Activated Partial Thromboplastin Time

Activated partial thromboplastin time is a test that helps to assess the ability of the blood to form blood clots. It also assesses the time taken for the formations of clots from the sample of blood after adding reagents. It helps to evaluate the functions of clotting factors in the body. The normal time ranges from 30 to 40 seconds.

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My father has been suffering from bleeding bladder and enlarged prostate. Can it be due to taking medications like Aspirin and Plavix?

Query: Hello doctor, I am writing on behalf of my sick father. Last year, he suffered a brain stroke on the right side of the brain, which caused paralysis on his left side of the body. A week after that, he was diagnosed with heart blockage, which needed a bypass procedure. After treatment, he started rec...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concerns. If you ask me with the formed conclusion that the bladder bleeding is resulting from the use of blood thinners, I would say yes there is need to stop Aspirin. This is a straight forward answer, as the risk of bleeding is...  Read Full »

What do positive lupus anticoagulants indicate in the first test of antiphospholipid syndrome?

Query: Hi doctor,I have recently been told my first test of antiphospholipid syndrome shows positive lupus anticoagulants. What does that mean for someone with no symptoms? I took Articaine and Phenphedrine the day before the test. Can an overdose cause the test to be faulty? I had four miscarriages so far...  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. You have a history of four recurrent miscarriage and cause for that seems to be an antiphospholipid syndrome. Because of thrombosis secondary to antiphospholipid syndrome, miscarriage occurred. If you are on anticoagulant medication, then it could be a false result. But ...  Read Full »

What can be done for the bruises on my daughter's leg that appear without injury?

Query: Hi doctor, This query is regarding my 8 year old daughter. She has been constantly getting bruises on her legs. We think this bruise occurs automatically and may not be due to injury. We have been noticing these bruises for the past 6 to 7 years. It fades away automatically after few days. We c...  Read Full »


Dr. Veerendra Channabasappa Patil

Answer: Hello, Welcome to icliniq.com. I have seen the attached reports (attachment removed to protect patient identity). Your description of the symptoms of your child seems to be significant, as the bruises are spontaneous. I would be interested to know the following points. Was there any swelling at the ...  Read Full »

What causes frequent nosebleeds?

Query: Hello doctor, My nose is bleeding often. It happened six to eight times in the past 10 months. The blood is red in color. I do not feel any pain, and the bleeding is not too much. Most of the times I do not realize that my nose is bleeding.  Read Full »


Dr. Mehak Agarwal

Answer: Hello, Welcome to icliniq.com. Bleeding of the nose is quite common in some people. Some of the most common causes are dryness inside the nose, pollution, picking of the nose, sinusitis, deviated nasal septum, rhinitis, and bleeding disorders. Considering the myriad of causes involved, I suggest yo...  Read Full »

Why am I getting bruises on my legs often?

Query: Hi doctor, I keep getting bruises on both of my legs and they are in different colors. I have not banged recently and I do not know the reason. What can it be? I am regularly using an inhaler for asthma.  Read Full »


Dr. Rakesh Kumar Bahunuthula

Answer: Hi, Welcome to icliniq.com. Easy bruisability is not an uncommon complaint and has multiple causes for it. As a baseline, you would need to undergo a panel of investigations to know regarding the status of your bleeding and clotting profile. Reasons can vary from simple normal skin tendency to vitam...  Read Full »

For a hemophiliac patient, it is necessary to receive coagulants for colonoscopy?

Query: Hi doctor, My son was exposed to warfare chemical in the navy. During his tonsil surgery, he was found to have bleeding disorder. He is suffering from hemophilia and is undergoing a colonoscopy tomorrow. Should he receive coagulant for this procedure?  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: During any procedure bleeding time and clotting time that is prothrombin (PT) and activated partial thromboplastin time (APPT) are always evaluated and then only the procedure is done. If he has no clotting issues at present ...  Read Full »

Why do I have continous vaginal bleeding?

Query: Hello doctor, I am writing on behalf of my wife. She is facing continuous bleeding from vagina since seven days after post pregnancy bleeding. Here is the complete scenario. We blessed with a baby 38 days ago and it was a C-section delivery. 16 days back the bleeding had stopped completely. Everyth...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to icliniq.com. Your wife is having bleeding per vagina following one month of Cesarean section. This is termed postpartum hemorrhage and often creates an emergency. This could be caused by an infection of C-section wound commonly. But, as per your report (attachment removed to pro...  Read Full »

Why did I get blood when I blew my nose?

Query: Hi doctor, For the past five days, I have been having quite a bit of blood come up in my mucus when I blow my nose. My sinuses are sore and puffy. Today, my right cheek and right side of my nose have gone numb and tingling. Kindly help me.  Read Full »


Dr. Parth R Goswami

Answer: Hi, Welcome to icliniq.com. According to the history provided and image provided, it is blood stained discharge with mucus. Hence, the possibility of acute sinusitis or rhinitis is present. Your workup should be done as follow. Rhinoscopy nose examination, PNS x-ray (paranasal sinus), CBC (...  Read Full »

I have petechiae rash on my legs and arms with easy bruising. Why?

Query: Hello doctor, I recently experienced a petechiae rash on my legs and arms and easy bruising. My PCP ordered blood work to look at platelet levels. The only abnormality was a slightly prolonged aPTT time (40 seconds and the lab reference range is 25 to 36 seconds). Further blood work was done: Von W...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. For the petechial rash, you need to investigate with full CBC to check platelet count. Low platelet count is one of the causes of such a rash. I suggest you investigate with SGPT and ultrasonography abdomen to check for liver disease. Your raised APTT is a surprisi...  Read Full »

Are bleeding through the nose and underskin common in Von Willebrand disease?

Query: Hello doctor, I am a Von Willebrand disease (vWD) type 3 patient. I am currently bleeding through my nostrils, having underskin blood spots and pain in my ankle. These symptoms are new to me. Please help.  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Bleeding is known to occur through nostrils and also in muscles, under skin, etc. An evaluation of Von Willebrand factor (vWF) levels is necessary to rule out any serious quantitative deficiency. Before that bleeding t...  Read Full »

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