can also take ibuprofen (Motrin, Advil and many generics) or naproxen (Naprosyn, Aleve, generic versions) to help ease the discomfort.

From what you’ve told me, I doubt that you have a condition in which your blood tends to form clots too easily. So, this event does not increase your risk of major blood clots or stroke.

As you know, though, you need to have regular bloodletting. Hemochromatosis is a condition in which people have too much iron in their bodies. Much of that mineral is stored in red blood cells. Bloodletting removes the red blood cells and excess iron. This is very important because the iron can build up to toxic levels in several organs.

Excess iron in the liver can lead to cirrhosis and to liver cancer. In the pancreas it can cause diabetes, and in the heart, congestive heart failure. So don’t stop the bloodletting because of the clot that you saw.

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