cuts on warfarin

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pellicle

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Mrs Leadville put on some butterfly strips Pell

The BB is running sweet now, schoolboy error but I survived the bleeding to death 😉
its good to have a handman* around the house

*[NOTE: I lament the accident of language which was compounded by previous social mores that English, having no gender but having 3rd person his and hers pronouns creates a fictitious need for a male and a female word for a role to prevent old sexist buggers being surprised when the Captain of the Aircraft is a woman. I lament the introduction of words such as Aviatrix into the language which has ultimately twisted the word aviator from "one who flies an aircraft" (as it is with navigator) to some implicit male role model. My lovely wife was a beekeeper or apirist, not an apiristrix (although she could be like Asterix when provoked)]
 

Unicusp

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I was working on my truck yesterday doing regular maintenance and installed a auxiliary transmission cooler. Lots of sharp places. During the process I received cuts on my hands in multiple places. Happy to report that I did not bleed to death and that it was very similar to cuts prior to Warfarin management. My INR was at 2.5 this past Wednesday. I maintain it now between 2.5 and 3.0 - pretty easy now and consistent since surgery this past February.
Happy New Year everyone!
 

Chuck C

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Happy to report that I did not bleed to death and that it was very similar to cuts prior to Warfarin management
Great news!

I also have some good news to report: Home with the family celebrating New Year's Eve and had 6 drinks during the course of the evening. I just checked and I also did not die! Yes, you can still have a drink while on warfarin, despite the myths.

Happy New Year everyone!
 

Unicusp

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Great news!

I also have some good news to report: Home with the family celebrating New Year's Eve and had 6 drinks during the course of the evening. I just checked and I also did not die! Yes, you can still have a drink while on warfarin, despite the myths.

Happy New Year everyone!
Great to hear! That reminded me that I also had several drinks later in the evening, after getting multiple cuts earlier. Damn lucky to have survived! Ha.
Just normal living. Really no adjustments.
Enjoy.
 

thos_huxley

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Personally, I think it will be easy to always have some amoxycillin around. My cardiologist will likely write me a renewable prescription for dental appointments and I can double up a little bit, as my dentist also has readily available amoxycillin on hand for folks like us with prosthetic valves.
Okay, as I await valve replacement surgery (probably by the end of the month), let me query this. Because of previous dental surgeries, I now have a tendency to bite the hell out of my tongue or lower lip, which inevitably draws blood, and which also occasionally takes some time to stop. I'll ask my surgeon or cardiologist about this, but any suggestions here?
 

Unicusp

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Okay, as I await valve replacement surgery (probably by the end of the month), let me query this. Because of previous dental surgeries, I now have a tendency to bite the hell out of my tongue or lower lip, which inevitably draws blood, and which also occasionally takes some time to stop. I'll ask my surgeon or cardiologist about this, but any suggestions here?
Dentists can prescribe special ointments to help stop bleeding and heal quicker.
I'd also suggest frequent use of antiseptic mouthwash to kill the germs and help prevent infection.
 

Chuck C

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I now have a tendency to bite the hell out of my tongue or lower lip, which inevitably draws blood, and which also occasionally takes some time to stop. I'll ask my surgeon or cardiologist about this, but any suggestions here?
I think that @Unicusp makes a good suggestion to use an antiseptic mouthwash the next time it happens. Perhaps also use frequently until you get proper coagulation and the bleeding stops.

Please let us know what your surgeon and cardiologist recommend about this. If we are to take anti-biotics prior to any dental cleaning or dental work, a good question for them would be whether they recommend taking a similar dose of amoxicillin if one gets a mouth bleed from biting the tongue or cheek. Personally, if it was me, I would take 2,000mg of amoxicillin as a precaution if I were to get such mouth bleed, regardless of how I got it. The mouth has the same type of bacteria which causes endocarditis, so it is different than a cut somewhere else on the body.

BTW, I also bite my tongue or cheek about once a year. It has not happened since my valve surgery 9 months ago. I get pretty pissed at myself when it happens and this is a true conversation that I had with myself the last time it happened about a year ago:

Me: "Owwww! Dang it!!"
Me, talking to myself: "Eat much? I mean, you've been eating food for 53 years, you'd think by now you'd have figured out how to do it without chomping on your own dang tongue!"

I then always tell myself to slow down and be more careful when I eat, but seems that about once a year I bite myself hard enough to cause a mouth bleed.

Since my last post a couple months ago, I have since had my cardiologist write me a prescription for 2,000mg of amoxicillin with several refills, so I always have some on standby in the event I should accidently chew off part of my tongue or feel that I might be vulnerable to infection for any other reason, like stepping on a rusty nail while walking through a swampy bog.
 
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dwhist

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Elmhurst, IL
I had a taco chip cut my gum last year. It bled for 24 hours and I ended up going to ER where they applied something and got it to stop. Doc said it almost needed a stitch. I told him I had read about using a tea bag and found out I was doing it wrong. I was just putting a tea bag on cut based on a web search. He told me for mouth bleeds, take a tea bag and put in hot water for a minute, take out and when it cools, put on cut. Maybe there are other ways, but thought I would mention.
 

pellicle

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Hey @Unicusp , just out of interest
me on a typical local road (this time I'm not behind the camera)
1641152490682.png


That's also a Yamaha (a T-Max 500 maxiscoot), This is how I normally dress to ride, so if you want, come on a "typical ride" it'll cost you 15minutes

Australia has helmet laws and I encourage safe riding (and was once a volunteer instructor in teaching riding technique {you know, observation skills, braking skills, proper lane positioning...})

I am acutely aware that if I off at (say) 80kmh in my local area (say, hit a fukken roo that jumps before me), no matter what I do I'm meat because
  1. age (some good relevant points on my blog post here)
  2. warfarin
Live to Ride,
Ride to Live
 

Unicusp

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Hey @Unicusp , just out of interest
me on a typical local road (this time I'm not behind the camera)
View attachment 888329

That's also a Yamaha (a T-Max 500 maxiscoot), This is how I normally dress to ride, so if you want, come on a "typical ride" it'll cost you 15minutes

Australia has helmet laws and I encourage safe riding (and was once a volunteer instructor in teaching riding technique {you know, observation skills, braking skills, proper lane positioning...})

I am acutely aware that if I off at (say) 80kmh in my local area (say, hit a fukken roo that jumps before me), no matter what I do I'm meat because
  1. age (some good relevant points on my blog post here)
  2. warfarin
Live to Ride,
Ride to Live
Nice ride, thanks. I like the countryside aspect. I've taken similar MSF (Motorcycle Safety Foundation) courses here. Same fear too but of hitting a American Whitetail Deer. I have some nice rides on video thru the small mountains of West Virginia. Real nice curvy roads. I'll have to figure out how or best way to post. Thanks again!
 

thos_huxley

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Ouch, or is it nerve damage and you bite it because you can't feel it?
I'll respond to pellicle and Chuck C at the same time.

No nerve damage, and every incident (some more than others) hurts like hell. One of these sent me to ER for a damn stitch on my tongue. I've spoken to multiple dentists about this without resolution.

My own causative theory starts with two molar extractions followed by an implant. I'm probably wrong, but I think somehow these procedures affected my bite; I didn't have this problem before that. In addition, one of my bicuspids is quite a bit larger than the other, and much sharper and pointed, and an errant bite takes a chunk out of my lower lip. I've tried to have this ground down a little, but I've gotten no cooperation.

The Spongostan and frequent mouthwash noted above will probably help. Thanks, guys.
 
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