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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bruising And Pain In The Legs

following confirmation of DVT to left leg and warfarin treatment to establish inr level @2.5 subsequent followed by an anti biotic to treat a skin condition on the leg inr rose to 4.7 warfarin adjusted to control level Same day heavy bruising noted to top of leg and severe pain with loss of muscular leg support. Following morning the leg gave way resulting in fall[ patient age 77] admitted to hospital and diagnosed with an hematomas. What options are there to treating the hematomas?
Tue, 18 Sep 2018
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General & Family Physician,  's  Response
Hello,

When it comes to treating hematomas, we should first determine what is causing them. In this patient's case, she is 77 years old, falling history, INR 2.5, warfarin adjusted control level.

So, at her age, warfarin is a blood thinner and is increasing chances for hematoma. The fall from weakened legs resulted to more hematomas.

Treatment is as following:

- adjusting the dosage of warfarin
- applying cold compresses for the first couple of days then, alternating warm and cold compresses
- apply heparin gel to disperse the clotted blood.

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

Take care

Regards,
Dr Albana Sejdini, General & Family Physician
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Suggest Treatment For Bruising And Pain In The Legs

Hello, When it comes to treating hematomas, we should first determine what is causing them. In this patient s case, she is 77 years old, falling history, INR 2.5, warfarin adjusted control level. So, at her age, warfarin is a blood thinner and is increasing chances for hematoma. The fall from weakened legs resulted to more hematomas. Treatment is as following: - adjusting the dosage of warfarin - applying cold compresses for the first couple of days then, alternating warm and cold compresses - apply heparin gel to disperse the clotted blood. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Albana Sejdini, General & Family Physician