What causes severe bruising after taking Heparin injection?
I suggest a diagnosis to be established and then treatment initiation
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. I can understand how frustrating and at the same time restricting your presentation can be. But I would also like to emphasize the importance of a diagnosis. There are a few conditions that can cause such a presentation, and at least if we can find out the cause accurately, we can direct treatment instead of just blindly treating you just for the easy bleeding.
Let me list down a few of the most likely causes for your reference, and discussion with your doctor during the next visit, they are:
+Sickle cell disease
+Liver abnormalities (e.g. cirrhosis of the liver)
+Nutritional deficiencies (E.g. vitamin C)
+Blood coagulation factor disorders: Von Willebrand Disease (more common in women)
As you may have understood ma'am, each of these conditions has a different target organ/source, and so just treating their common symptoms (easily bleeding and/or bruising) will not solve the issue.
I would thus recommend you to visit your doctor again (pref. a Hematologist) and get elaborately evaluated, so we can find the source, understand why it is more aggravated now than before, and initiate a more accurate form of treatment.
I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I am always here to help.
Please consider discussing the use of clotting factors to manage your case
Hello once again ma'am.
Thank you for that information.
In my opinion, if you were my patient, I would concentrate on providing you with replacement therapy which entails the use of clotting factor 8, 9 or 11.
These clotting factors help to replace any absent factor that may be causing the frequent bleeding, and prevent it completely (i.e. as long as the treatment is continued).
I do think heparin would have been administered to prevent the formation of a clot, which is mandatory after orthopedic surgeries (as it can result in serious life-threatening conditions if not administered).
The effect of the heparin should also wear out soon, but I would recommend speaking to your prescribing doctor about the use of clotting factors to help you to deal with a more comfortable normal life.
Please keep me in the loop, and in the meantime do not hesitate to write to me about anything.
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