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My Husband Is On Blood Thinners. Several Years Ago He

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Posted on Sat, 8 Feb 2020
Question: My husband is on blood thinners. Several years ago he scheduled a colonoscopy, was told to stop the blood thinners, he did and had a stroke before the test was even performed His cardiologist warned him against stopping the blood thinner for any period of time. He has had 2 strokes previously His primary care doctor wants hime to have a colonoscopy , my husband declined. The doctor now suggests the ColoGuard test, but if that comes back positive , it still requires the colonoscopy. This is a catch 22. If the non in-invasive test comes back positive, is there another method to check for cancer (MRI?) that would be non evasive? He is 77 and just this past month has shown a vey slightly elevated PSA test (to be retested in 6 months). He has had three colonoscopies in the past and the first one had a benign polyp, the last 2 were clear.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (8 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.
I need some more information before I can give my opinion.
1. What is the indication for colonoscopy? Why is he being asked to undergo colonoscopy.
2. Is he having altered bowel habits?
3. What is his hemoglobin level?
Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)
My husband feels the pressure of the colonoscopy relates to the slight PSA increase and because it has been almost 10 years since last colonoscopy

No there are no symptoms

I do not know the hemoglobin level but he was told the blood work was OK with the exception of the PSA
doctor
Answered by Dr. Dr.P.Ratnakar Kini (2 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Blood thinners are to be stopped temporarily only if some therapeutic intervention or biopsy is done. For a simple diagnostic colonoscopy there is no need to stop blood thinners.
Other options to screen colon include-
1. Virtual colonoscopy
2. Double contrast barium enema
3. MRI
Regards,
Dr.R.K
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (7 hours later)
At age 77, with two prior negative procedures in the past, good bloodwork numbers and no symptoms....does this seem like an urgent requirement?
If they were to find a polyp, they couldn't remove it so what would happen next?
(He has needed a knee and hip replacement for years but has to eliminate surgery due to this clotting issue. He had the A-fib corrected surgery after the first stroke, but when the second stroke occurred it was discovered that there is still another arrhythmia which dictates the strict use of the Eliquis).



doctor
Answered by Dr. Dr.P.Ratnakar Kini (14 minutes later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for getting back to me with more questions.
With no premalignant lesions detected during the previous two procedures and with normal blood tests, this colonoscopy is not an urgent requirement.
If a polyp is found, it needs to be biopsied. Polyps however are of many different types and not all polyps are premalignant/malignant.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (1 minute later)
Thank you.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (1 minute later)
Brief Answer:
Welcome

Detailed Answer:
Welcome
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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My Husband Is On Blood Thinners. Several Years Ago He

Brief Answer: Need more information Detailed Answer: Hi, Thanks for posting your query. I am Dr.R.K and I am pleased to assist you. I need some more information before I can give my opinion. 1. What is the indication for colonoscopy? Why is he being asked to undergo colonoscopy. 2. Is he having altered bowel habits? 3. What is his hemoglobin level? Regards, Dr.R.K