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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Multiple PEs, Blood Level Dropped, Have Phlegm. Taken Warfarin. Dosage Of Blood Thinner Higher?

Hi two months ago I was diagnosed with multiple PEs and a few days ago my blood level dropped to 1.6 after begin in the 2 range for three weeks. The doctors upped my warfarin level of warfrin to 6mg instead of 4mg. I have been spitting up some phlegm with a tiny bit of blood the doctors said its probably because the dose of blood thinner is higher?
Mon, 23 Sep 2013
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Pain Medicine & Palliative Care Specialist 's  Response
Hi,
The blood in your phlegm is most likely secondary to the increased dose of warfarin. You should be having your INR checked regularly to make sure it is in the correct range. You should seek urgent medical advice and an INR check if you have significant bleeding such as dark stools, heavy nose bleeds, bright red blood in stools, blood in your urine or bleeding gums.
Regards,
Dr K A Pottinger,
MBChB FRCA
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Diagnosed With Multiple PEs, Blood Level Dropped, Have Phlegm. Taken Warfarin. Dosage Of Blood Thinner Higher?

Hi, The blood in your phlegm is most likely secondary to the increased dose of warfarin. You should be having your INR checked regularly to make sure it is in the correct range. You should seek urgent medical advice and an INR check if you have significant bleeding such as dark stools, heavy nose bleeds, bright red blood in stools, blood in your urine or bleeding gums. Regards, Dr K A Pottinger, MBChB FRCA