Brief Answer: Do not use OTC medication. Risk of bleeding. Detailed Answer: Hello, I have gone through your query and understand your concern. As he is on coumadin ( Warfarin sodium), it is not all advisable to use the OTC medication. Many drugs interact with Warfarin sodium. Use of common pain killers like Aspirin, aspirin-like drugs (salicylates), and nonsteroidal anti-inflammatory drugs (NSAIDs such as ibuprofen, naproxen, celecoxib) can increase the risk of bleeding. Because both have the similar effects. Further he had two attacks of stroke. First thing is to rule out the swelling in the hand is either due to bleeding or edema by carpal tunnel syndrome. I would like to have few answers. How long he have this swelling? whether the whole upper right arm is swelled or some parts like hand or forearm or arm or shoulder? Does he met any injury or fall? Does he have any numbness, tingling, pin and needles sensation in that upper limb and where exactly. Does he have any wound or enlarged node in axilla? Waiting for your response.

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Brief Answer: DVT or Dependent Edema. Elevate his hand above. Detailed Answer: Hello, Thanks for your reply. There are plenty of causes for swelling or edema in hand. However for his present condition, i suspect it to be either a dependent edema or deep vein thrombosis. First step is to rule out any Deep vein thrombosis in hand by Duplex Doppler Ultrasound. If there is no DVT, then it is most probably a Dependent edema due to paralysis. Then keep his hand elevated and also You can use pillows or a tray to help support the weak arm. In addition, Please continue the Physiotherapy and other drugs. If there is DVT, he may need blood thinners like Heparin or Warfarin. Hope this helps. Please write back for further queries. Wishing him good health.

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