Curious if there are symptoms

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INR range has still been the desired number 2.7 but if a range were to get out of control, are there symptoms? I am wondering if Alexia would feel differently or would she look different?

Thanks for all your advice!

Valerie
 
I wish...

I wish...

I wish there were. I have been as low as 1.3 and as high as 3.5 and have never noticed anything that would make me think my number is out of range. I'm guessing most will say the same. The only ways to tell, as far as I can see, is too low: Clot, Stroke, etc... or too high: excessive bleeding... Either way it would be too late to do anything at that point except go to the ER.

Just my $.02

Rich
 
I don't think there are any symptoms, other than the ones for when you get horribly out of range. Those would be TIA's, stroke and major bleed.

There have been times when I've done my testing and had a hard time getting a drop of blood to come out and I'll assume the test will show me as low. But then it comes out in range or even too high. Then there have been times where the blood just flows and I think "Wow, I'm going to be high." and it's either in range or too low.
 
The only thing you might notice with a slightly higher than preferable INR is bruising from bumps that wouldn't normally cause bruising.

If her INR gets high enough to be dangerous she could have bleeds. Internal bleeds could cause blood in stool or urine. Brain bleeds could cause headaches, dizziness. I understand there sometimes can be no symptoms until something really severe happens such as intense abdominal pain from internal bleeding or passing out from a brain bleed.

Please check Al's website to look for further info.

www.warfarinfo.com
 
Karlynn said:
There have been times when I've done my testing and had a hard time getting a drop of blood to come out and I'll assume the test will show me as low. But then it comes out in range or even too high.

I had that happen on Sunday when I tested. I was almost ready to stick myself again when I finally got a big enough drop of blood. My INR was 5.2. :eek: Go figure. However - yummy big salad time. :)
 
There would be no symptoms for a too low INR, as that would be normal for people not on Coumadin - except...stroke, etc. Too high can cause bruising and bleeding - I've gotten nosebleeds and bleeding from my ear when mine was 6+. Many of us live with 3.5-4.0 every day, so that's not really "too high". I have noticed lots of small bruises on my legs and abdomen when I get past 4.0, but I bruise very easily.
 
My range is 3.0 - 4.0; I'm generally at @3.5. I've noticed that when I get close to or over 4.0 I have very slight nosebleeds (just a small amount when I sneeze or whatever) and I have a metallic taste in my mouth.

Some folks have petechiae (tiny red spots) on their legs when the inr gets high.
 
Some time ago, someone posted a graph showing incidence of 'events' vs. INR. The curve was basically flat (at the minimum value) from 2.0 to 5.0

Below 2.0, there is a linear increase in incidents leading to stroke. Transient Ischemic Attacks (TIA's) MAY be an indicator.
Symptoms of TIA include:
blurring of vision (or other visual effects such as
jagged lines of 'kaleidoscopic' images)
slurring of speach
numbness
paralysis
syncope (fainting)
ASK your Doctor if chewing an Aspirin would be appropriate to help break up a clot and/or prevent further symptoms

Above 5.0 there MAY be an increase in bleeding incidents such as a bloody nose, bleeding gums, blood in the urine, rectal bleeding, or dark or black stools. Bright Red blood is an indicator of Serious Bleeding and IMMEDIATE Medical Attention (ER) should be sought. Pink bloody discharge indicates less severity but still should be treated medically. Light Spotting is usually not serious and may clear on it's own or with light pressure applied. Again, the higher the INR (above 5.0) the greater the likelihood of a bleeding event. This was also a linearly rising line versus INR.

The BEST way to know one's INR is to obtain a Home INR Test Meter. A Doctor's prescription and letter of medical necessity is necessary. QAS (sponsor of VR.com) is a provider of Home Testers. See their FORUM.

Difficulty obtaining a sufficient blood sample can be minimized by being WELL hydrated. Take a large glass of water before testing (preferably a few? hours before). For patients with CHF, fluid consumption should be limited to what will not induce symptoms.

'AL Capshaw'
 
Back in 1983, I had a major, life-threatening bleeding event. Looking back, I had numerous bruises all over. I had my pro-time tested that morning (INR hadn't been developed back then) but would not get the results until the next day. Anyway, late in the day, I started feeling sort of sick to my stomach and by late evening I was having abdominal pain and bloating. At first, I thought that I was just having gas pains and tried to tarry with it for about three hours (BIG MISTAKE). Went to the ER and I was bleeding internally into my abdomen. I had a ruptured ovarian cyst but my protime was way off the charts at the same time. If I ever have bruising like I did that time, I won't wait to check my INR. I'm not saying that I freak out about my bruises but when I think about the number of bruises that I had that day and that they were all over the place, I should have realized that something was up. Linda
 

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