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JudyKol, May 12,  2020  8:30pm EST

Xarelto and a fall

Just started taking xarelto in January and when prescribed was told to be careful not to fall. Well, I fell this evening and have a bruise on my shoulder. I called the clinic and of course they are closed early due to the virus. Living in the hot zone, Montreal. Called the hot line and a nurse said to ice it every hour for 20 minutes. Just wondering if thats sufficient? Was thinking of skipping my dose this eve. Any suggestions given I cant get in touch with a Dr this eve except going to the ER which is the designated COVID site. 

6 Replies
  • Edhammer
    Edhammer, May 12,  2020  9:18pm EST

    I'm not sure, but the warning about falling was about the possibility of cutting oneself and suffering a bleed. Sounds like you have a ***** bruise, but not a bleeding event. I'm no medical personnel, but I'd say the nurse you spoke to was giving souls advice. Now if the fall has caused internal bleeding, and hasn't let up you should probably hit the emergency room. Feel better. 
    I am  religious about my anticoagulant and would take it.

  • JudyKol
    JudyKol, May 12,  2020  9:25pm EST

    How can you tell if a fall causes internal bleeding?

  • Edhammer
    Edhammer, May 13,  2020  12:12am EST

    Again, not being a medical pro, I would think internal bleeding could be determined by a spreading bruise that increases, pooling of blood, I'm of the feeling that you do not have internal bleeding. Generally speaking you might see that in an extreme situation like a car wreck or some sort of puncture wound(gunshot or stabbing) where a blood vessel or *****  is compromised. 
    but again, I'm no doctor, just someone who has seen a lot.

  • DkinAA
    DkinAA, May 13,  2020  12:00pm EST

    I am not a doctor, but I've been on Xarelto a few years, then on Eliquis the last two years, which seems to be some better on the bruising and bleeding. I've always tended to bump into things a lot doing work around the house, on the car, etc. I've often had some pretty good bruises, and the anticoagulant definitely makes them spectacular - a big badly discolored area that gradually fades away - a super bruise! I usually take a picture of it on my phone just to make it easier to tell whether it is disappearing and record how long ago it happened.  So if this is all that is happening, I wouldn't be upset. These days maybe you can email a picture to your doc to look at.

    On the other hand, I had some gastro-intestinal (GI) bleeds - especially before I went cold turkey on the ibuprofen and other NSAIDs. That''s another matter, to be taken seriously in the ER. If you get a head bump, like from a fall, that can be serious if it is a bleeding inside the skull issue. That link looks like good basic advice for both GI and head bleeding.

  • Jeanamo815
    Jeanamo815, May 13,  2020  1:14pm EST

    Judy, the greatest danger from a fall is if you hit your head and that could cause bleeding in the brain.   Since you only seemed to suffer a shoulder bruise with no cut or bleeding,...and you did not bump you head, the nurses's advice was probably in order.   In that case,  it doesn't  seem to be advisable to stop your Xalrelto.

    Hope you have recovered well from your fall...

    Best to you, Jean

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