blood in urine

[bahlvarun]

Me too Blood in Urine :-(

Me too Blood in Urine :-(

I am also having blood in my Urine, though only a year since my AVR, called up my Dr. he suggested to hold on the Warf dose untill he sees the reports. He also asked me whether I did excessive excersice, I told him I did my regular walks and running, but forgot to tell him I also did some jumping :-D, don't know if this has any impact. Will check the reports during the day and then call up to decide further course of action.

 

[kbheart]

Did your doc know your INR when he told you to skip a dose? I hope it doesn't go too low. I have done lots of different kinds of exercise since getting my valve in 2006--never had blood in my urine until now. But it could be the exercise for you. Let us know what happens.

 

[Carla Marquardt]

So I know nothing about how your medicine may or may not make you have blood in your urine... BUT I do know a little bit about the blood in urine thing. I have been having bladder tumors removed for 4 years...every three months, I've had anywhere from 1-3 removed. They found them because of the bleeding from my bladder! I would talk to your doctor and see a uroligist..... Just in case!

 

[nngbwh]

Did your doc do any blood test to checked your PSA level. Hope everything is fine.

 

[Bina]

I am also having blood in my Urine, though only a year since my AVR, called up my Dr. he suggested to hold on the Warf dose untill he sees the reports. He also asked me whether I did excessive excersice, I told him I did my regular walks and running, but forgot to tell him I also did some jumping :-D, don't know if this has any impact. Will check the reports during the day and then call up to decide further course of action.

Varun, if you have not already done so, you need to check your INR carefully if you missed your warfarin
dose due to the bleeding. Blood in urine needs attention right away.

 

[Protimenow]

I'd suspect the jumping that you mentioned. If the impact is strong enough, it may be possible to dislodge a clot or break a capillary, or something, in your kidneys or bladder. Warfarin will slow the clotting of that little break.

I hope that you self-test, so you can establish, right away, what your INR is when the bleeding starts.

 

[bahlvarun]

Got infection :-(

Got infection :-(

So, I got my Urine checked the Pathologist says its an infection in Urine, hence the bleeding.

Its been the same whole day, the more you drink water the clear the urine is, if you give a gap its goes yellow then brown showing traces of blood. Also since yesterday, I am getting blood flakes(dried blood as seen on a wound) in my urine.

Talked to my doc, yesterday has moved me off my meds and asked me to drink as much water as I can no visit recommended to urologist as yet. Untill the Bleeding subsides I am gonna be off meds (both Warfarin and Asprin), gonna check my INR tomorrow (bad part, not have home testing kit, though my Doc. Recommends it, pretty expensive here 12 Grands in my currency). So gonna be off my meds for a second day today.

The doc also suggested to take enough rest so that the wound gets time to heal faster, so I'll be off work tomorrow as well.

Lets hope that the bleeding stops tomorrow.

One more thing wanna mention, though out of context here, I saw this post only 4 days back, and I am facing the problem since, great are HIS ways to take care of us isn't it. I am happy HE is looking after me so gently that I got best doc. in the country and such a great forum for support. I pray that all of us being so special is taken care of like this and may this forum help in ways HE has destined it to be.

Thanks, will keep you updated.

 

[kfay]

bahlvarun, Does your Dr. have you on an antibiotic? I used to have frequent UTI's and always had blood in my urine with them, and I was not on coumadin. Within 48 hours of being on an antibiotic, the blood would clear (at least to the naked eye) and I would start feeling much better. If you aren't on an antibiotic, I would be concerned if I were you. I don't know how the folks on here on coumadin feel about it, but I'd probably have a hard time dropping coumadin completely for a UTI if I were taking it. I'd be more worried about a stroke than a little blood in my urine caused by an infection, that a lot of people not on coumadin get as well. Just my opinion and obviously, you have to decide what is right for you in this situation.

Hope you get better soon.

