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Does Rectal Bleeding Require Medical Attention Despite Being On Xarelto?

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Posted on Fri, 5 Apr 2019
Question: I am having rectal bleeding. I have hemeriods and possibly an anal fissure. I am on blood thinners(xarelto). The blood usually starts while having a bowel movement and sometimes when I am wiping myself. I am concerned that it could be a serious problem. Bleeding has been going on for over a week
doctor
Answered by Dr. Deepak Sundriyal (21 minutes later)
Brief Answer:

because of xeralto

Detailed Answer:

Hello,

So your bleeding of hemorrhoids and fissure has been exaggerated by Xeralto which is an anticoagulant drug.

This situation is tricky. I would advise holding Xeralto for a few days if DVT is under control and then attempt local treatment for hemorrhoids n fissure.

Once that is done, start stool softeners n laxatives. Xeralto can be restarted after bleeding control.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Deepak Sundriyal, Oncologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Sundriyal (34 minutes later)
My DVT is still not gone is there anything I can do to stop it while on the blood thinners. I am just concerned if I stop the blood thinners I could get another clot
doctor
Answered by Dr. Deepak Sundriyal (10 minutes later)
Brief Answer:

Dvt filter is the option

Detailed Answer:

Hello,

If DVT is in lower limbs then we can try for a vena cava filter. That will take care of thrombus and we can buy time for control of bleeding.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Deepak Sundriyal, Oncologist
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Deepak Sundriyal (1 hour later)
I was told about that when I had very bad vaginal bleeding which I had a hysterectomy to deal with. I'm not really keen on doing that. is there any way to deal with this without the filter
doctor
Answered by Dr. Deepak Sundriyal (1 hour later)
Brief Answer:

Hello. A filter is the best bet in your case

Detailed Answer:

Hello,

You can try the conservative approach using hemostatic drugs like ethamsylate and tranexamic acid but they will be of less help.

If bleeding does not stop then stop rivaroxaban for a few days and go for a filter.

Hope I have answered your query.

Take care

Regards,
Dr Deepak Sundriyal, Oncologist
Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. Kampana
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Answered by
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Dr. Deepak Sundriyal

Oncologist

Practicing since :2005

Answered : 1655 Questions

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Does Rectal Bleeding Require Medical Attention Despite Being On Xarelto?

Brief Answer: because of xeralto Detailed Answer: Hello, So your bleeding of hemorrhoids and fissure has been exaggerated by Xeralto which is an anticoagulant drug. This situation is tricky. I would advise holding Xeralto for a few days if DVT is under control and then attempt local treatment for hemorrhoids n fissure. Once that is done, start stool softeners n laxatives. Xeralto can be restarted after bleeding control. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Deepak Sundriyal, Oncologist