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What Causes Regular Nose Bleeds While Taking Xarelto?
Question: Have been taking xarelto for two years for Leiden Factor five. Have been experiencing nosebleeds daily for a week now. ENT doctor cauterized and bleeding stopped for two days then restarted. Im on a business trip in another city and just experienced another nosebleed moments ago which I stopped with pressure. My family Dr said to stop the xarelto for four days and Im two days into that. Question: Should I visit an ENT in this city for another cauterization or will the nosebleeds stop with the cessation of Xarelto?
Thank you!
Thank you!
Brief Answer:
you'd better visit the ENT
Detailed Answer:
Hello,
as you probably already know the presence of Leiden factor increases your risk for thrombosis (blood clot formation). Most patients with Leiden factor (particularly if you're heterozygote, that is if you have only one defective gene) won't suffer any thrombosis during their life and do not require treatment. Since you're taking xarelto, I suppose that you've already suffered thrombosis or are a homozygote (both genes are defective).
Traveling, particularly if it requires prolonged immobility - like sitting on the plane - may increase your chances for a blood clot and your nose seems to have a bleeding tendency that the ENT may manage. So taking everything into account I would suggest a new visit to the ENT for a more permanent solution. Stopping xarelto may help transiently but it increases your risk for thrombosis and won't help in the long run.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
you'd better visit the ENT
Detailed Answer:
Hello,
as you probably already know the presence of Leiden factor increases your risk for thrombosis (blood clot formation). Most patients with Leiden factor (particularly if you're heterozygote, that is if you have only one defective gene) won't suffer any thrombosis during their life and do not require treatment. Since you're taking xarelto, I suppose that you've already suffered thrombosis or are a homozygote (both genes are defective).
Traveling, particularly if it requires prolonged immobility - like sitting on the plane - may increase your chances for a blood clot and your nose seems to have a bleeding tendency that the ENT may manage. So taking everything into account I would suggest a new visit to the ENT for a more permanent solution. Stopping xarelto may help transiently but it increases your risk for thrombosis and won't help in the long run.
I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.
Kind Regards!
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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