Kim

 

[Lynlw]

bahlvarun, Does your Dr. have you on an antibiotic? I used to have frequent UTI's and always had blood in my urine with them, and I was not on coumadin. Within 48 hours of being on an antibiotic, the blood would clear (at least to the naked eye) and I would start feeling much better. If you aren't on an antibiotic, I would be concerned if I were you. I don't know how the folks on here on coumadin feel about it, but I'd probably have a hard time dropping coumadin completely for a UTI if I were taking it. I'd be more worried about a stroke than a little blood in my urine caused by an infection, that a lot of people not on coumadin get as well. Just my opinion and obviously, you have to decide what is right for you in this situation.

Hope you get better soon.

Kim

I agree with Kim, I'm also not on coumadin, but the few UTIs I've had I usually know because there is blood in my urine and the first thing they do is put me on Antibiotics. I also would be pretty nervous stopping the coumadin, do you know what your INR was yesterday? IF you are on antibiotics, keep an eye on your IR as long as you re one them, beside everything being different since you stopped coumadin, even when your restart it, (hopefully SOON) antibiotics can mess with your INR. Good luck with everything

 

[bahlvarun]

hmm...

Checked with another doc (Not cardiologist), now I am confused. He says doesn't seem to be infection(Cardio didn't say anything on the infection front also only the path did), though he believes that its Warf that is acting up due to high INR, so he feels its good to address the INR first (gave the same suggestion loads of water and no Warf for 2 days) and then if necessary wants to look at other options for investigation.

Lastly, I asked him on the INR 3.26 not being that high as many others have, he says it varies from person to person and also the kind of activity you do (when having high INR) may lead to bleeding, as soon as your INR will drop bleeding will stop and Urine will turn back to yellow then you can start the Warf Again. however even after the INR is in range if your bleeding does not stop we will look for other options.

He being a critical care specialist, is also comfortable stopping the Warf for couple of days and does not treat it as a bigger issue then bleeding and bringing INR in range.

 

[Lynlw]

hmm...

Checked with another doc (Not cardiologist), now I am confused. He says doesn't seem to be infection(Cardio didn't say anything on the infection front also only the path did), though he believes that its Warf that is acting up due to high INR, so he feels its good to address the INR first (gave the same suggestion loads of water and no Warf for 2 days) and then if necessary wants to look at other options for investigation.

Lastly, I asked him on the INR 3.26 not being that high as many others have, he says it varies from person to person and also the kind of activity you do (when having high INR) may lead to bleeding, as soon as your INR will drop bleeding will stop and Urine will turn back to yellow then you can start the Warf Again. however even after the INR is in range if your bleeding does not stop we will look for other options.

He being a critical care specialist, is also comfortable stopping the Warf for couple of days and does not treat it as a bigger issue then bleeding and bringing INR in range.

Now Im really confused, Did they have to give a urine sample to culture it and see if bacteria grew? Thats why I thought they said you had an infection, either they saw something and you had an infection, or nothing grew and you didn't. But now it seems like maybe they didn't culture it if some docotros said you have an infection and others dont think you have one. I hate to say this but it sounds like they are just guessing, who manages your INR/ did you talk to them?

I can't imagine an INR of less than 4 causing bleeding, or even being considerred high enough to worry about, my guess is if you started with a INR that low and then stopped the coumadin, you probably are close to a normal person not on coumadin's INR already.

 

[bahlvarun]

Culture takes 3 days, of course there was no culture done, it was routine urine test that's done here. My surgeon manages my INR as he is a close family friend as well.

You are making me really worried now , also my INR drops pretty fast once I am off my Warf (missed my does once next day by afternoon INR was close to 1.5), you are right I may be close to normal INR, but without Dr's Recommendation I'd not want to start it off again.

I have also read it in papers that Warf takes 48 hrs to 76 hrs to get out of someone's body.

Do you think I should talk to my doc again, he may not like it this late in the night or I can wait to get my INR tested tomorrow morning.

 

[Lynlw]

How are you doing today?

 

[bahlvarun]

I had my INR at 2.38 yesterday, but today since morning no blood in my urine also the INR had come down to 1.4, well beyond the thearpeutic range of 2-3, so will be starting my meds today.

My doc has not yet responded, but can't go with low INR for long, you never know if its 1 now since its been long time since morning. So I am gonna start back on my meds with standard 4mg to start with (I was on 4/5mg alternate days).

