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Washington — President Trump has been diagnosed with a "benign and common" vein condition known as chronic venous insufficiency after he noticed swelling in his legs, the White House said Thursday.
The president's physician, Sean Barbabella, said in a memo that the president underwent a thorough health examination after he noticed mild swelling in his legs, and it revealed no evidence of a more serious condition like deep vein thrombosis or arterial disease. White House press secretary Karoline Leavitt read the memo at Thursday's press briefing, and the White House later released it.
According to Johns Hopkins and the Cleveland Clinic, chronic venous insufficiency occurs when veins in the legs struggle to bring blood back up to the heart. Barbarella said the president, who is 79, remains in "excellent" .
Photos of the president at the Club World Cup soccer final in New Jersey over the weekend showed him with noticeably swollen ankles, fueling speculation about the cause.
The president's doctor said he was "thoroughly evaluated" by the White House medical unit "out of an abundance of caution" after noticing swelling in recent weeks.
"The president underwent a comprehensive examination, including diagnostic vascular studies. Bilateral lower extremity venous Doppler ultrasounds were performed and revealed chronic venous insufficiency, a benign and common condition, particularly in individuals over the age of 70," the memo said. Barbarella said there was "no evidence" of blood clots or arterial disease.
The president underwent multiple tests, including a complete blood count, comprehensive metabolic panel, and coagulation profile, Barbabella said.
"All results were within normal limits," the memo said. "An echocardiogram was also performed and confirmed normal cardiac structure and function. No signs of heart function, renal impairment, or systemic illness were identified."
The White House doctor also noted recent photos that have shown minor bruising on the back of the president's hand.
"This is consistent with minor soft tissue irritation from frequent handshaking and the use of aspirin, which is taken as part of a standard cardiovascular prevention regimen," the memo said.
Chronic venous insufficiency, also known as CVI, is a form of venous disease that occurs when veins in your legs are damaged, resulting in them not managing blood flow back to the heart as well as they should.
"Chronic venous insufficiency is not a serious health threat. But it can be painful and disabling," on its website.
Venous disease in general is very common, , with about 1 in 20 adults being affected by chronic venous insufficiency. It usually affects people over age 50, with the risk increasing with age.
Someone who is overweight, has a family history of the issue, or who has prior leg damage can be more at risk. Other contributing factors can include lack of exercise, smoking and high blood pressure in the leg veins due to long periods of sitting or standing.
The insufficiency can cause a variety of symptoms, including discolored reddish-brown, leathery or itchy skin, swelling in the legs and ankles, and legs that are achy, tired, cramping or tingling.
Treatment options can include improving blood flow through weight loss, exercise, elevation and compression socks, and in some cases, medicines or minor procedures may be recommended. In severe cases, surgery is also an option.
