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On 5 Mg Warfarin. Getting Minor Nose Bleed. Should I Bother My Doctor Or Wait Until Its More Severe?

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Posted on Fri, 3 Aug 2012
Question: I am on 5 mg of warfarin a day. for a dvt in left leg. I just got a minor nose bleed. I woke up and felt it. I applied pressure and it stopped. I have gotten them before in the morning even before on warfarin. Not very often at all. This the first one I've gotten while on warfarin. My last inr was at 2.1 taken about a week ago. Should I bother my doctor or wait until its more severe? Its Friday and will not be able to contact him until Monday.
doctor
Answered by Dr. Robert Galamaga (57 minutes later)
Hello and thanks for the query.

I would just observe for now.ale sure your nose is moist. A saline nasal spray is sometimes helpful. Of course avoid blowing your nose forcefully.

An occasional nose bleed is not uncommon. This is especially the case when using warfarin.

If the bleeding worsens or does not stop within 30 minutes to an hour then I would seek care in the ER or call your doctor

Thanks again for the query. I hope you have found this to be helpful and informative. If you have additional concerns I would be happy to address them.

Sincerely,

Dr. Galamaga

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Robert Galamaga (19 minutes later)
Doc. I read that warfarin doesn't really dissolve blood clots. Is there anything I can take like natural herbs or supplements that would help my body dissolve the blood clots? There are some naturopaths that say there are natural blood clot dissolves out there. Ofcourse it would have to be something that would not counteract with the warfarin I'm taking. Have you heard of anything that would help? And would it hurt to try some of these natural treatments?
doctor
Answered by Dr. Robert Galamaga (22 hours later)
Hello and thank you for submitting your question.

You are correct that warfarin does not dissolve blood clots. Our bodies have the ability to break apart blood clots normally. There is absolutely no need to add any additional medication or supplement. Actually you would run the risk of causing bleeding complications of your warfarin if you added any other types of supplements which have not been tested along with warfarin.

At this point your body is working every minute of the day to break apart blood clots. I see no need to add any additional supplement.

Thank you very much for sending your follow-up. If you have any additional concerns I would be happy to address them.

Sincerely,

Dr. Robert
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Robert Galamaga

Oncologist

Practicing since :2002

Answered : 2635 Questions

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On 5 Mg Warfarin. Getting Minor Nose Bleed. Should I Bother My Doctor Or Wait Until Its More Severe?

Hello and thanks for the query.

I would just observe for now.ale sure your nose is moist. A saline nasal spray is sometimes helpful. Of course avoid blowing your nose forcefully.

An occasional nose bleed is not uncommon. This is especially the case when using warfarin.

If the bleeding worsens or does not stop within 30 minutes to an hour then I would seek care in the ER or call your doctor

Thanks again for the query. I hope you have found this to be helpful and informative. If you have additional concerns I would be happy to address them.

Sincerely,

Dr. Galamaga