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What "should" happen - 2

Once the hypodermic needle has been inserted into the vein, compression is applied to the vein. This is usually done by pushing on the vein with some guaze or a bandage, so that the vein collapses and blood stops flowing through it.

In this state, the vein walls should be touching and there should be very little stagnant blood in the vein.

At this point, a "Sclerosing agent" is injected into the vein. A sclerosing agent is a chemical that is poisonous to the living tissues that make up the vein wall and so it kills them. The sclerosing agentcanuses the vein to constrict immediately.

The sclerosing agent is also poisonous to blood and any blood left in the vein breaks down. Iron is released from the blood - which is also poisonous to the body tissues. Therefore if there is a lot of blood broken down, the body converts is into "Haemosiderin" - this is a brown pigment. Haemosiderin causes the brown staining of the skin that is often seen after sclerotherapy.

If the compression is not firm enough, there may be enough flow to carry the sclerosing agent out of the vein and into the circulation. Provided only small volumes are used, this is usually diluted enough not to cause a problem in the body - but it will not have any effect on the vein it was injected into.

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