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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for the clots in the lungs having Factor V Leiden disorder?

Hi Dr, I have Hep C (normal liver enzymes) and I have factor V Leiden genetic blood disorder. I have had blood clots in my lungs twice (once 12 years ago , when I stayed on warfarin for 6 months and then used foods and chinese herbs and lots of water to stop further clotting) and just recently I have found that I have tiny clots,non life threatening, in my R and L lungs, which the doctors have treated with Xarelto. They tell me to stay on this for life. I am 60 years old and am have a little extra weight, which I am losing at present. I exercise and eat properly. I have read that Xarelto may cause problems with my bone density (osteoporosis). I feel I caused the clots from lack of water and weight gain and I had been consuming alcohol. What cause of action would you consider? Caren from Sydney
Fri, 20 Mar 2015
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Pediatrician, Hematology Oncology 's  Response
with two episodes of clot in lungs (pulmonary embolism), you should be on blood thinner for indefinitely. Factor V leiden puts you at risk of recurrence as well. there is no recommendation consensus for family screening as of now but definatley life long anticoagulation is advisable.don,t worry for minor side effects, your doctor will manage that.
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