Will get the INR tested tomorrow again to see if I am in the range again or not.

 

[Protimenow]

A dose of 4 today probably won't get you back in range by tomorrow. If you haven't taken your 4 mg dose yet, I'd take a 5 instead, just to bring you back into range a bit more quickly.

In fact, a protocol for people who drop out of range is to take 1.5 doses on day one (which probably means 6 or 7.5) today, just to speed up the return to range, followed by standard dosing. (So, if it were me - and I've dropped into that range recently - I'd take 7.5 today, then 5 tomorrow, then go back to regular dosing). A test on Monday or Tuesday will probably be a better indication of where your INR is. Also, I'd avoid greens for a few days, if they've been part of your regular diet.

 

[bahlvarun]

My Doc called, said the main intent is to first stop bleeding and then go for stabilizing the INR. He wanted me not to start the meds yet, but I had already taken it by that time. However he has asked me not to start on the asprin I used to take in the day. He has also suggested for an ultrasound of Kidney, Urinary Tract and Bladder, for checking the cause for bleed.

He also said that the chances of Aortic valve getting clots is lesser than in MV or TV, so not to worry, first and foremost bleeding should stop he asked me to check tomorrow again if the bleeding has stopped or not and get back to him with the tests results and the INR.

Just wanted to update you folks before I go to sleep here in India.

bye.

 

[Bina]

Hi Varun, nice to hear your update. The warfarin that you took today will slowly get into your system, and
that is a good start. I wouldn't worry about re-starting the Aspirin either, sometimes it is just more trouble
than it is worth in these cases.
Good Luck with your tests

 

[Lynlw]

My Doc called, said the main intent is to first stop bleeding and then go for stabilizing the INR. He wanted me not to start the meds yet, but I had already taken it by that time. However he has asked me not to start on the asprin I used to take in the day. He has also suggested for an ultrasound of Kidney, Urinary Tract and Bladder, for checking the cause for bleed.

He also said that the chances of Aortic valve getting clots is lesser than in MV or TV, so not to worry, first and foremost bleeding should stop he asked me to check tomorrow again if the bleeding has stopped or not and get back to him with the tests results and the INR.

Just wanted to update you folks before I go to sleep here in India.

bye.

Im glad to hear they are going to do the test now to figure out why you were having blood in your urin., I dont know why they waited so long, but thats the past
BTW when you said you dont have blood in your urine now, do you mean by looking at it, or did they test it?
Good luck I hope everything turns out fine

 

[haggis basher]

My Doc called, said the main intent is to first stop bleeding and then go for stabilizing the INR. He wanted me not to start the meds yet, but I had already taken it by that time. However he has asked me not to start on the asprin I used to take in the day. He has also suggested for an ultrasound of Kidney, Urinary Tract and Bladder, for checking the cause for bleed.

He also said that the chances of Aortic valve getting clots is lesser than in MV or TV, so not to worry, first and foremost bleeding should stop he asked me to check tomorrow again if the bleeding has stopped or not and get back to him with the tests results and the INR.

Just wanted to update you folks before I go to sleep here in India.

bye.

Hi Bahlvarun
Been reading your forum atricle with interest. I had bad trouble with excessive urinating. Whilst at clinic for tests, was informed that I had blood in my urine: I couldn't see it although it was coming out yellow! They gave me ultra sound for kidney check etc, and finally I had to go to pathology with sample 3 days on trot. The specialist said I had an enlarged 'prostrate' but not necessary causing bleeding! (2 weeks ago)
I received a letter to see specialist again this Tuesday! (1st Nov) My INR 2.3
I think it a good idea to have everything checked. I had AVR 8/12/2011
Good Luck ,and best wishes.

 

[Protimenow]

Perhaps they wanted to wait until the bleeding cleared up so their imaging can see structures better (unobstructed by inflamed tissues, etc.). Testing can reveal blood in urine that can't be seen. You may think the bleeding has stopped, but the strips may still show a much lower concentration of blood.

I hope that all goes well for you.