Bleeding from Varicose Veins: Why it Matters

Bleeding from varicose veins occurs when fragile, high‑pressure surface veins break through the skin, often without warning. While the bleeding itself can usually be controlled in the short term, it is a sign of underlying venous disease and carries a significant risk of recurrence if the cause is not addressed.

Why do varicose veins bleed?

Over time, varicose veins can become thin‑walled and lie very close to the skin surface. Increased venous pressure, minor trauma, or skin changes associated with chronic venous disease can cause these veins to rupture. Bleeding is more likely in people with fragile skin, long‑standing varicose veins, or those taking blood‑thinning medication.

Why bleeding from varicose veins is serious

Although bleeding may stop with first aid or emergency care, it often represents an advanced stage of venous disease. Without definitive treatment, further bleeding episodes are common and can occur unpredictably. For this reason, bleeding from varicose veins is recognised as a serious complication rather than a minor symptom.

NHS assessment and funding criteria

The NHS recognises bleeding from varicose veins as an indication for specialist assessment and treatment. NHS funding is also available for patients who experience two or more episodes of phlebitis. In our Swindon clinic, assessment and treatment decisions are typically guided by consultant vascular expertise to ensure care is rapidly given, appropriate, proportionate and evidence‑based.

Preventing further bleeding

Emergency treatment addresses the immediate bleeding but does not treat the underlying vein problem. Preventing recurrence usually requires careful assessment of the venous system and targeted treatment of the affected veins. Choosing the most appropriate approach depends on vein anatomy, overall health, and individual risk factors.

Frequently asked questions

Is bleeding from varicose veins dangerous?

Yes. Bleeding from varicose veins can be significant and should always be taken seriously. It usually indicates advanced venous disease and carries a high risk of recurrence if the underlying veins are not treated.

Can bleeding from varicose veins happen again?

Yes. Once a varicose vein has bled, further episodes are common unless the affected veins are properly assessed and treated to address the underlying cause.

Does being on blood thinners increase the risk of bleeding from varicose veins?

Yes. Blood‑thinning medication can increase the severity of bleeding from varicose veins, although it does not cause the veins themselves. Careful specialist assessment is particularly important in these situations.

Will the NHS fund treatment after bleeding from varicose veins?

Yes. Bleeding from varicose veins is recognised as an NHS funding criterion for specialist assessment and treatment. Recurrent episodes of phlebitis are also included in NHS referral guidance.

If you have concerns about recurrent bleeding or underlying vein disease, specialist advice can help clarify the next steps.