HomeAnswersCardiologybaby aspirinI had a blood clot at 24 and have taken baby Aspirin every day since. Is it a risk to stop it now?

Is it too risky to take low-dose Aspirin every day for years?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At July 31, 2017
Reviewed AtJune 7, 2023

Patient's Query

Hi doctor,

I am a 30-year-old female. I had a blood clot at 24 and have been taking a baby Aspirin every day since I came off Coumadin. I have read a lot about the long-term risks of Aspirin on the GI and the brain. I would like to come off my daily dose. Are there long-term effects with my six years of daily 81 mg of baby Aspirin? Or, if I stop taking it, does the risk of bleeding on the brain also go away? Sometimes, I would take 325 mg for short periods when traveling, but it was mostly the low-dose Aspirin. I am worried I have done some kind of damage to the vessels of my brain by taking it for so long, even if I stop now. Please help.

Hello,

Welcome to icliniq.com.

I have reviewed your health query and can understand your worries well. No, this is not such a high dose that it may have caused issues to the blood vessels or brain. It is the safest dosage of Aspirin and is rather protective to the blood vessels at large. It will not harm you even if you have taken it for a long time. Actually, we have to consider the benefits of Aspirin versus the little harm, if any, caused by the drug. Clots are very serious compared to any side effect of baby Aspirin. As far as taking you off Aspirin is concerned, it can be decided only by your treating physician as he knows best about your past and recent medical conditions. Without having a good reason, we cannot take you off Aspirin. And, if your physician decides to take you off Aspirin, you will no longer be at risk of side effects. I hope it helps you. Please feel free to contact me if you need further assistance. I would be happy to help. Regards.

Patient's Query

Hi doctor,

Thanks for your response. I will talk to my physician. My clot was superficial (in the perennial vein), and it happened after a leg injury while I was wearing an air boot, so it was provoked. Not sure if that is worth being on the tablet Aspirin for? I honestly had a lot of stress after having that clot as I was young, and it was scary. I traveled on a six hours flight yesterday (I wore compression socks, took my Aspirin tablet, walked a lot, and was hydrated). I got a very sharp, stabbing pain in my lungs at two different places in the last 24 hours. It literally only lasted for two to three seconds. Since it is not accompanied by any other symptoms and goes away so quickly, I should not worry, correct? I have these from time to time, but they are usually months apart. It is just scary after what I went through with the clot and the thoughts of the consequences of a PE.

Hi,

Welcome back to icliniq.com.

I understand your concern. The tablet Aspirin is used to dissolve clots of any nature, either innate due to some disease or injury to the blood vessels. It is used to prevent the clot from increasing further in size in our closed circulatory system. To dissolve it and keep a check on any further clot formation, it is good to go with the tablet Aspirin. When a vessel is injured, a raw area is created that is more prone to future clot formation. This itself is a clear indication and rationale for the use of the tablet Aspirin. Yes, you do not need to worry. In the absence of any other symptoms and the duration of pain, it does not seem to be an issue. Maybe it resulted from a muscle spasm or so, but still, I would recommend you to get a physical checkup done by your physician. PE (pulmonary embolism) and other complications are serious if a clot travels in vital organs of the body like the heart, lungs, brain, etc., but, if you keep a check on your health, take a healthy diet, remain physically active, and keep a regular follow up with your PCP, I am sure you are safe. Do not be scared and take it as normal in your daily life. Move on, and please do not think too much of the last episode. It was just a clot, and I am sure your physician will be taking care of the consequences thereafter. Regular evaluation will help you to remain out of danger. I hope it helps. Please feel free to ask more questions if you feel there is something left out. I would be happy to assist you anytime. Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif
Dr. Muhammad Majid Hanif

Cardiology

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