Cuts when on blood thinners - British Heart Fou...

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Cuts when on blood thinners

MrHocum profile image
50 Replies

Hi All,

I have been on Edoxaban since about March this year without a problem, but recently cut my knuckle when a pair of scissors broke when I was using them and had real difficulty getting even this very small scrape to stop bleeding. It took quite a while when I did it in the morning and then, after a bath and changing the plaster in the evening, it started bleeding again and probably took even longer to stop.

I know this is clearly due to the blood thinners but does anyone have any tips or advice as to what to do or what to use to stop the bleeding a bit more quickly? Any special plasters or products that you use and recommend?

Thanks a lot.

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PadThaiNoodles profile image
PadThaiNoodles

In the hospital they had some sort of plaster with a clotting agent in it. Don't know if you can get them over the counter or not, though.

On the other hand, my cardiac surgeon doesn't seem too worried about it. When removing some sutures he just stuck a normal plaster on and said "that will probably bleed for a while". (I'm on warfarin for a mechanical aortic valve.)

MrHocum profile image
MrHocum in reply toPadThaiNoodles

Thanks for the response. I'm not really that worried, especially about smaller cuts, but it did bleed all over my bedsheets last night, despite the plaster I put on it, and so I was hoping to try and avoid that in the future.

fishonabike profile image
fishonabike in reply toMrHocum

the best thing for removing bloodstains is your own spit, but it is rather limited to small stains as it takes a lot of spit to loosen a large one spit on the stain and gently rub it in, repeat if necessary, then wash on cool to warm cycle, hot water cooks the blood in

small stains can be dissolved without the need for washing afterwards - this is a method often used by stitchers after they prick themselves eith needles and bleed onto their work

saliva contains an enzyme (amylase) which helps to break down the proteins in blood

Qualipop profile image
Qualipop in reply tofishonabike

Milk also gets rid of blood stains even when dried in

fishonabike profile image
fishonabike in reply toQualipop

but that needs washing out afterwards anyway - i guess it's helpful for morexextesive staining

nwa1 profile image
nwa1 in reply toMrHocum

Hi I use a Click Medical liquid plaster spray I found on Amazon, it works on small cuts and abrasions, especially on my hands and small scratches. bigger cuts need the modern water proof plasters, I have the Elastoplast waterproof sterile, which also worked well for me. I seem to be cutting myself more these days. I don't leave home without my little self help kit these days😇 hope that helps!

MrHocum profile image
MrHocum in reply tonwa1

Thanks. I did see the liquid plasters but went with the haemostatic spray to start with and will see how that goes.

L8Again profile image
L8Again in reply toPadThaiNoodles

Doctors have the ability to counter the bleeding effects of warfarin should the need arise. Modern anti-coagulants are in a different category. For this reason, my wife’s cardiologist insisted that she came off Edoxaban 3 days before she was fitted with a pacemaker.

MrHocum profile image
MrHocum in reply toL8Again

I was the same when they put in my s-icd. Now I appreciate why!

wischo profile image
wischo in reply toPadThaiNoodles

Why would he? as its not him bleeding😵‍💫

Tabac profile image
Tabac

It's those stupid little nicks that won't stop, the bigger cuts seem to stop more easily. I'm on Warfarin & Clopidogrel and a small scrape can bleed on and off for 48 hours. If you just use plasters the blood pools up and then breaks through as you've found out.

The best solution I have found is to wad up a sheet of towel roll to fit over the cut and use surgical tape to hold it in place. You can always put a plaster over the towel roll if no surgical tape to hand.

MrHocum profile image
MrHocum in reply toTabac

Thanks. Yes I did end up doing something similar at 2am last night when I found it had broken through the plaster and it now seems to have stopped again.

I did see that there are special plasters on Amazon that say that they have something that helps with clotting and also a 'Haemostatic' spray, but I did wonder how effective they were for those of us on blood thinners.

TheMiloKid profile image
TheMiloKid in reply toMrHocum

I would have a word with your pharmacist about the plasters. Also I would have held my hand in the air above my heart to reduce the blood flow, after wrapping it up in gauze or whatever you use. I am on Edoxoban and touch wood, haven’t been too badly affected.

bikerider00 profile image
bikerider00 in reply toMrHocum

I'd be cautious of using some from of coagulent without talking to doctor/pharmacist. How locally contained to the cut is the effect actually going to be? I wanted to see if I could use something like Arnica cream to help reduce bruises, but the pharmacist I asked said it was a "No", to avoid more widely countering the intended effect of the blood thinner I was on.

