Blood: I'm on anticagulants (thinners). I'm... - AF Association

AF Association

23,540 members28,496 posts

Blood

Paulbounce profile image

I'm on anticagulants (thinners). I'm bleeding from 'the rear' pretty bad. Has anyone else has this. My stools are normal but there's quite a bit of blood (a lot) between times.

I think it might be the anticagulants causing the problem. However I don't want to stop taking them as I hope a CV is on the cards soon.

Cheers Paul

84 Replies

It sounds like it will be your blood thinners as I would strongly recommend you get checked out

Ty Buddy ;-)

Thomas45 profile image
Thomas45 in reply to Paulbounce

I'm not a medic but I have also had bleeding from the anus while on an Anticoagulant, which does not thin the blood but does delay coagulation.When I told my doctor she arranged an urgent appointment with a gastroenterologist at the local hospital.

I saw the GP one Monday, the gastroenterologist the following Monday. I had a CT scan in outpatients 6 days later, and sigmoidoscopy 13 days later again as an outpatient. A large polyp was removed. Thankfully it was benign.

As a result I now have colonoscopies every three years. Report it to your GP. If polyps grow too large they can become cancerous.

Is it light (new) or dark(old) blood Paul? Straight to your GP tomorrow, no question about it. If you don't I'll be up to drag you there! It needs checking out asap. You'll probably be sent for a colonoscopy to check all ok. Have you had any pain?

Jean

Hi Jean.

It's 'new' blood. No pain or any other problems.

Cheers Paul

CDreamer profile image
CDreamer in reply to Paulbounce

Most likely to be hermorrhoids if fresh blood. Darker coloured blood is normally more worrying. Worth a call to GP. Pradaxa doesn’t have a great reputation with gastric bleeds which is why I changed to Apixaban which I seem to tolerate a LOT better.

Paulbounce profile image
Paulbounce in reply to CDreamer

Ty CD.

Paul

sanotrader1 profile image
sanotrader1 in reply to CDreamer

Agreed

Jspjkc6 profile image
Jspjkc6 in reply to CDreamer

I also had a GI bleed while on Pradaxa. Get your bleeding checked out immediately!

Sorry to hear that Paul…..but as Jean said, best get checked out at the Doctors ASAP.All the best,

Baz

Cheers Baz

Paul

So what anticoagulant are you on?

Paulbounce profile image
Paulbounce in reply to carneuny

Pradaxa - dabigaran etexilalate - I think I've spelt it right ;-)

Paul

carneuny profile image
carneuny in reply to Paulbounce

Paul ..... aaaaaah! I am on warfarin. That said I have researched these NOAC's and can only say this particular anticoagulant does not have a sound reputation. Certainly, in my homeland, Australia, the Australian Government, Therapeutic Drug Administration has some negative reports on Dabigitran/ Pradaxa. Get to your MD/GP as soon as and look at alternatives.I am amazed at how these newbies are held in such high esteem when they are still relatively unproven.

John

Paulbounce profile image
Paulbounce in reply to carneuny

Thanks John. I'll check that out.

What a nightmare all this is. Enjoy your day.

Paul

carneuny profile image
carneuny in reply to Paulbounce

Paul, give me a few hours and I'll locate the reference and post it on here for you.John

Paulbounce profile image
Paulbounce in reply to carneuny

Thanks John. Your a star. We have a time diffence so it maybe tomorrow when I reply. I really appreciate your help though.

Many thanks Paul

G'day Paul,

Try this link as a start point .....

tga.gov.au/alert/dabigatran...

May the force be with you.

John

Paulbounce profile image
Paulbounce in reply to carneuny

Ty John. I'm turning in for night now but will check this in the morning.

Thanks for your help.

Cheers Paul

Lilypocket profile image
Lilypocket in reply to carneuny

Hello Carneuny I think it's worth mentioning that since that report was published in 2013 an antidote has become available for Pradaxa.All the best!

carneuny profile image
carneuny in reply to Lilypocket

True, though I have tried to draw Pauls attention to the original issue and leave him to follow the drama through to present times or whatever he chooses to do. I think there have been issues with other NOAC's too but can't recall which ones. I vaguely remember on here some peeps posting about problems with other NOAC's.

Lilypocket profile image
Lilypocket in reply to carneuny

Yes they all have their pros and cons and it's always interesting to keep informed through serious articles and papers. I only know about Warfarin and Pradaxa. Take care

Ty Lilly and John for the information.

Paul

Definitely get it checked out. Sorry to hear you've got this worry on your plate. Blood in stools should never be ignored however.

Paulbounce profile image
Paulbounce in reply to Singwell

You are quite right Sing.

Ty Paul

Anticoagulants will not cause the problem. What they will do, is make the bleeding from an existing problem worse. You must seek medical attention. It may be something as simple as piles which can be fixed easily.

Paulbounce profile image
Paulbounce in reply to Mrsvemb

Ty Mrsv ;-)

Paul

I agree with the above but in your post you say " in between" so not just when you are on the loo with a quick bright red " flash in the pan" which would probably be piles. In which case I would have it checked out by your GP . My husband was on Pradaxa and he had a couple of episodes of bleeding so there may be a link.All the best

Ty Lily.

Paul

I think maybe take a step back, do/did you have a problem with haemorrhoids prior to starting on the blood thinner? If so then it's possibly an existing problem made worse and should be discussed with a GP. Piles can bleed between bowel movements and in females, when they're a real problem, can be triggered even by urination. If you don't have preexisting piles then you definitely need a check up. It could be something fairly minor (rectal polyp say) that the anticoagulant is making worse. In both circumstances a check up is the sensible option to rule out what it isn't 😉

Paulbounce profile image
Paulbounce in reply to Espeegee

Ty Esp.

You are quite right.

Paul

I have been on them over 20 years and never had this experience, are you regularly having blood tests to monitor your INR? If you are and your INR is stable then I would hazzard a guess it is not your anticoags and would respectfully suggest you make urgent contact with your GP/Surgery as any unexplained loss of blood from any area is a warning sign that somethings isn't quite right. Good luck.

Paulbounce profile image
Paulbounce in reply to opal11uk

Ty Opal.

Good advice.

Paul

baba profile image
baba in reply to opal11uk

INR is irrelevant in this case as Paul is not on Warfarin.

Paulbounce profile image
Paulbounce in reply to baba

Ty Baba. Point noted.

Cheers Paul

Regardless of the thinners you MUST get this checked asap

Paulbounce profile image
Paulbounce in reply to Caro57

Ty Caro.

Playing safe is best I agree.

Paul

Dont have any experience in this but please get it checked out TODAY.

Paulbounce profile image
Paulbounce in reply to Nannysue1

Ty Sue.

Paul

I had this first just over a year ago, and it was worrying but it turned out to be of no consequence. Bright red blood will almost always be from haemorrhoids, or occasionally from a diverticulum in the sigmoid colon. Both will be made worse by an anticoagulant. You can get quite a lot of bleeding from either source but, from a diverticulum, it can be a good quantity, as my uncle once discovered. Unless you've already been looked at by a doctor, then it will need investigating, as you surely realise.

Steve

Paulbounce profile image
Paulbounce in reply to Ppiman

Sure Steve - I'm with you.

Paul

I had a positive test for blood in my stools which turned out to be a false alarm after I had a colonoscopie. Im sure it was the apixaban. Doctor couldn't say though. If it's red it will be piles.

Do not assume it's piles, get it checked at once, my husband made that assumption but on further examination it turned out to be a malignant growth in the rectum. Colonoscopy should be carried out immediately to put your mind at rest !

Ty Pusill.

Paul

Paulbounce profile image
Paulbounce in reply to TheProf

Ty Prof.

Paul

Hi Paul , I was in a similar situation a few months back .My GP asked if there was any change in my bowel movements recently which there was , although not significantly .This prompted a FIT test and blood count which was done the next day. After a positive result I was referred for a colonoscopy under the 14 day rule .My bloods were normal but there was a small trace of blood in the stool

I had the procedure done which was clear and the consultant said the blood was more likely to have come from a gastric issue or piles and being on Edoxaban anticoagulants exacerbated things .

He did see 2 very small piles internally which he thought had healed .

As has been said , your GP should be your immediate contact in this situation.

Good luck 👍

Paulbounce profile image
Paulbounce in reply to Hammerboy

Ty HB.

The more I check the more piles seem to be the culprit - I hope so anyway !

Paul

This happened to me on Riveroxaban.....bleeding due to haemorrhoids. I was fast tracked by GP - they did a colonoscopy & said would need an op to sort them. However whilst waiting on their list, I went on a gluten free diet and this resulted in them becoming tiny so no op needed. Consultant said he'd seen this happen before with gluten free diets. I had other symptoms so not saying you should go gluten free!! 😂

It should definately be checked out.....

Ty Wavey.

Paul

I have had that too, but it wasn’t the anticoagulant, it was haemorrhoids, which was discovered after it was investigated at the hospital. The blood was bright red like yours Paul, but please go and check with your doc. I know it’s scary and you always think the worst, but it’s not always as bad as you think. Good luck and take care.👍

Paulbounce profile image
Paulbounce in reply to Cha275rL

Ty Cha.

Paul

You have had lots of good advice so just to say sorry to hear of this problem and how worrying it must be. I would be going up the wall! I am sure the medics will sort it all out and find out the problem. I would think it is either anticoagulant or hermorrhoids. Prayers for you Paul. We always think the worst scenario but there are many things that can cause this. My dad had a small blood vessel burst there once. It was nothing so keep that chin up.

Ty Caval for your kind thoughts.

Paul

I take Riveroxaban and have had a few episodes similar to what you report. I used to get them before I started on the Riveroxaban though and was told then it was due to piles. I did have a colonoscopy not long before we went into lockdown following a suspicious’poo’ test which was clear although 4 polyps were destroyed in the process which I found fascinating btw! I have not done anything about the more recent bleeding which seems very intermittent although I might mention it when I see my GP next week if I get the chance although there are other things I want to discuss.

Sure Cryst.

Keep your eye on those polyps. I suggest having it checked again in 12 months max.

Good luck.

Paul

Thanks, Paul. It is over 18 months since I had the colonoscopy. I saw the polyps being cut out. In fact, I spotted a couple of them myself. Memory being what it is now, I did think that I was told that colon cancer is so slow growing that I would probably be OK now or did I imagine this? It is so hard getting to see a GP or other medic at the moment but I will add it to my list for next week but they usually say you can only discuss one thing per visit. I am seeing yet another GP next week that I have never met before but it is at least face-to-face but I have quite a long list already. When I rang to get an appointment, having finally got through after waiting nearly an hour, and explained to the receptionist what I wanted and why, she said she would make me a telephone appointment but did change it when I asked how the doctor would be able to see what I needed to show him especially as we don’t even have video calls here as far as I know. I know we have a lot to thank our NHS for and certainly I wouldn’t want to be without it, but there are times when you despair.

Cor Cryst. You are braver than. I wouldn't watch the screen when I had mine done. It was like watching East Enders up your bum !

Keep on top of it though.

Paul

Thomas45 profile image
Thomas45 in reply to Crystalbowl

I replied to Paul earlier. My anal blood was not from piles or from the anticoagulant. It was from a significant polyp in my sigmoid colon.As a result I have colonoscopies every three years.

Paulbounce profile image
Paulbounce in reply to Thomas45

Ty Tom.

I hope your polyp was sorted and the problem solved for you. I think colonscopies every 3 years are a good idea for you - well done.

Paul

Hi Paul. I had a similar thing (but only when having to push too hard) it was piles in the end.Please see your GP! Maybe switch to apixaban?

Wishing you well.

Ty SD.

