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Have Blood Clot In Lung After Total Knee Replacement. On Warfarin. Have Nose Bleeds. Suggest

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Posted on Tue, 23 Jul 2013
Question: I am on Warfarin-4mg perday -blood clott in my lung after Total Knee replacement -Oct/11- for the last 4
days I have 3-4nosebleeds a day-had one this morning-early- I blew my nose very gently and a fairly large
clot came out- and it is now 14 hrs since the last nosebleed- was this clot maybe causin the nosebleeds?
doctor
Answered by Dr. Pavan Kumar Gupta (2 hours later)
Hello,
Thanks for the query.

Nose bleeds are very common occurrence and can occur due to various causes like nose picking, nasal allergy, use of smoking, cocaine and alcohol etc.
But there are all the chances for bleeding to occur, if you are on anti-coagulant therapy like warfarin.
This occurs due to increase in international normalised ratio (INR) .
Nasal bleeding can also occur if a person is taking aspirin, CLOPIDEGROL, high dose of VIT E or high amount of garlic or even natural products like ginkgo biloba.

Since it is already 14 hours from your last bleed, it looks to be from nasal trauma only.
However, if bleeding recurs, then you should go to ER and get INR checked.
If high,then anti coagulant therapy has to be stopped and VIT K given.
However don't take VIT K of your own.

I hope it helps however you may revert to me for any further query.
best of luck
thanks
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Have Blood Clot In Lung After Total Knee Replacement. On Warfarin. Have Nose Bleeds. Suggest

Hello,
Thanks for the query.

Nose bleeds are very common occurrence and can occur due to various causes like nose picking, nasal allergy, use of smoking, cocaine and alcohol etc.
But there are all the chances for bleeding to occur, if you are on anti-coagulant therapy like warfarin.
This occurs due to increase in international normalised ratio (INR) .
Nasal bleeding can also occur if a person is taking aspirin, CLOPIDEGROL, high dose of VIT E or high amount of garlic or even natural products like ginkgo biloba.

Since it is already 14 hours from your last bleed, it looks to be from nasal trauma only.
However, if bleeding recurs, then you should go to ER and get INR checked.
If high,then anti coagulant therapy has to be stopped and VIT K given.
However don't take VIT K of your own.

I hope it helps however you may revert to me for any further query.
best of luck
thanks