Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
165 Doctors are Online

On warfarin for PE. Having bleeding from rectum. Should I go to the ER?

DOCTOR OF THE MONTH - May 2014
May 2014
User rating for this question
Very Good
Answered by

Radiologist
Practicing since : 2002
Answered : 6476 Questions
Question
On 5mg warfarin for. a PE for 8 months. I drink 2-4 drinks/night without complications. Tonight i am bleeding from my rectum, bright red. Should I go to ER?
Posted Thu, 14 Nov 2013 in Digestion and Bowels
 
 
Answered by Dr. Vivek Chail 3 minutes later
Hi,
Thanks for writing in.

If the bleeding is more than a few drops and not stopping, please go to ER immediately.
Hope this helps
Above answer was peer-reviewed by
 
Follow-up: On warfarin for PE. Having bleeding from rectum. Should I go to the ER? 3 minutes later
How long should i wait to see if it's stopping?
 
 
Answered by Dr. Vivek Chail 32 minutes later
Brief Answer:
Please find detailed answer below

Detailed Answer:
Hi
Thanks for writing in with an update.

Rectal bleeding is evaluated in the main two categories.

1. Follow-up in outpatients is suggested to be appropriate when:
•The patient is less than age 60.
•There is no hemodynamic disturbance.
•There is no other evidence of massive rectal bleeding.
•An obvious source of bleeding has been identified by rectal examination and/or sigmoidoscopy.

2. Immediate admission is considered appropriate when:
•The patient is over the age of 60.
•There is haemodynamic disturbance.
•There is evidence of massive bleeding.
•Aspirin, warfarin, non-steroidal anti-inflammatory drugs (NSAIDS) or other drugs likely to exacerbate bleeding are being taken.
•There is significant comorbidity

As you fall in the second category, are on warfarin medication for pulmonary embolism, you need assessment in an ER setting.

If it were 5-10 drops, you could still wait and watch. If it is more than that please go to ER immediately.

Hope your query is answered.
Do write back in case of doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by
 
Follow-up: On warfarin for PE. Having bleeding from rectum. Should I go to the ER? 8 minutes later
It feels like the bleeding might be coming from a cut or a hemorrhoid outside of the rectum. There are several drops every time i wipe (over the period of an hour), but it doesn't seem to be dripping. Do i still need to go?
 
 
Answered by Dr. Vivek Chail 1 hour later
Brief Answer:
Please find detailed answer below

Detailed Answer:
Hi XXXX,
Thanks for writing in with an update.

If you are still having continuous drops of blood coming out each time you wipe, there is an urgent need to go to ER. This is keeping in mind any bleeding that is occurring internally. You need to get examined for the site of bleeding and treated accordingly. Your INR also needs assessment.

Please do not worry, you should recover soon.

Hope this helps.

Regards,
Dr.Vivek
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor