my leg has started to hurt after the meds and my symptoms are “there” just not as strong and hard. It is possible the inflammatory response to such a stress may contribute to endothelial damage and set up the cascade for thrombus formation. for a week and a half then down to 15mg Xarelto BID for 3 weeks and after titrating down again to 20mg Xarelto once daily at h.s. Is there any way having a tumor on the brain can be related to a blood clot on the lung. this should certainly be ruled out. We have now talked about a clot that forms in the veins of the leg. My TMAO is now 6, Im walking 4 miles every other day and physically feel good mentally Im like a Zombie. Any advice appreciated. They send us to our house doctor for testing and medical release. Wayne Crowder. I was misdiagnosed and send home on both occasion. I just got out of the hospital after having suffered a sub-massive PE. I know it isn’t supposed to help, but I’m desperate to resume my life. We have a very special family holiday booked which entails a 4 hour flight in 2 and half weeks time! Just feel tired, week and depressed. The normal echocardiogram is reassuring. Hi, i’m glad to see you appear to have made it through your ordeal in a stable manner. https://myheart.net/articles/heart-function-including-ejection-fraction-ef/, you can follow my twitter at @MustafaAhmedMD, That is the same as me i dont know what is going to happen now as the clot has gone and i am seeing a cardiologist now if you no any information could you please share, When I had my Massive Pulmonary Embolism in August 2016, it didn’t come from my legs. Im not sure the testing would necessarily help. The hospital made him walk his vial down to the lab and then to the the waiting room for his CT. After about 15 minutes in the waiting room he began to get very warm, passed out and died right there. I was recently admitted for pulmonary embolism about 2 months ago. If there is ongoing concern with mobility and injury 6 months would not be unreasonable. I think I may have made mistake with my last query. The rather severe pain in my foot has reduced considerably although my toes are still “numb”. Clot was busted and she is on the road to recovery, additional test for clots have been done and came back negative. I was also taking Carbamazepine for control of Trigeminal Neuralgia. (My respiration rate was up to 70 breaths a min.) He did take a few steriods in his time at the gym and tablet or another medication as such for his male boobs at the same time but no more no less then most blokes do. Thank you. Im having to stay laying down in bed currently until they figure this out because everytime i stand i get lightheaded and faint feeling with rapid heart rate, chest pains and shortness of breath… Should i push for them to check for PE? You and your body have been through a lot; give yourself to heal both mentally and physically. How dangerous is prednisone for people with such a history, and if so, are the warnings adequate? I have blood clotting problems because of the anticoagulant. May Thurner causes the DVT in the iliac vein that can then cause a PE. It has been almost six years since my pes now I have been discharged from the pulmonary doctor I had a echo done while I was still pregnant and she said it was fine. I went on Xarelto immediately after diagnosis. Initially I was supposed to take 5mg Eliquis for 3 to 6 months yet after 3 months my PCP stopped refilling the medication and, without a CT with contrast, said I should be fine. THANK YOU ALL. I went to the gynaecologist at the near end of pregnancy after the echo and was explaining that my lung doctor all though pregnancy had told don’t do anything to exsurt myself and I wasn’t told why he said its because of the echo.I replied she said it’s fine he shook his head no its not you have strain on the right side of your heart.. About 3 weeks later I went back in for the results. I thought it was sciatica but my practitioner got me into coagulation clinic quickly and DVT was diagnosed by ultrasound. I had 5 clots lodged in my lungs. i have been under the care of a hematologist but have not had an echocardiogram. We went to the er they did some heart tests and monitored me-I did keep having tachycardia when I sat up- everything was fine except when I sit or stand up my pulse rate sky rockets, (I asked them about PE but the nurse said I would not be able to talk and be in extreme pain if that was the case and they wouldn’t do a ct scan because they didnt want to expose me to unnecessary radiation when my symptoms weren’t acute) if I’m lying down my pulse rate is normal or up to 90 or 95, when I sit up it rises to 125 to 130. xarlato for 3 months . 