How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Phil, MD Your Own Question

Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 53099
Experience:  Cardiology Expert
55099014
Type Your Cardiology Question Here...
Dr. Phil, MD is online now

I have been diagosed with lone AF & am currently taking a low

Resolved Question:

I have been diagosed with lone AF & am currently taking a low dose of beta-blockers. I have not had an attack for 18mths & all E.C.G's etc have been normal. I had to inform the Cardiologist & the Haemotologist that Warfarin & aspirin are not recommended in my case! I also have thrombocytopenia & my platelet count is usually around the 80 mark. I have now been given Dabigatran to thin my blood even further.I am worried that this may cause haemorrhages. I also tale magnesium every other day plus 1000mg flaxseed oil & starflower oil which also thin the blood. I would appreciate your opinion on whether I actually need the Dabigatran as my pulse , blood pressure,cholestral & weight etc are still normal. I'm 74 this month & excersise reguarly at the gym.
Thankyou Diana Hixson
Submitted: 2 years ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Hi Diana

Based on the new quidelines, you do require anticoagulation therapy

The low platelets are somewhat of a concern

I agree with that.

I do think you should be on dabigatran or rivaroxaban. However, I don't think aspirin should be used with these drugs.

IF the platelets go below 50 then the dabigatran should be stopped
Customer: replied 2 years ago.

Thank you for your answer you confirm what I've already been told. I still wonder whether I should be taking anything at the moment as everything except the platelets have been normal for 18 months. Is this always the case when diagnosed with lone AF.?


Diana

Expert:  Dr. Phil, MD replied 2 years ago.
NO, this is not always the case but females are at higher risk.

I do recommend that you be on a blood thinner of this type
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 53099
Experience: Cardiology Expert
Dr. Phil, MD and other Cardiology Specialists are ready to help you
Expert:  Dr. Phil, MD replied 2 years ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page http://www.justanswer.co.uk/medical/expert-irondoc/

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • NorthernHeart

    NorthernHeart

    Board Certified MD

    Satisfied Customers:

    37
    Internal Medicine, Gen Cardiology, Nuclear Card, Echocard
< Previous | Next >
  • http://ww2.justanswer.com/uploads/NO/NorthernHeart/2012-9-12_0228_NorthernHeart3.64x64.jpg NorthernHeart's Avatar

    NorthernHeart

    Board Certified MD

    Satisfied Customers:

    37
    Internal Medicine, Gen Cardiology, Nuclear Card, Echocard
  • http://ww2.justanswer.com/uploads/DrSaeedahmed/2010-06-02_195543_88331_2.JPG Dr .Saeed ahmed's Avatar

    Dr .Saeed ahmed

    Doctor

    Satisfied Customers:

    346
    MBBS/FCPS(R)/MRCP U.K(R), Senior Registrar Cardiology
  • http://ww2.justanswer.com/uploads/DU/durranih/2012-7-6_15624_SKMBTC25012070404361.64x64.jpg The Cardiologist's Avatar

    The Cardiologist

    MB MCPS

    Satisfied Customers:

    124
    Staff Cardiologist
  • http://ww2.justanswer.com/uploads/DO/DocPhilMD/2013-8-22_54848_2011122703212phil2.64x64.jpg Dr. Phil, MD's Avatar

    Dr. Phil, MD

    Medical Doctor

    Satisfied Customers:

    255
    Cardiology Expert
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    276
    Board certified with experience in primary care.
 
 
 

Related Cardiology Questions