Deans' stroke musings: Gastric ulcer with hemorrhage due to concomitant use of aspirin and warfarin

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, February 5, 2013

Gastric ulcer with hemorrhage due to concomitant use of aspirin and warfarin

Be careful out there.
http://www.cadrj.com/qikan/epaper/zhaiyao.asp?bsid=17701

Abstract

A 62-year-old male patient received combined therapy with aspirin 0.1 g once daily and warfarin 3.0 mg once daily for prevention of thrombosis after undergoing aortic valve replacement. On day 5 of treatment, he presented with vague pain in the upper abdomen. On day 14, his abdominal pain worsened and, on day 15, he presented with melena. Laboratory tests showed the following values: red blood cell count 2.2×1012/L, hemoglobin 65 g/L, prothrombin time (PT) 45.9 s, international normalized ratio (INR) 3.7, fecal occult blood (++). Gastroscopy revealed gastric ulcer with hemorrhage. Aspirin and warfarin were withdrawn, and then the patient was given hemostatic and symptomatic treatment. On day 2, the patient’s abdominal pain was relieved and hemorrhage ceased. His PT decreased to 12.8 s and his INR decreased to 1.1 one week later. The patient resumed the anticoagulation treatment with warfarin.