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What Causes Small Bruise On Face Inspite Of Being On Blood Thinners?

Posted on Sat, 7 Mar 2015

Question: Dr. XXXXXXX Madhyastha: This is XXXXXX. I have bruised on both of my legs but I am concerned with the bruise on my face, I am on clopidogrel 75, baby Espirin 81, carvedlol 6.25 mg, doxepin 50 mg, lorezapam 1 mg, and synroid 88 mg. I am off atorvastatin because of severe muscle pain but the doctor has given me another medication called fenofibrate 160 mg and I have not started to take them because I am afraid of the side effect. please advice
regards,
XXXXXXX

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
bruise

Detailed Answer:
Hello

Thanks for the query, it's nice to hear from you again.
I would like to have a few more details in order to help you

1. Was the bruising spontaneous or secondary to trauma ?
2. any bleeding while brushing of teeth or while urinating
3. Please attach a picture of the bruise if possible

Please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (33 minutes later)

for number 1: it is spontaneous
no bleeding while brushing or urinating.
I have to get back to you on number 3.

Answered by Dr. Rakesh Madhyastha (4 hours later)

Brief Answer:
recommended to stop aspirin

Detailed Answer:
Hello

Thanks for getting back with the picture.
There is definitely a small bruise over the forehead also known as echymoses. It is because you are on two blood thinners, aspirin and clopidogrel. In this situation I usually stop aspirin. You can continue to take clopidogrel , Atorvastatin and fenofibrate.
Please Aporoach your prescribing doctor as soon as possible. I would also recommend that you get complete blood count and coagulation profile done.

1. watch out for bleeding while brushing teeth and blood in urine and stools
2. Be careful around sharp objects
3. trivial accidents can cause profuse bleeding

Take care
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (19 hours later)

Thank you Dr. Madhyastha. I will take your advice to my doctor. I am so happy to find this site. The advice by you and other professionals can really lead us to the right path. Thank you from the bottom of my heart.

regards,
XXXXXXXXXX

Answered by Dr. Rakesh Madhyastha (51 minutes later)

Brief Answer:
Follow up

Detailed Answer:
Hello

You are always very kind with your words XXXXX, it always puts a smile on my face.

Take care, get back to me with any doubts that you have I am happy to be of help

Regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar