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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Large Blood Clot In The Urethra?

My mum m is in the hospital with severe bleeding in urine. Dr did cystoscope and found a large blood clot in the uretha. There was so much blood that he couldn see a lot, but was able to pass the scope clear to the kidney. She had been taking Coumadin due to a previous bout of PE and levels were 6, brought down to 3. We still don t know where the blood originates from. Where do we go next for answers/ explanations?
posted on Tue, 13 Sep 2016
Twitter Mon, 27 May 2019 Answered on
Twitter Wed, 29 May 2019 Last reviewed on
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Internal Medicine Specialist 's  Response
Hello,

Hematuria is due to Coumadin anti-coagualnt side effect as INR was high 6. Usually, it should be kept between 2.0-3.0. Once INR is adjusted, bleeding is likely to stop.

Renal Angiography / CT angiography can locate the site of macroscopic bleeding.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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What Causes A Large Blood Clot In The Urethra?

Hello, Hematuria is due to Coumadin anti-coagualnt side effect as INR was high 6. Usually, it should be kept between 2.0-3.0. Once INR is adjusted, bleeding is likely to stop. Renal Angiography / CT angiography can locate the site of macroscopic bleeding. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist