Blood in Urine: Has any man in our group... - AF Association

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Blood in Urine

51-1-64
51-1-64

Has any man in our group whilst taking BIsoloprol & especially Xarelto experienced bleeding in the urine ...our Doctor has just stopped the Xarelto on my husband & referred him to a specialist! Comments would be so welcome at this worrying time ...thank you

13 Replies
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I've had no problem with blood but my GP has just reduced my Xarelto dose because of irregular kidney test results. Sorry can't be more help but I know that is why they test regularly because the kidneys can be affected. Good luck.

Easy to say, but try not to worry. Blood in urine comes from a variety of different reason and they are not all bad. Obviously he must be checked but for reasons some of us men know about, the penis contains millions of tiny blood vessels and it’s not unusual for one to burst. The area is also prone to infection so this also needs to be checked. The main problem is that his protection against stroke will be compromised if he stops taking his anticoagulant so do whatever you can to speed up the appointment.....

51-1-64
51-1-64
in reply to FlapJack

Hi Flapjack ...the Doctor pulled him off the Xarelto straight away ...no infection on testing by him & the hospital.....but still getting a pink show with very small blood clots and sometimes frequent urination for about 2hrs at night! Blood tests tomorrow .....referral to the urologist not until 8th Jan?🤔

FlapJack
FlapJack
in reply to 51-1-64

In my opinion, that is far too long to be NOT taking your anticoagulant. To help focus your GP’s mind, I suggest you ask him/her what the potential risk might be for not taking your anticoagulant for 4 weeks might be. If a quicker appointment is not possible, ask what presents the highest risk to you, aggravating the bleed or increasing the risk of having a stroke. Sorry to be so blunt, but you need to know........

51-1-64
51-1-64
in reply to FlapJack

Thanks Flapjack ....I think he has initially stopped it for 2 weeks so another 9 days to go ...lets see what the results reveal tomorrow eh? Fingers crossed ...luckily there has been no pinky blood today just clear urine! Phew!

CDreamer
CDreamer
in reply to 51-1-64

I agree with FJ - too long to be off anti-coagulants without good cause.

I had a scare a few months ago with blood & clots in urine but I didn’t stop the Apixaban - my GP tested there and then in the clinic and it turned out to be a UTI which antibiotics cleared quite quickly. As FJ says - number of reasons. I think I also passed a small kidney stone which hurt like hell and scratched. The bleeding stopped after a few days.

Always best to get it checked, if there is anything urgent I am sure they will put your husband under observation.

I'm not a man, but when I was on Rivaroxaban I did have blood in my urine on many occasions. I was changed to Apixaban and although I have had one or maybe two episodes, nothing like the Rivaroxaban. I believe Apixban is kinder to the brain, gastric and urinal tract than any other.

Of course, your husband has to get this sorted out as it could not be the cause of anti-coagulant and may be just a urine infection. Good luck and best wishes

51-1-64
51-1-64
in reply to Tapanac

Thank you ...time for a change me thinks!

Urinary tract infections (UTI) usually make themselves known by pain on urinating, and UTIs tend to be antibiotic resistant. Anticoagulants may cause blood in the urine - particularly if taken with Finasteride - but it can also be caused by an enlarged prostate. The medical diagnosis path is usually a cystoscopy, PSA check, then if the PSA figure is high relative to density of the prostate, a "hot" CT scan. If they recommend a biopsy it will probably be a transperineal. Although the biopsy isn't a problem, you need to stop taking an anticoagulant before and after the biopsy. Suddenly stopping an anticoagulant may increase the risk of a stroke; I've had a stroke so stopping is an issue for me. Instead you may be prescribed Finasteride. This will take 4 to 6 months to work and, it will reduce the PSA figure which then has to be multiplied by two. However, Finasteride can cause impotence and, there is a very small risk of high grade prostate cancer. Most men over 60 that I talk to seem to have some version of a prostate issue. As you can guess, I've had blood in my urine for years, I've had a biopsy, I'm now on Finasteride and, my PSA is being monitored as an option to having a second biopsy.

51-1-64
51-1-64
in reply to john-boy-92

No infections ...bloods normal ....thank you for the advice John Boy

Glad to hear he is going to specialist

Noacs thin the blood so that what normally wouldn’t show up does with these meds. One of the side effects of xarelto IS blood in urine.

Blood in the urine (hematuria) can be visible or not. A urine dip can detect blood that isn't visible. I had blood in my urine before I took an anticoagulant. The downside with blood in the urine is yet another cystoscopy.

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