I'm pleased you got it sorted ;-)

Paul

Hoping you are now on your way to a GP! Or at least on the phone !Always think of the simplest explanation such as bleeding piles internal or external exaggerated by anti coagulation..but fir peace of mind and how to resolve it....seek advice and examination pronto

Hope sorted out soon xx

Paulbounce profile image
Paulbounce in reply to wilsond

Ty Dawn.

Paul

Straight to your GP! Any bleeding from back passage should be checked immediately. All the best, Suzi

Paulbounce profile image
Paulbounce in reply to SuziElley

Ty Suzi.

Paul

Well l have had a lot of bleeding and for my own reference l did photographic evidence. I was under a consultant for 4yrs and had tests bla bla still not taken seriously, so as we're told to watch out for blood this time l thought l will show you my evidence!!! Well her reply was? how do l know you didn't paint it on. And so my journey is still on going and l have been told l will only have it dealt with when it's an emergency. l would like the procedure done before an emergency as then lt would definitely be a life or death situation. I knew l was right something is wrong inside. But l just have to live knowing that.

"Well her reply was? how do l know you didn't paint it on."

WHAT ? Time for a new doc methinks !

Good luck.

Paul

Thank you Paul, l know your right, l might try and find someone else.Lynne

That is an outrageous reply from a GP and should have been reported at the time. I hope for your sake that there is nothing serious causing the bleeding. Good luck with getting it sorted.

bassets profile image
bassets in reply to lynneangela

Good grief! That's awful. Change doctors and make a fuss! You shouldn't have to live knowing something may be wrong. Jope you can get this cleared up soon.

Hi I think you know this is a reason to consult your GP very quickly . It could be haemorrhoids or something more serious the only choice you have is visit yourGP . We can’t diagnose you just give you ideas. Make the appointment today . Best of luck mary

Paulbounce profile image
Paulbounce in reply to George22

Ty Mary.

Paul

Hi Paul, have taken any other tablets for say a headache or pain killers, as some of those are on the banned list for us Afibbers. I had taken a liking to Alka-Seltzer XS 1. They dealt with light headaches 2. They can give you a bit of a lift if feeling not quite yourself 3. They are also quite refreshing. The downside is that the medics say "oh do not take that it has a downside with other medications", negating to mention what the "downside" is!

The bottom line (unintended pun) being, is that it can cause (as I found out) internal bleeding, possibly caused by interactions of other medications. The other thing as I suspect that you have already done, is to check existing medication, other than that it may very well be something simple

Paulbounce profile image
Paulbounce in reply to john6

Ty John.

Paul

I had this many years ago in my early forties (74 now) went to the loo in the morning and so much blood it was alarming I was terrified and it carried on throughout the day if I went for a wee, no history of piles or on an anticoagulant. Got an appointment with the the GP that evening, he examined me and it was a small nick in the bowel. Treated with pessaries and eventually cleared up in three days and never had any problems since. So hopefully it may be something quite simply. Hope you get it sorted soon.

Paulbounce profile image
Paulbounce in reply to cassie46

Ty Cassie. I'm pleased to hear it was sorted for you.

Paul

Hi, agree with all advice! Have to say I am on Apixaban and had the same problem recently so it’s the preexisting condition not the make of anticoagulant 😕

Paulbounce profile image
Paulbounce in reply to Buffafly

Ty Buff.

I'm keeping my eye on it.

Paul

Do get it checked. Sending best wishes.

Paulbounce profile image
Paulbounce in reply to baba

Ty Baba.

Paul

Best wishes and please do get checked out.

Paulbounce profile image
Paulbounce in reply to bassets

Ty Bassets.

Paul

I’d always side with the cautious approach when it comes to matters like this. It’s not worth the risk just for the sake of going to see the Dr and having a possible exam/test. Better to be safe than sorry. I had testicular cancer a few years ago and the only symptom was fresh blood and no pain, so had I missed the blood which only happened the once I might have faced a different ending.

Get it checked and let us know what they find…

Good luck….

Ty DD.

I'm pleased to hear your testicular cancer was sorted - every mans nightmare.

Paul

You may also like...