I have had paf for over 10 years. I had a flutter ablation in 2011 and a afib ablation in 2015. I have failed several meds to control rate and arrhythmia in the past. I am again on Multaq for the past month. I have another health issue thats not so delacate. I have internal hemorrhoids and have had bleeding issues often. Ive been on anticoagulants for years. For the past two years I have taken apixaban. My GI doc really dosent want to do surgery because of the anticoagulant. He also said the hemorrhoids werent really that bad. The anticoagulant invreased the bleeding. He also mentioned that even after the surgery, anticoagulants could cause further complications with healing. OK so I asked my cardiologist if I could try apixaban as a pill in a pocket and to my shock he said yes. I always know when I go into afib and the agreement is to take the apixaban at the onset and continue it for three weeks even if the afib abates. Now im reconsidering. Is anyone else doing this? Kinda nervous but im 69 years old and tired of wearing a pad all the time and having blood running down my legs and puddling on the tile.