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Is PSA Level Of 29 A Cause For Concern?
Question: Xarelto Anticoagulant: I started taking this drug for the first immediately after a hospital stay of 5 days - I have mild a-fib and taking 80mg baby aspirin daily for years - I was taken off the aspirin and put on Xarelto - within a week I had dark blood in my urine - my primary care doctor immediately took me off Xarelto and kept me off baby aspirin for 10 days or so - a recent visit to a cardiologist and another EKG showed, of course, the a-fib - however, the cardiologist does not want to put me on an anti-coagulant until it has been determined why I bled with Xarelto - so I am seeing a urologist on Monday (not only for the bleeding issue but also because also recent blood work indicated a 29 PSA count. Question: since I with Xarelto after only taking it for a short time, is that an indication of a more serious condition, or, can Xarelto cause bleeding outright without the existence of an underlying condition?
Brief Answer:
Needs evaluation
Detailed Answer:
Hi,
What you've surmised is actually true. Just being on an anticoagulant does not mean you will start bleeding spontaneously. In your case, the PSA test report which is elevated to 29 is suspicious and needs evaluation. Under normal circumstances, we would have placed you on antibiotics and retested once again, but you probably already are on antibacterial drugs for infection of keloid. Anyway, I suggest you stay off the anticoagulant for now, and discuss the real possibility of needing a transrectal prostate biopsy with your Urologist when you meet him soon. He would also probably get you worked up for other causes of bleeding in urine, and these could include an ultrasound of KUB kidneys and urinary bladder, urine culture and sensitivity, and follow it up with cystoscopy if required.
Hope I have been of help.
Best wishes, and keep me posted as to what's happening with your Urologist consultation
Needs evaluation
Detailed Answer:
Hi,
What you've surmised is actually true. Just being on an anticoagulant does not mean you will start bleeding spontaneously. In your case, the PSA test report which is elevated to 29 is suspicious and needs evaluation. Under normal circumstances, we would have placed you on antibiotics and retested once again, but you probably already are on antibacterial drugs for infection of keloid. Anyway, I suggest you stay off the anticoagulant for now, and discuss the real possibility of needing a transrectal prostate biopsy with your Urologist when you meet him soon. He would also probably get you worked up for other causes of bleeding in urine, and these could include an ultrasound of KUB kidneys and urinary bladder, urine culture and sensitivity, and follow it up with cystoscopy if required.
Hope I have been of help.
Best wishes, and keep me posted as to what's happening with your Urologist consultation
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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