MrHocum profile image
MrHocum in reply tobikerider00

Good point. I would hope it would be localised but always best to check.

Desertflowerchild profile image
Desertflowerchild in reply tobikerider00

I had no idea that I should not be using Arnica!! Here is what I found: Because of its ability to prevent clots from forming, Arnica should not be taken with other medications or herbal products that can thin the blood like aspirin, clopidogrel, warfarin, enoxaparin, apixaban, dabigatran, rivaroxaban, ginger, garlic, or ginseng, to name a few.

PadThaiNoodles profile image
PadThaiNoodles

Found some on amazon. (Haven't tried them myself, though.)

amazon.co.uk/Quickstop-Clot...

MrHocum profile image
MrHocum in reply toPadThaiNoodles

Thanks, yes I spotted these as well, but at 50p a plaster I was hoping that someone here might have tried them (or similar before) and be able to say how effective they were, before I spend £15.

There are these ones, which sound similar and are cheaper but also the shape is not quite as useful - amazon.co.uk/gp/product/B00...

Taviterry profile image
Taviterry

I bought an over-the-counter spray suggested by my chemist, but have yet to need to use it. I don't seem to have any problems with tiny nicks and jabs for injections and blood tests, but earlier this month a nurse removed a canula (having forgotten it was still there) and some thin blood poured out down my arm onto the chair. Another nurse dashed over with some sort of wipe, cleaned my arm and put a small dressing on, a bit like a solid tube the diameter of a pencil. I removed it the next morning, and saw only a tiny speck of dried blood.

MrHocum profile image
MrHocum in reply toTaviterry

Which one, if you don't mind me asking? I just removed the plaster and dressing that I put on last night and it started bleeding again immediately so it does seem like I need to try something.

Taviterry profile image
Taviterry in reply toMrHocum

Sorry, I've no idea what sort of wipe she used. I was too pre-occupied with the blood streaming down my arm and hoping it wouldn't stain my clothes.

MrHocum profile image
MrHocum in reply toTaviterry

I meant the spray, rather than the wipe :)

clifetta profile image
clifetta

I purchased some special plasters with sonething in them that stops bleeding from ebay. Also bought one of those white sticks that men use if they cut themselves shaving.cant remember what they are called

MrHocum profile image
MrHocum in reply toclifetta

And they were effective?

Taviterry profile image
Taviterry in reply toclifetta

Styptic pencils. I found them reasonably effective in my pre-Clopidogrel days but haven't had reason to use one since.

MrHocum profile image
MrHocum in reply toTaviterry

I did see those on Amazon and wondered about them. They look fairly cheap so I think I will get one, thanks.

clifetta profile image
clifetta

Havent tried the plasters yet but the stick works

Sleepyzz profile image
Sleepyzz

you can by hemostatic plasters although I’ve only found very small ones but they work in small nicks. You can also get a hemostatic spray which I’ve found good and they do hemostatic gauze dressings.

MrHocum profile image
MrHocum in reply toSleepyzz

Thanks - I have ordered a spray from Amazon and will see how that goes.

Cairnview profile image
Cairnview

When in hospital when an injection i had was bleeding a lot they put a dressing on it and told me to apply pressure on it until it stopped

Blackknight57 profile image
Blackknight57

as a rule bleeding should stop after 10 mins when applying pressure. Bathing will soften clots may even remove them.

If it is bleeding a lot go to a&e. Ie if you put on a plaster and it is soaked within a few mins.

Keep applying pressure.

MrHocum profile image
MrHocum in reply toBlackknight57

Thanks - I think I will definitely need to get used to keeping things like this drier for longer.

sandandkev profile image
sandandkev

Hands can bleed anyway,but worse on blood thinners,I usually elevate hand and use pressure,then put plaster on tightly,usually does the job,but at night you probably rubbed it and as healing takes a bit longer you just knocked plaster off. You'll get used to it,now have bruises that can't remember hitting and nicks when in garden

Stent2024 profile image
Stent2024

I’m on aspirin and clopidogrel. Knocked a scab off the back of my hand in a fitness class . Couldn’t stop the bleeding . Was a bit embarrassing to say the least 😱

Murderfan58 profile image
Murderfan58

I am on Apixaban you just have to put a tight plaster one if the blood comes through the plaster put another one on top . And leave it on a few days before removing it. If you have blood tests make sure they use 2 tight plasters other wise you will get a sleeve full of blood . Happened to me the nurse wouldn't put the plasters on like I asked and only pad of cotton wool and micro tape .Felt my arm getting wet on the bus luckily had a linen shirt on and a cotton navy blue jacket. When to my favourite coffee shop for a drink and asked if they had a first aid kit. From my elbow to my wrist my shirt was red and my jacket . Cleaned up the blood and 2 tight plasters on . Have to have a plaster if I have an injection.

