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. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17656
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I can list a whole page of whats been going on, but basically

Resolved Question:

I can list a whole page of whats been going on, but basically my wife is on warfarin long term, but she is suffering severe abdominal pain, and has been in and out of hospital. but they cannot find anything wrong.
I have come to the conclusion it is the warfarin, what can i do?
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. D. Love replied 2 years ago.
Hello from JustAnswer.
It will help if you could provide some further information.
Could you describe what has led to the conclusion that it is the warfarin?
What is the reason for which she is taking the warfarin?
Customer: replied 2 years ago.

Warfarin is taken becouse of a blood clot in her head 26/12/13

also on medication for fits,

also type 2 diabetic.

Reason i think it's the warfarin back in may she lost a lot of blood, and had a transfusion, since she has had nausia, loss of apatite, severe stomach pains, has been tested for gastro regions and pelvic reasons all test show clear.

Customer: replied 2 years ago.

Hello i am waiting for some feedback thankyou.

Expert:  Dr. D. Love replied 2 years ago.
Thank you for the additional information. I'm sorry, but it takes some time to type a complete answer.

There are a couple of considerations in this situation.

The adverse effect that you describe is a problem with bleeding. Any anticoagulant can cause a problem with bleeding and requiring a blood transfusion. If the warfarin was causing a significant elevation in the prothrombin time (PT), then a recurrence of the problem can typically be avoided by closer monitoring of blood tests and adjustment of the dose.

If it was not associated with a significant elevation of the PT, then it would be appropriate to consider alternatives to the warfarin. The alternatives to warfarin would depend upon the reason for which the warfarin is prescribed. For the problem that she had, the alternative would be the use of a drug similar to heparin, such as Lovenox (called a low molecular weight heparin).

On the other hand, any drug that is used as an anticoagulant can cause bleeding, so it is possible that a similar adverse reaction can occur from any anticoagulant. The only real advantage in using a different anticoagulant would be that she may be more sensitive to the warfarin, so may tolerate a different drug better.

So, if the reaction was not due to an excessive elevation of the PT, the next consideration would be the use of an alternative drug, and you should talk with her doctor about an alternative, such as the Lovenox.

If I can provide any further information, please let me know.
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17656
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and other Medical Specialists are ready to help 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:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • 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/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions