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INR >4 at risk of spontaneous bleed. You should seek medical attention if it's available to you. If you can't get medical attention, then you should skip a dose of warfarin and do an INR check tomorrow. Why have you gone above your therapeutic range? Taking other drugs that interact with...

Btw, I don't think they would have sent you home if there was anything wrong with your heart or kidneys so you can relax ;) But always good to question your health care providers to keep them on their toes. I think you will be able to offload all that excess fluid in a week or so. Good to know...

It's a phenomenon that happens to alot of patients during open heart surgery resulting in fluid retention. I gained around 7 lb (3kg) of fluid but my kidneys flushed it out by 10 days post op. A lot of valvers here also experienced a similar thing. But I must say, your volume is rather excessive...

Capillary leak syndrome explains the excessive extracellular fluid perioperatively. Around 20 litres is average. Always question when things don't seem right!

"Communist" has negative connotations. Do you think "Socialist" is a more appropriate term to describe yourself? :-)

Great to hear you are recovering as expected! I echo the same sentiments about the beta blocker -the rationale is to reduce demand on the heart but the trade off is lowering blood pressure. I had bad postural hypotension on the beta blocker & I stopped it myself but I had a problem with rebound...

Could very well be cervical spondylosis which is very common. Need to see an orthopedic surgeon or neurologist. Probably need MRI cervical spine to rule it out if your doctor thinks it's required.

I am now 2 weeks post sinus surgery ( Caldwell-Luc incision - slightly more invasive than tooth extraction) and almost 100% healed. Firstly, I want to thank everyone who responded to my questions - it was very helpful in my recovery and should I ever need to stop anticolagulation again, I would...

Unfortunately, the quality of advice given at Warfarin clinics varies tremendously depending on who picks up the phone. I think it's a global problem! I think it's safe to take 7mg this evening. Your INR check tomorrow morning will reflect the dose of 7mg which you have been on 3 days. As for...

No point testing so often. Change in dose is only reflected 3 days later at the earliest. Take 3 days of changed dose, then recheck INR on 4th day morning. Adjust accordingly. You can ask you surgeon about heparin but likely unnecessary. In fact, you can bleed unnecessarily so early postop. The...

I think it would be a good idea to test your family members for Covid (if they are exposed to Covid outside) before your party. You don't want a bad respiratory infection after your OHS. As for postponing your booster jab, I think your doctors don't want any vaccine side effects to complicate...

Cross the bridge when you come to it :) I'm just 1 week postop sinus surgery. I was put on heparin bridging before and after surgery. The heparin preop was no issue. And yes, you are free of anticoagulation for 24-48 hrs perioperatively (I have not been off warfarin since my Bentall op and it...

Really great solid opinions expressed here - based on personal experience...and these are the best, I reckon. I like to keep it simple because I can think myself into a corner when I overthink things :) 1) You are young -> go mechanical. Can you imagine redoing OHS every 10-15 years for...

The cranberry-warfarin interaction is debatable. But perhaps your warfarin does has "factored in" your regular cranberry juice consumption.

Brilliant sense of humor! LOL!!

Hi Leah, it's great you have found this forum. You won't feel so alone as all of us here have been through that frightening journey and most have emerged unscathed. Pellicle will reply your worries in a flash ;-) It is indeed a shock to be told you have a heart valve problem (and require open...

I think I understand your question. Grapefruit or cranberry by themselves don't make us bleed easier. It's only mixing with warfarin that does that. They inhibit the body's ability to metabolize warfarin, hence increasing the effect of warfarin

Sigh, that's the problem with subspecialization... They only look at what concerns their field and don't see the big picture. Neurologists and rheumatologists are also internal physicians and either should have been able to give you a proper diagnosis based on a full history and investigations...

It sounds like you have a systemic autoimmune disease which can cause your original aortic valve disease. Vasculitis also can explain your recurrent strokes without attributing blame on your mechanical valve. Moreover, your INR is already in high therapeutic range. A neurologist is the right...