just wanted to clarify in more exact terms did this
Blowing my nose today brought out nothing but blood
mean this level of bleeding?
or just an amount of bloody material in your tissue but not soaking it?
How hard are you blowing (pop your ears or gentle)?
and I had my INR checked and it was down to 1.8 from 2.5 last week
to extend what vitdoc has said; INR being high does not cause a bleed, it just exacerbates one. For instance Ski Girl reported this some time back:
Does anyone remember the Monty Python scene where people are dying at a dinner party and the grim reaper appears and announces the source of the problem - 'it was the salmon mousse'? Well I had a similar experience this week. I had a blood test for something totally unrelated to warfarin and...
I had a blood test for something totally unrelated to warfarin and just because they had a needle in me they decided to test my INR, which I said would be 3.0 +/- 0.1. Imagine my shock when it came back and was 9.0!
I immediately stopped juggling the sharp knives and took my Vit K but I've been wracking my brain trying to figure out what happened - then I saw an article on Yahoo about the dangers of grapefruit juice.
so not only was she not showing any bleeding symptoms (as VitDoc said is the case) but she didn't freak out about it and just took corrective action..
With INR like you reported (either of them) with such a minor difference it would be difficult to see differences in bleeding contributed to by INR vs differences caused by size of irritation.
I would suggest cautious blowing not continuous and or hard.
To add something of my own story here I recently went to an ENT and had nasal endoscopy to try to find any cause for my (rather annoying) Post Nasal Drip. In the process the specialist noted something which caused him to ask if I get nose bleeds. I replied not particularly. He noted some scarring on the surface which suggested it. I had filled in a form showing I was on warfarin.
My dentist regularly notes my gums bleed less in subgingival scale and clean (an procedure noted for causing bleeding) and if he didn't actually know my history (he's been my dentist for decades) that he'd never guess I was on warfarin.