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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Diet Plan For A Person Post A Valve Replacement Surgery

hi i have had heart surgery almost two years ago i have two valve replacement they are artificial.i take coumadin 71/2 every day i dont know why my INR test is so flexible like from 4.1 goes to 1.4 or it is 2.7 and the next month is 2.1 i really dont know what exactly i have to eat ?i take asprin too can you please give me some advice .
Thu, 27 Dec 2018
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Internal Medicine Specialist,  's  Response
Hi,

Coumadin/warfarin is a blood thinner and its efficacy or control is checked by INR. Certain foods should be avoided for INR to be in stable range which include green leafy vegetables like spinach, Brussels sprouts, Kale, mustard greens, collard greens, parsley, green lettuce and cabbages. Apart from these green tea, cranberry juice, grape fruit juice and alcohol should also be avoided. Besides many other medications can interact with it like some antibiotics, anti-seizure drugs, birth control pills, anti-inflammatory drugs etc so it is strongly advised to consult your doctor before taking any medication to avoid fluctuating INR.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Muhammad Zahir Shah,
Internal Medicine Specialist
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Suggest Diet Plan For A Person Post A Valve Replacement Surgery

Hi, Coumadin/warfarin is a blood thinner and its efficacy or control is checked by INR. Certain foods should be avoided for INR to be in stable range which include green leafy vegetables like spinach, Brussels sprouts, Kale, mustard greens, collard greens, parsley, green lettuce and cabbages. Apart from these green tea, cranberry juice, grape fruit juice and alcohol should also be avoided. Besides many other medications can interact with it like some antibiotics, anti-seizure drugs, birth control pills, anti-inflammatory drugs etc so it is strongly advised to consult your doctor before taking any medication to avoid fluctuating INR. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Zahir Shah, Internal Medicine Specialist