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Two Nights Ago I Was Awakened By Sharp Pain In
Question: Two nights ago I was awakened by sharp pain in my lower abdomen. I went to the toilet and had a bowel movement which included a lot of blood, not in stool, but just blood. Pain slowly dissipated and I have been pain free since. I have not had a b/m since. I've been waiting to see result. Urine during period has been dark, though normal this morning. I am in Hawaii, away from home in Southern Calif.
Brief Answer:
issue with coumadin. need lab tests and further work up.
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here i my advise.
* As per my clinical experience, the GI bleed with dark urine indicate
possible alteration in the coagulation pathway via consumption of
Coumarin derivative in the name of Coumadin which is a blood thinner.
* You have done right to stop further intake of coumadin at present.
* Follow some basic principles to get well soon.
- Lab evaluation with bleeding time, clotting time , coagulation factor
evaluation as level of 2,7,9,10 factors and most important is Prothrombin
time ( PT ) which should be maintained between 1.5 to 2.5 PT / INR as per
the standard international guidelines.
So has to fix an appointment with your family physician on priority basis.
- Continue to drink more liquids and prefer easily digestible food stuffs.
- High fiber diet to prevent hard stool at present.
- Avoid smoking and alcohol if consuming.
Do feel free to discuss further regarding the same.
Wish you best recovery.
Thank you.
Regards.
issue with coumadin. need lab tests and further work up.
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here i my advise.
* As per my clinical experience, the GI bleed with dark urine indicate
possible alteration in the coagulation pathway via consumption of
Coumarin derivative in the name of Coumadin which is a blood thinner.
* You have done right to stop further intake of coumadin at present.
* Follow some basic principles to get well soon.
- Lab evaluation with bleeding time, clotting time , coagulation factor
evaluation as level of 2,7,9,10 factors and most important is Prothrombin
time ( PT ) which should be maintained between 1.5 to 2.5 PT / INR as per
the standard international guidelines.
So has to fix an appointment with your family physician on priority basis.
- Continue to drink more liquids and prefer easily digestible food stuffs.
- High fiber diet to prevent hard stool at present.
- Avoid smoking and alcohol if consuming.
Do feel free to discuss further regarding the same.
Wish you best recovery.
Thank you.
Regards.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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