Always have plasters handy of all sizes . Plus I can't eat crunchy food as they give my blood blisters in my mouth . Which normal goes within a day.

Bingofox007 profile image
Bingofox007

A cut on a knuckle will always bleed more as the scab gets disturbed with every bend and movement. Kaltostat or aquacel on the cut under dressing helps to halt bleeding/aid formation of clot. Elevate wound and apply pressure. I’m on 60mg edoxaban and have same problem. Take care 🦊x

MrHocum profile image
MrHocum in reply toBingofox007

Thanks a lot. I have an alginate dressing on the way now so will have to see if that works next time.

phollers profile image
phollers

I’m on rivaroxiban 20mg and my blood flows even when I go for a blood test. It’s messy and different, but the doctors and more importantly the nurses don’t seem too worried as it is an expected side effect. I’ve been told to use compression for a few minutes and so far that has worked. The wound may open up a bit on and off for a few days even, but eventually it stops. As you’ll have discovered, a few drops of blood goes a heck of a long way, but you’ll know if it is serious enough that you need more urgent help.

MrHocum profile image
MrHocum in reply tophollers

I think that's what worries me. A small cut like this is not a problem, but what if it is much bigger. I didn't really appreciate this before and now realise I really do have to be quite careful, wear gloves when doing anything vaguely riskly, etc.

Thesnowman51 profile image
Thesnowman51

Don't forget that Edoxaban isn't a blood thinners it is an ani-coagulant. Hence your blood won't clot. I am on the same and I find that cuts can take up to 5 or 6 days to finally stop bleeding. You think it's ok, after 24 hours, then you wash it and it starts all over again. I've been on it for a year and just got used to it, my first aid kit is always close at hand and plasters are with me all the time

MrHocum profile image
MrHocum in reply toThesnowman51

Thanks - I think I also need to plan ahead like this in future.

T666 profile image
T666

I have previously put a dollop of Vaseline on a cut ( inspired by boxing and what the do in the ring) I placed a cheap dry dressing on top and secured with surgical tape (microphone)

It really helped stem the flow

peterjones105 profile image
peterjones105

I remember Alum sticks used to be applied to stop bleeding caused by errant shaving, I wonder that Alum could be applied to stop your bleeding?

MrHocum profile image
MrHocum in reply topeterjones105

I will have to give this a go, thanks

Deejay62 profile image
Deejay62

Hi I take Edoxaban and when I cut myself I use 2or 3 plasters all at once. I sliced my hands with a knife cutting something and it went to the flesh. I put pressure on it with lots of tissues then I covered it with 3 plasters side by side then one on top. When I saw blood I would change and repeat. It eventually stopped after a few days.

kkatz profile image
kkatz

I don't seem to have any problems on edoxaban.people may have heard me say how do I know this is working?Blood tests , removing cannulas,

Laparoscopic incisions no probs.Wisdom tooth extraction,but I did have a prob with a clot being formed.

I always bled a lot when on aspirin.

Doesn't help your problem though.

A very painful possible solution is lemon!

Survivor1952 profile image
Survivor1952

I used to find blood spots all over the sheets when I was on Ticagrelor, I finished that in June but still find the odd spot.

Had a small cut on my thigh yesterday and that has taken three or four hours to stop bleeding, I’m just on aspirin now.

I did cut my elbow badly before finishing the Ticagrelor and that took over 24 hours to stop bleeding.

Malcvtr profile image
Malcvtr

Haemostatic spray, not to be applied directly to wound, but sprayed on dressing:

Beeswift CUT-EEZE Haemostatic Wound Congealant Spray, Click Medical, 70 mL amzn.eu/d/hfSKU9L

MrHocum profile image
MrHocum in reply toMalcvtr

Thanks. I have ordered some of this and while it will be too late to make a difference this time, I'm sure there will be a next time.

Jedi14 profile image
Jedi14

I've been pondering that for along time! Hav'nt found a satisfactory answer. Ever since I was put onto Apixoban. I cut myself at work on the edge of a sheet of paper, it did not stop bleeding all day! I kept changing tissue papers.

I have been extra careful ever since, I use a razor which is blunt, avoid any sharp things etc,etc. Don't forget you can quite easily give yourself internal injuries too!

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