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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extremely Painful Clot In Thigh After Discontinuing Blood Thinners?

He has factor five laden & just had gall bladder surgery. Found out he has a blood clot. He hasnt been on blood thinners in 6 months due to excessive bleeding, he stopped taking them. Should he be in the hospital being treated?? He does have a filter from 2004 and they found it was poking through his vein. He is extreme pain the clot is in his thigh. We do not know his inr & we was never told. Should he be in the hospital? He has always been in there before when he got them.
Tue, 30 Jul 2019
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Addiction Medicine Specialist 's  Response
Hi,

Cannot say in your particular case, but generally, factor 5 Leiden is a reason to be on blood thinners. Surgery is a trigger for clot formation. If a large clot is inside a vessel then not only is it a reason to be on blood thinners but there is a risk the clot can be fatal if dislodged, so someone is often hospitalized for 2 days while the blood thinners are started. But there are a number of possible other factors such as the previous bleeding so I can only say generally what is done.

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

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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What Causes Extremely Painful Clot In Thigh After Discontinuing Blood Thinners?

Hi, Cannot say in your particular case, but generally, factor 5 Leiden is a reason to be on blood thinners. Surgery is a trigger for clot formation. If a large clot is inside a vessel then not only is it a reason to be on blood thinners but there is a risk the clot can be fatal if dislodged, so someone is often hospitalized for 2 days while the blood thinners are started. But there are a number of possible other factors such as the previous bleeding so I can only say generally what is done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist