Anticoagulant Therapy

Anticoagulants are substances that reduce or prevents coagulation of blood by prolonging the clotting time. It suppresses the functions of various clotting factors that are present in the blood. These drugs prevent the formation of blood clots in the arteries or veins. Anticoagulant therapy is commonly used in the treatment of VTE (venous thromboembolism). For treating pulmonary embolism and deep vein thrombosis, low molecular weight Heparin is used.

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Should an 80-year-old man with heart problems who underwent knee joint surgery be put on anticoagulants?

Query: Hello doctor, An 80-year-old man underwent a recent septic arthritic joint surgery and was hospitalized for 20 days. The medications prescribed were Levothyroxine 150 mg, Atorvastatin 20 mg, Ramipril 10mg, Bendroflumethiazide 2.5 mg, Metformin 500 mg twice daily, Tamsulosin 400 mg, and Lansoprazole ...  Read Full »


Dr. Sapkal Ganeshrao Patilba

Answer: Hi, Welcome to icliniq.com. I have gone through the details you provided. The patient has had recent joint surgery. He has ischemic heart disease. But you have not mentioned angioplasty, bypass, or any blockages. If the patient has knee or hip joint surgery, he will need anticoagulant medication. Al...  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. Goswami Parth Rajendragiri

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 »

I am COVID positive, and my resting heart rate is 100. Shall I take tablet Xarelto now?

Query: Hello doctor,I am a 35-year-old male. My height is 175 cm, and my weight is 74 kg. I am tested positive for COVID-19 today. My resting heart rate is 100, and I am fine without any scaring symptoms.My father died unexpectedly from a pulmonary embolism at the age of 33, and my three siblings have had ...  Read Full »


Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to icliniq.com. Your heart rate seems to be linked to the anxiety of being tested positive for COVID-19 (Coronavirus Disease-2019). Only a small number of patients get severe problems with this disease. And after vaccination, the complications become further smaller. Vaccinated peo...  Read Full »

If D-dimer is high, can a patient with a history of hemorrhage take anticoagulants?

Query: Hi doctor, I am asking for my dad. He is 75-year-old, has diabetes for 30 years, no high BP, but has had MI, CABG 14 years back (attached the summary). He was diagnosed with COVID on the fourteenth of this month, mild case, no fever, just cough. His CT has 2/25. He was monitored and discharged on t...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. I have gone through your father's reports and health summary (attachments removed to protect the patient's identity). I found that two reports of D-dimer are in different units, one in nanogram (ng) and one in microgram (ug). Both reports are normal. For prevention, I s...  Read Full »

How to treat hematoma present in my thigh?

Query: Hi doctor,Before five months, I had surgery for thigh hematoma. Now, the same problem started again. It is increasing in size and painful. Also, there is swelling. Please see the photo attached here.  Read Full »


Dr. Eriol Braholli

Answer: Hello, Welcome to icliniq.com. Hematomas are solved conservatively and only in severe cases when they give compression of an organ are resolved surgically. This is not a big one (attachment removed to protect patient identity). First, you have to find out the cause of hematoma if it is not trauma. I...  Read Full »

How to treat Paget-Schroetter disease?

Query: Hi doctor, Can you live with Paget-Schroetter disease?  Read Full »


Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to icliniq.com. I understand your concern. According to your statement, you are suffering from Paget-Schroetter disease. It is a form of upper extremity deep vein thrombosis (DVT). It is a medical condition in which blood clot forms in the deep veins of the arms. These DVT typically oc...  Read Full »

What is your opinion about my father's medication?

Query: Hi doctor, My father had a stroke before 10 years (left hemisensory infarct) and two years ago, he has undergone CABG. Two days back, while walking, he felt some numbness in his right side leg and arm up to the shoulder. It persisted for about half an hour. Now, he is fine. But, when we visited the...  Read Full »


Dr. Rajyaguru

Answer: Hi, Welcome to icliniq.com. Yes, he can follow the changed schedule. Your doctor has changed plain Aspirin and Clopilet (Clopidogrel) to the combination of Aspirin and Dipyridamole. Dipyridamole is a medicine, which is quite effective in preventing the thrombosis. It is more effective on the coron...  Read Full »

Please comment on the treatment and Doppler result of my mother for DVT.

Query: Hello doctor, My mother is suffering from DVT which was diagnosed just yesterday. I want a second opinion on her treatment and Doppler results. The doctor said that there is no need to admit her in the hospital and he prescribed Rivaroxaban 15 mg twice daily for 21 days along with Ibuprofen 400 mg. ...  Read Full »


Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to icliniq.com. I can understand your concern. The following are the answers of your asked questions. Yes, your mother has been put on the best anticoagulant medication. Rivaroxaban and Apixaban are the best anticoagulant oral drugs. Enoxaprin is injectable anticoagulant drug to treat...  Read Full »

Is it dangerous to get pregnant with a history of pulmonary embolism?

Query: Hi doctor, When I was 15 years old, I had a bilateral pulmonary embolism with no known causation. I was wondering about my options for pregnancy in the future, rather, if it would be an option. I am currently taking Apixaban twice daily, and I am unsure of when I will stop taking it. My clots have ...  Read Full »


Dr. Poonguzhali Liston

Answer: Hi, Welcome to icliniq.com. Happy to hear that you are doing well and it is very wise to be concerned about your future pregnancy. So let me outline a few things for you. Pregnancy itself is a state in which blood clots more than in a non-pregnant person. This is due to an increase in progestero...  Read Full »

How is DVT treated?

Query: Hi doctor, I am having DVT in my left leg. I had about a year of Warfarin treatment and it was stopped two months back. I had my thrombophilia profile and it shows protein C deficiency. What to do?  Read Full »


Dr. Prakash H. Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Protein C deficiency (blood coagulation factor XIV) can be congenital or acquired. Being on Warfarin therapy can show protein C deficiency. However, it should get corrected after two weeks and it has not so if there are no ot...  Read Full »

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