Hi Dr, please how can i do away with the spider...

Symptomes and management of Varicose veins of the lower limbs 
Varicose veins are a dilated abnormal veins that spread along the superfiscial venous circulation of the lower limbs to cause several symptomes including burninig sensation, pain, heaviness and cosmetic issues especially when spider veins appear. Its of 6 grades among which the spider veins are considered the 2nd degree. its treated primarly by limiting standing times, reducing weight and wearing elastic stockings to the level of the knees during the day. Chestnut extract gel twice a day could be used to releive the burning sensation in addition to Diosmin tab twice a day for a month. Sclerotherapy is a wise option to get rid of these veins if conservative treatment fails. Consult a vascular surgeon for the treatment plan discussion.
Required Investigations 
After proper physical exam you should do cbc to detect anemia, PTT, INR to detect coagulatoin abnormalities and lower limb venous douplex ultrasound to define the Great saphenous vein junction incompetence and the presense of unusual perforator veins from the deep venous system.
Causes 

• Prolonged standing 
• Recurrent pregnancies 
• Obesity 
• Hyper-estrogenism states 

Our advice
You are adviced to have a well balanced diet rich in minerals and vitamins from its natural sources, avoid smoking and long standing times and wear elastic stockings