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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Am I Having Allergic Reaction From Xarelto?

Yes thank you I m taking Xarelto. My left tibia was broken & ended up with blood clots in the lungs. I had severe reactions to warafin, dr put mr on Xarelto I have a rash between my thighs & my left leg is very swollen. Could this be an allergic reaction.
Thu, 15 Dec 2016
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General & Family Physician 's  Response
Hi & Welcome.
Based on the history given you seem to have developed bleeding due to broken tibia on the left side.

Xarelto (Rivaroxaban) is an anticoagulant ("blood thinner") that prevents the formation of blood clots and hence used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus).

Apparently the hematoma on the shin and rash between the thighs could have occurred from prolonged bleeding that has occurred as a result of Xarelto intake.

The blood thinner Xarelato needs to be discontinued after consulting your treating doctor.

Meanwhile I would advise the following measures to prevent further bleeding:

1. Rest: Stop using the injured part (left leg) and rest it as soon as you realize an injury has taken place. Continued exercise or other activity could cause further injury, delay healing, increase pain, and stimulate bleeding. Use crutches to avoid bearing weight on injuries of the foot, ankle, knee or leg.

2. Apply ice: Ice helps stop internal bleeding from injured blood vessels and capillaries. Before applying the ice, place a towel, cloth, or one or two layers of an elasticized compression bandage on the skin to be iced.
Ice the injured area for about 30 minutes. Remove the ice to allow the skin to warm for 15 minutes. Reapply the ice.
Repeat the icing and warming cycles for 3 hours, as well as following the instructions below for compression and elevation.

3. Compression decreases swelling by slowing bleeding and limiting the accumulation of blood and plasma near the injured site.

Use an elasticized bandage (Ace bandage) for compression, if possible. If you do not have one available, any kind of cloth will suffice for a short time. Wrap the injured part firmly, wrapping over the ice also. Begin wrapping below the injury site and extend above the injury site. Be careful not to compress the area so tightly that the blood supply is impaired.

Signs of blood-supply deprivation include pain, numbness, cramping, and blue or dusky-colored nails.
Remove the compression bandage immediately if any of these symptoms appear. Leave the bandage off until all signs of impaired circulation disappear. Then rewrap the area--less tightly this time.

4. Elevate the left leg above the level of the heart is another way to decrease swelling and pain at the injury site. Elevate the iced, compressed area in whatever way is most convenient.

Hope the advice given above would be useful.

Wishing you a quick recovery.
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Am I Having Allergic Reaction From Xarelto?

Hi & Welcome. Based on the history given you seem to have developed bleeding due to broken tibia on the left side. Xarelto (Rivaroxaban) is an anticoagulant ( blood thinner ) that prevents the formation of blood clots and hence used to treat blood clots (such as in deep vein thrombosis-DVT or pulmonary embolus). Apparently the hematoma on the shin and rash between the thighs could have occurred from prolonged bleeding that has occurred as a result of Xarelto intake. The blood thinner Xarelato needs to be discontinued after consulting your treating doctor. Meanwhile I would advise the following measures to prevent further bleeding: 1. Rest: Stop using the injured part (left leg) and rest it as soon as you realize an injury has taken place. Continued exercise or other activity could cause further injury, delay healing, increase pain, and stimulate bleeding. Use crutches to avoid bearing weight on injuries of the foot, ankle, knee or leg. 2. Apply ice: Ice helps stop internal bleeding from injured blood vessels and capillaries. Before applying the ice, place a towel, cloth, or one or two layers of an elasticized compression bandage on the skin to be iced. Ice the injured area for about 30 minutes. Remove the ice to allow the skin to warm for 15 minutes. Reapply the ice. Repeat the icing and warming cycles for 3 hours, as well as following the instructions below for compression and elevation. 3. Compression decreases swelling by slowing bleeding and limiting the accumulation of blood and plasma near the injured site. Use an elasticized bandage (Ace bandage) for compression, if possible. If you do not have one available, any kind of cloth will suffice for a short time. Wrap the injured part firmly, wrapping over the ice also. Begin wrapping below the injury site and extend above the injury site. Be careful not to compress the area so tightly that the blood supply is impaired. Signs of blood-supply deprivation include pain, numbness, cramping, and blue or dusky-colored nails. Remove the compression bandage immediately if any of these symptoms appear. Leave the bandage off until all signs of impaired circulation disappear. Then rewrap the area--less tightly this time. 4. Elevate the left leg above the level of the heart is another way to decrease swelling and pain at the injury site. Elevate the iced, compressed area in whatever way is most convenient. Hope the advice given above would be useful. Wishing you a quick recovery.