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Does Warfarin Usage Have Any Effect On Haematoma?

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Posted on Mon, 21 Apr 2014
Question: I have a haematoma now for about 3 weeks following a ski fall. It is between my hip and knee on the right thigh. The knee I swollen too. I am not in pain but the swelling results in limited mobility. When will the haematoma heal and the swelling subside? Can I do something to accelerate it? How do I know that I am not oozing fresh blood into it? I am on warfarin. How do I know that the haematoma is not infected. There are no fractures nor open wounds. Thanks for your help and advice.
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Answered by Dr. Krishna Kiran Kannepalli (3 hours later)
Brief Answer: You may need an ultrasound. Detailed Answer: Hi. Thanks for the query. With the history that you have provided, the most likely possibility is that of a hematoma. Since you are taking warfarin, the chance of hematoma increases. There are a few things that you can do at this stage. First of all, assess for yourself, how intense is the pain. Is it increasing or decreasing daily. If the hematoma is increasing, the pain will also increase. Hematomas usually take 3-4 weeks to subside depending on the size. You can also measure the girth of the limb daily with a measuring tape, at the site of the hematoma. If the girth is increasing, the hemaotoma is increasing. Check your INR level. The best thing to do would be to undergo a high resolution ultrasound scan of the area. It will give the exact size and extent of the hematoma and also help in follow up. If the hematoma is infected, you will have severe pain and fever.
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Krishna Kiran Kannepalli

Oncologist, Surgical

Practicing since :2004

Answered : 59 Questions

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Does Warfarin Usage Have Any Effect On Haematoma?

Brief Answer: You may need an ultrasound. Detailed Answer: Hi. Thanks for the query. With the history that you have provided, the most likely possibility is that of a hematoma. Since you are taking warfarin, the chance of hematoma increases. There are a few things that you can do at this stage. First of all, assess for yourself, how intense is the pain. Is it increasing or decreasing daily. If the hematoma is increasing, the pain will also increase. Hematomas usually take 3-4 weeks to subside depending on the size. You can also measure the girth of the limb daily with a measuring tape, at the site of the hematoma. If the girth is increasing, the hemaotoma is increasing. Check your INR level. The best thing to do would be to undergo a high resolution ultrasound scan of the area. It will give the exact size and extent of the hematoma and also help in follow up. If the hematoma is infected, you will have severe pain and fever.