My Son Had A Stroke From A DVT, Blood Clot,

Posted on Fri, 9 Aug 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 9 Aug 2019 Answered on

Last reviewed on

Question : My son had a stroke from a DVT, blood clot, 11/29/2017, he is on Xarelto 20mg daily, today he had a small amount of blood come from the head of his penis when he urinated about an hour ago. it stopped immediately and has not had any since. He has been treated for a UTI while in the hospital for the stroke 2018. Should I take him to the emergency room or call his doctor tomorrow?

Answered by Dr. Bhagyesh V. Patel (40 minutes later)

Brief Answer:
possible internal bleed. ER visit recommended.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As your son is recovering from stroke, currently on blood thinner with
blood at the tip of penis indicate internal bleed most likely.

* If there are no associated symptoms as burning urination or dysuria, there
are all chances of alteration in coagulation profile in terms of bleeding or
clotting time most likely.

* It is strongly recommended to withheld further doses of any blood thinner
till consultant advise.

I would recommend an ER visit for best evaluation right now and prevent any further complications which may follow by waiting till tomorrow morning.

Wish him best recovery and health.
Do feel free to discuss further at any point of time.

Regards.
Dr Bhagyesh ( MS consultant surgeon )

Above answer was peer-reviewed by : Dr. Vaishalee Punj