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Suggest Treatment For Pulmonary Emboli

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Posted on Mon, 29 Sep 2014
Question: Following a car trip, I developed pulmonary emboli (PE) in my left lung and a deep vein thrombosis (D vein behind my left knee. My legs are not healthy, varicose veins, discolorations. For the clots I take Xarelto I note purple blood under my skin in a couple place. Once while getting accupuncture, the doctor noted one of these "skin bloods" and said if it did not go away soon I should see a hemaologist. I will see my family doctor in Septembe and these two blood spots seem no different, especially wirh all the other stuff. Should I be concerned, these blood 'sores' are staying the same. Should I just wait unti September see my reguar doc?
doctor
Answered by Dr. Jyothi B L (53 minutes later)
Brief Answer:
You can wait, if its only in legs.

Detailed Answer:
Hi,
Thanks for asking.
I am Dr. Jyothi BL and I will be answering your query.

Looking at the medical history and query, my opinion is as follows:
1. If there are only two blood spots and its limited to the legs, you need not worry at present.

2. If you find the same lesions in the upper limb, back or anywhere else in the body, then its worrisome. See if you have easy bruisability (bleeding under skin easily on mild injury). If you have it, dose adjustment might be necessary soon. However, do not discontinue Xarelto.

3. The lesions in leg could be superficial petechiae. Due to skin conditions (unhealthy leg vasculature), healing might take longer time. When you meet your doctor, you can show it.

Hope this helps. Any more clarifications glad to help again.
Regards
Dr Jyothi BL

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Jyothi B L

Pathologist and Microbiologist

Practicing since :2003

Answered : 849 Questions

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Suggest Treatment For Pulmonary Emboli

Brief Answer: You can wait, if its only in legs. Detailed Answer: Hi, Thanks for asking. I am Dr. Jyothi BL and I will be answering your query. Looking at the medical history and query, my opinion is as follows: 1. If there are only two blood spots and its limited to the legs, you need not worry at present. 2. If you find the same lesions in the upper limb, back or anywhere else in the body, then its worrisome. See if you have easy bruisability (bleeding under skin easily on mild injury). If you have it, dose adjustment might be necessary soon. However, do not discontinue Xarelto. 3. The lesions in leg could be superficial petechiae. Due to skin conditions (unhealthy leg vasculature), healing might take longer time. When you meet your doctor, you can show it. Hope this helps. Any more clarifications glad to help again. Regards Dr Jyothi BL