• Blog >
  • What do I do if my veins start bleeding?
RSS Feed

What do I do if my veins start bleeding?

External bleeding from a ruptured varicose vein can be very frightening, but it’s actually not that unusual and generally not that serious.

By far, the most common time for these veins to burst and bleed is immediately after a shower. Although they are veins and not arteries, the pressure can be pretty high, so when they rupture it can squirt out pretty dramatically. The veins that are at risk are usually located near the ankle and appear like tiny bulging blue varicose veins about 1/8” inch in diameter and are called “venules”. They are typically spread around the ankle or foot, close to the skin

Many of my patients call 911 and go to the emergency room the first time this occurs, and there is nothing wrong with that. This is the safest thing to do if you can’t control the bleeding or if you have no help. However, most of the time you can handle it at home if you know what to do.

I recommend my patients immediately apply constant pressure to the bleeding vein, with any soft item you can find — like a towel or gauze or even just a wad of tissue. If you have an ACE wrap, put that on snugly to maintain pressure.

Then it is very important to elevate the foot above the level of your heart. Lying on your bathroom floor and putting your foot up on the toilet seat is a good way to accomplish that. Once you’ve done these 2 things, relax. In about 30 minutes you can look at the vein to be sure it is no longer bleeding. But don’t get up until the bleeding has stopped completely. Once the bleeding has stopped, keep compression on the vein.

Until you can see your vein doctor, it is best to keep off your feet as much as possible. It’s important not to disrupt the scab on the vein. So keep it covered with a band-aid and avoid any rubbing over that area.

Once in the office, my approach is typically to immediately perform sclerotherapy in the area of the ruptured vein. This seals the venule off and usually prevents more bleeding, at least in the short term. Then we’ll do an ultrasound examination, determine the best treatment for your vein problem, and proceed with that as soon as possible. In the meantime, I instruct my patients to keep the spot covered with a band-aide and to gently pat dry after showers.
In my experience, once the underlying vein problem is diagnosed and treated, this kind of bleeding doesn’t happen again.

If you are experiencing bleeding veins and are not sure what to do, you can arrange for a quick and easy consultation right now by calling 201-265-5300.

About us: There are 20 million Americans with vein problems that can seriously affect the quality of their lives. And as we age, they just get worse. As one of the few New Jersey medical practices committed exclusively to vein care, Advanced Vascular Vein Care is uniquely capable of alleviating those problems, whether they are medical or cosmetic. All treatments are non-surgical, usually covered by insurance, and delivered in an office setting. And we do it as it should be done – with compassion, excellence, affordability, convenience, and the personal touch. Call 201-265-5300 or visit AdvancedVascular.com for a quick and easy consultation.


 131 Madison Ave. 2nd Floor
 Morristown, NJ 07960
 (973) 540-9700


  89 Sparta Ave. Suite 270
 Sparta, NJ 07871
 (973) 540-9700

Pompton Plains

242 West Parkway
Pompton Plains, NJ 07444
(973) 540-9700


1086 Teaneck Road, Suite 4F1
Teaneck, NJ 07666
(201) 265-5300

Office Hours


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm


8:00 am-5:00 pm





  • "One of the most professional and accommodating office and doctors I have been to in a very long time. I saw Dr. Lee and found him to be very kind and knowledgeable. He diagnosed a blood clot, got me started on a blood thinner and I feel better than I have in months. Thank you, thank you, thank you!"
    Barbara B.
  • "Best vascular surgeons around Dr. Patel is the best"
    Cookie R.
  • "Dr.Lee is thee BEST Vascular Surgeon I EVER had in 42yrs! He is kind, compassionate, funny, and super honest! I really need the super honest part as his patient because I have been on dialysis for almost 20yrs time around and then dealing with end-stage renal failure since I was 13 and I was born with circle kidney so I need someone who is going to be upfront and honest with me and compassion at the same time and he is the ONLY surgeon to get three fistulas working on me! No one in 42 years has ever done that! He is the best surgeon I have ever had! Omg... and his staff is phenomenal !"
    Mercedes R.
  • "Dr. Patel placed my fistula in july of 2014 and I have had most of my maintenance fistulagrams done by Dr Raiz. Though whoever i have had have been great.The entire staff is wonderful . They are compassionate caring and professional. Would not go anywhere else."
    Sherry S.
  • "Dr Riaz, Dr Lee, and the entire Medical Staff at Advanced Vascular Associates are one of the most professional, knowledgeable, courteous, and caring Medical Teams that I've ever visited in my life! I have the greatest amount of respect for them, and trust that whatever the purpose of your visit is, you will leave knowing that you've been treated by the best! Thanks for taking good care of me (especially Rose)."
    Bruce B.
  • "My Dad had surgery for a AAA a year ago! He is 91 years young! Dr. Lee brings so much to the Operating Table!I have never been put more at ease than by Dr Lee. His reassurance and soft-spoken confidence made me rest easily during the Procedure. What a great Man!"
    Lisa V.
  • "Dr. James and the staff are the best. Very attentive and caring."
    Roseanne L.
  • "My first time there. Everyone was very nice and Dr. Patel was awesome! Would recommend to everyone."
    Helen A.
  • "Caring and professional nurses and staff. And special thanks to Dr. David Cohen. His expertise and compassionate level of treatment is beyond comparison."
    Edward B.
  • "The advanced vein care center headed by Dr. Cohen, my physician, is a superior center with caring hands. Each and every visit has been a comfort to me."
    Theresa P.
  • "Thank you for always doing your very best for Dad. We appreciate you always doing what was best for Dad and for always making him feel worthy of being treated as a breathing human being and not some ‘old sick man’."
    The Danielian family
  • "A note of thanks to you! I must say I have never been more pleased with the care and treatment rendered by you and your staff, as compared to countless other physicians and their somewhat lacking care and consideration for their patients’ time and well-being. I am doing fine and had very little discomfort!"
    Paula D.
  • "Thank you very much for the great attention and services offered not only to me, but also to my assistant. Your loving and caring is taken to heart."
    Gustavo G., D.M.D.