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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Asthma And High BP While On Coumadin

5yrs ago I had an endoscopy and colonoscopy, had a pulip in my stomach was OK, well, time to go back and my colon dr says you should think about this, 72 yrs old, on coumadin, high pressure, asthma, and I had hip surgery done 3 yrs ago and took many hrs to get me out of ansthesia. I see in AARP this is one test not to take over 72, not necessary if no pulips. My cousin 78 had one and died was on coumadin, went home I guess, bled to death. My dr said himself, if I want to live or be around another 10 yrs, I should think of the outcome, telling me almost not to do? My med dr says off coumadin 3 days, the colon dr 5 days? If I have no bleeding, no pulips, in colon should I. I had one in the stomach and he doesn t want to do the endoscope again? really confused. Now my med dr calls and says OK to 5 days of coumadin off? I really am overweight and a lot of problems with my bones. I just want to wake up and not bleed to death. He told me when he did one 2 wks ago, another dr lost patient had stroke and died on the table??? tk you.
Thu, 15 Nov 2018
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Internal Medicine Specialist 's  Response
Hi,

Your concern is very right. There is always a risk of bleeding with Coumadin, however, we always see the risk and it not very common in low-risk people. Even if it bleeds most times it minor bleed and can be reversed urgently. Still, we only prescribe it when the benefits are clearly more than risk.

Regarding surgery 3 days are needed without Warfarin before surgery. For some people it is 5 days. So either is fine but we check the INR before surgery which tells about risk of bleeding.

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 Treatment For Asthma And High BP While On Coumadin

Hi, Your concern is very right. There is always a risk of bleeding with Coumadin, however, we always see the risk and it not very common in low-risk people. Even if it bleeds most times it minor bleed and can be reversed urgently. Still, we only prescribe it when the benefits are clearly more than risk. Regarding surgery 3 days are needed without Warfarin before surgery. For some people it is 5 days. So either is fine but we check the INR before surgery which tells about risk of bleeding. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Zahir Shah, Internal Medicine Specialist