HealthCare Resources Blog

Spider Veins!

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Spider Veins are quite common, more in women than men. HealthCare Resources interviewed Vascular Specialist/Surgeon, Dr. Hector Escoto to learn a bit more about this condition.

HCR: What is the medical term for “spider veins”?

Dr. Escoto: Spider veins are a common, mild variation of varicose veins. This condition is medically called “telangiectasias”.

HCR: What are the causes?

Dr. Escoto:

  • Age: The development of spider veins may occur at any age, but usually occur between the ages of 18 and 35 years, peaking between 50 and 60 years.
  • Gender: Females are affected approximately four to one over males.
  • Pregnancy: Pregnancy is a key factor contributing to the formation of varicose and spider veins.  The most important factor is circulating hormones that weaken vein walls.  There is also a significant increase in the blood volume during pregnancy, which tends to distend veins, causing valve dysfunction which leads to blood pooling in the veins.  Later in pregnancy, the enlarged uterus can compress veins, causing higher vein pressure leading to dilated veins.  Varicose veins that form during pregnancy may spontaneously improve, or even disappear a few months after delivery.
  • Lifestyle/Occupation: Those who are involved with prolonged sitting or standing in their daily activities have an increased risk of developing spider or varicose veins.  The weight of the blood continuously pressing against the closed valves causes them to fail, leading to vein distension.
  • Family History: If other family members had varicose veins, there’s a greater chance you will too.
  • Obesity: Being overweight puts added pressure on the veins.

HCR: Are they dangerous? Or are they usually removed only for cosmetic purposes?

Dr. Escoto: Spider veins alone are not a dangerous condition but a cosmetic issue. If you have spider veins, plus varicose veins it is important to rule out an underlying condition (such as venous valve deficiency).

HCR: How can they be prevented?

Dr. Escoto: There is no way to completely prevent this condition. But improving circulation and muscle tone can reduce the risk of developing varicose veins/spider veins or getting new ones. The same measures taken to treat the discomfort of varicose veins at home, can help to prevent varicose veins, including: Exercising, watching your weight, eating a high fiber/low salt diet, avoid high heels and tight hosiery, elevating your legs, changing your standing/sitting position frequently.

HCR: How can they be removed?

Dr. Escoto: There are two options for this medical condition.
1) Sclerotherapy: This is the “gold standard” and is preferred over laser for eliminating spider veins and smaller varicose leg veins. A sclerosant medication is injected into the diseased vein so that it hardens and eventually shrinks away.
2) Skin Laser: This is a new technology. With this treatment, we close of smaller varicose veins and spider veins. Laser surgery works by sending strong bursts of light onto the vein, which causes the vein to slowly fade and disappear. No incisions or needles are used.

Each month, HealthCare Resources and Dr. Escoto have a Vascular Clinic. This is a screening clinic for circulation, blood flow, vein evaluation. If you would like further information, please contact us at


Things You Need to Know About PV Doctors

Posted in Doctors,HealthCare Resources by Pam on August 31, 2011
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If you are receiving this newsletter in error, or would like to be removed from our mailing list – please accept our apologies and notify us – we will remove you immediately. On the other hand, feel free to send this newsletter on to your friends!

Things You Need to Know About PV Doctors

Here in Puerto Vallarta there are many doctors and specialists offering high-quality emergency care and routine medical or surgical procedures. Here are some things you need to know when consulting a local physician, and how much you can expect to pay.

The average cost for a physician consult in the Banderas Bay area is between $400 and $900 pesos, depending on the specialty, if you are seen in his private office. If you see him in an emergency room (on an emergency basis) the cost goes up. That being said, sometimes physicians, out of convenience for the patient, will do a consult in a local emergency room, regular charge.

By the way, if he tells you to meet him at a restaurant or a bar, see someone else! (This has been known to happen!) (more…)

Dr. Curiel Interview — Treadmill Stress Tests

HealthCare Resources is pleased to work closely with Dr. Adolfo Curiel, a bi-lingual cardiologist. As we move through various topics/interviews with our physicians, we have interviewed Dr. Curiel regarding treadmill stress testing.

HCR: What exactly is a treadmill stress test? 

Dr. Curiel: Exercise is a common physiological stress used to elicit cardiovascular abnormalities not present at rest and as well, to determine adequacy of cardiac function. Exercise electrocardiography (stress test) is one of the most frequently used, non-invasive modes used to assess patients with suspected or proven cardiovascular disease. The test is mainly used to estimate prognosis and to determine functional capacity, the likelihood and extent of coronary artery disease and the effects of therapy. (more…)

Interview with Dra. Adi Dominguez on Alzheimer’s Disease

We all seem to be touched by either a family member or friend who suffers from Alzheimer’s Disease. Though the research continues, to date, there is no “cure”. We interviewed Dra. Adi Dominguez, a local psychiatrist who specializes in geriatrics about any pre-disease testing and prevention.

HCR: Is there an exam that can be performed to predict if a person will have the diagnosis of Alzheimer’s?

Dra. Adi: The Addenbroke cognitive exam or “ACE-R” is a brief, cognitive test for dementia screening. It was developed in Addenbrooke Hospital in the UK. It does a better job at detecting early signs of Alzheimer’s than previously available tests.


Interview with Dr. Javier Diaz Nuñez, Ear, Nose and Throat Specialist

Since this is the time of year that so many folks are planning their return trip (or vacation) to Puerto Vallarta, we thought it would be a good idea to interview Dr. Javier Diaz-Nuñez, one of HealthCare Resources’ favorite physicians. He is an Otolaryngologist – but it is much easier to say he is an “ENT” (Ear, Nose and Throat Specialist.)

Pamela: Is there anything that one can do prior to boarding a plane for a flight, to “protect” their ears?

Dr. Javier Diaz-Nuñez, OtolaryngoloistDr. Diaz: If you have a history of ear problems with pressure changes, you should definitely do something preventative. The first thing is to make sure your nose is not “stuffed up.” If this is the case you may use a decongestant, such as Afrin, 1 day prior to the flight and then use it twice daily but not for more than three days. Be sure and read the instructions to make sure you have no contradictions. If the stuffy nose is caused from allergies, prescription antihistamines such as Zyrtec or Allegra are recommended to begin using at least 5 days prior to the flight along with a nasal spray of saline solution, which may be purchased over-the-counter.


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