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Restarted hemodialysis. Taking aspirin. Still at the risk of stroke. What blood thinner work best? Side effects

My uncle had a stroke in Nov. He also restarted hemodialysis post failed transplant. After his stroke he was started on aspirin. He was admitted for GI bleed and a RBC count of 5.0. After a transfusion it is now 7.0mg. Is he still at risk for a stroke with this low RBC count? If so what type of blood thinner would work best for his condition? Just really need to know what blood thinners have the less side effects/
Asked On : Wed, 3 Apr 2013
Answers:  1 Views:  27
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Internal Medicine Specialist 's  Response

As you have saidyour uncle is a patient of old stroke, on hemodialysis pst transplant, sit bleed, anemia (hb=5)

Patient on hemodialysiis and kidney failure already have so thin blood that it leaks, so adding a blood thinner will make him more worse until and unless he has

Stroke with in 3 months(november)
Heart attack(stemi)
slow heart attack(nstemi)

The blood thinner i would advice him will be clopidogrel since it has the lowest side effects, as aspirin caused the git bleed

Hope this helps

take care
Answered: Mon, 20 May 2013
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