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Posted on Sat, 3 Aug 2019
Question: I have a question for any doctor to answer
I have dvt clot in my thigh and have been on xarelto for four months is that enough time for the body to absorb the clot.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
the time depends on the risk of recurrence

Detailed Answer:
HI, thanks for using healthcare magic

The length of time depends on if there are risk factors for the development of another clot.
If there was a temporary risk factor which led to the clot, then 3 months is enough. Eg of temporary risk factors include: post surgery, fracture of the lower limb, long flight of at least 6 hours, recent heart attack or stroke, temporarily immobile, recent major illness

If the risk factor or the exact cause is not known and the clot occurred spontaneously- then 6 months of medication is normally advised

If there is a permanent risk factor then needed for lifetime eg previous clot, permanently immobile, treating cancer, history of a blood disorder

The anti coagulation is more to prevent a new clot then to reabsorb the present one.
If the risk of a new clot is low/temporary or there is no known risk ,then it may be stopped at some point (3 months or 6 months)

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (16 minutes later)
Yes there are im overweight working to lose the weight now and he won't refill the prescription and just keeps telling me monitor systoms and i've called and talked to his nurse that all i get i don't know what to do now. I try callins again today. Thanks for your answer.
doctor
Answered by Dr. Michelle Gibson James (2 hours later)
Brief Answer:
overweight by itself is not a risk factor

Detailed Answer:
Hi

Though increased weight can increase the risk of a clot, it is not one of the risk factors mentioned

If you do not have any of the risk factors mentioned at all- then you only need to take it and the exact reason is not known (weight not included)- then 6 months

If the clot is associated with any of these- recent surgery, broken lower limb, recent heart attack or stroke, not being able to move around much temporarily, long travel-then 3 months so you could have stopped by now

If there is a more significant risk factor (cancer, permanent movement issues, blood disorder or this is not your first clot)- you may need to take it for life
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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I Have A Question For Any Doctor To Answer I

Brief Answer: the time depends on the risk of recurrence Detailed Answer: HI, thanks for using healthcare magic The length of time depends on if there are risk factors for the development of another clot. If there was a temporary risk factor which led to the clot, then 3 months is enough. Eg of temporary risk factors include: post surgery, fracture of the lower limb, long flight of at least 6 hours, recent heart attack or stroke, temporarily immobile, recent major illness If the risk factor or the exact cause is not known and the clot occurred spontaneously- then 6 months of medication is normally advised If there is a permanent risk factor then needed for lifetime eg previous clot, permanently immobile, treating cancer, history of a blood disorder The anti coagulation is more to prevent a new clot then to reabsorb the present one. If the risk of a new clot is low/temporary or there is no known risk ,then it may be stopped at some point (3 months or 6 months) I hope this helps, feel free to ask any other questions