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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The Reason For Blood And Black Piece Of Tissue In Urine With History Of Massive Heart Attack?

today, when urinating, a few times i have some blood during the stream and a few drops of blood afterwards. just now, a black piece of tissue, about half the size of an eraser on a pencil appeared. i am 81, 6'. 178 with congestive heart disease and take Coumadin due to a massive heart attack 11.15.2013. my INR level is at 2.1. what could be causing this health issue? thanks!
posted on Tue, 7 Jan 2014
Twitter Tue, 7 Jan 2014 Answered on
Twitter Wed, 8 Jan 2014 Last reviewed on
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General & Family Physician,  's  Response
Hi,

From the medical history of yours, it is related to possible:
- urinary tract infection
- bleeding from your genitalia

Coumadin increases the chances for bleeding; while the INR level of 2.1 is within the therapeutic levels; however, your cardiologist is the one who will set your goals. Generally, INR range should be within 2.5 to 3.5

I strongly suggest to run further tests to determine the reason of bleeding to start the right treatment orally and locally.

All the best!
Dr.Alba
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What Could Be The Reason For Blood And Black Piece Of Tissue In Urine With History Of Massive Heart Attack?

Hi, From the medical history of yours, it is related to possible: - urinary tract infection - bleeding from your genitalia Coumadin increases the chances for bleeding; while the INR level of 2.1 is within the therapeutic levels; however, your cardiologist is the one who will set your goals. Generally, INR range should be within 2.5 to 3.5 I strongly suggest to run further tests to determine the reason of bleeding to start the right treatment orally and locally. All the best! Dr.Alba