2-3 weeks stayed in bed or chair screaming from pain. Do you have any specific concerns that werent adressed in the article? With regards to the blood thinner, contemporary management allows somewhat of an individualized approach to treatment. Had to convert from a racehorse to a snail. Am I outof the woods? It has been 2 months since the clot in my lung.. Hi, I am again able to walk without a limp. Phlebitis can occur with or without a clot. It tragically claimed the life of DJ Andrew Weatherall on Monday aged 56, his management confirmed. Was sent home on Lovenox and Pradaxa. I had a ruptured brain aneurysm 2 years ago which is coiled, so they had to get the neuro team down, and couldn’t clot bust me. Also, I am definitely going to ask for the CT with contrast at a year to ensure the clots are gone before he stops prescribing the Xarelto because, I believe, if I did that a year ago with the stopping of the Eliquis I might not have to be here today. Soon after my father went to a different hematologist and they found out the clotting factors were not right (not sure of the details). They then shockingly asked us if we wanted her to go to the hospital. I was at my Feonsaes House, and I had been coughing quite a spell, as I also have COPD, with Chronic Bronchitis, and thought it was that, because I’ve had these problems before. The cause is a replacement of blood with air/froth in the right heart, or large parts of the pulmonary arterial tree, preventing blood flow. The consequences of right ventricular dysfunction can include fatal heart rhythms and development of shock. On day 49 of my recovery I had bad chest pain and headaches and felt dizzy. CTPA had multiple scattered bilateral segmental pulmonary emboli with good morning .i am 69 years of age and have recently been admitted to hospital with shortness of breath.i have been told i have bi laterial blood clots on both lungs. Then he developed pneumonia while in the hospital. nothing. This is taken as a tablet and it takes a few days to get the blood thin. First Hitt is an adverse reaction to heparin , not a something you catch . No saddle embolus. Only “minimal residual” clot remained on a segment artery on right lower lobe. :'( Hopefully you see this as this article was posted years ago. Hi, i answered this on the blood clot in leg page. Its difficult for me to offer too much direction on a platform like this and i always would say if worried, press your dr on the issue. In terms of stopping anticoagulation the length of therapy is dependent on many factors such as cause of the initial event and presence of risk factors. The paramedics arrived and rushed him to hospital. Tests found antiphospholipid syndrome with may underlie both conditions, What If you’re diagnosed with a large clot in your aorta vein. Let’s say my heart is damaged, what are the rammifications of this? I also had other hives off and on starting a few months after my health issues began, but I haven’t had any for a few months. An MRI determined a significant meniscus tear. My 39 yo friend just died of a massive pe. But there doesn’t seem to be the same available statistical profiles for PE. The PE itself appears to have been localized to the left lower lobe? I bumped into the corners of the bed or a dresser ended up with bruises qwik I was never a easy bruiser. Thank you for this great article. Still not knowing what had happen I was in bed for another three days when I kept passing out for a few minutes at a time. Vitamin K is found in green leafy vegetables and certain other foods. Thank you. Im having to stay laying down in bed currently until they figure this out because everytime i stand i get lightheaded and faint feeling with rapid heart rate, chest pains and shortness of breath…needless to say it alittle scary feeling like my body is crashing around me but no answers. Risk stratification and follow up are important. On October 24th she had the knee replacement done. What can the cause of the blood clots be, and why is it still appearing? Although a diagnosis of pulmonary embolism is made, there is no evidence of right-sided heart dysfunction and the patients are considered stable. This led to another CT, but this one with contrast, which showed considerable blockage and clots throughout my lungs. I’m 52 and after a fall which resulted in my leg being in a cast, two weeks later I found I couldn’t breath and was going light headed and my lips turned blue, my son called a ambulance and I was rushed into hospital, they did a chest x ray & a CT scan but that had to be cut short as my oxygen levels crashed, anyway they gave me the ‘Buster’ begins with a T by IV, I had to have a brain scan as list feelings in my left side plus they did another CT scan, where the found a massive saddle pulmonary embolism, I have asked four physicians, including a close relative, and none were aware of any precaution. I started out with A-fib, then a pacemaker was implanted. November of 2016 I supposedly had relatively small bilateral pes with a rvs. Depends on many factors, and would need a full discussion and consultation in each case, however in general only age appropriate cancer screening is advised in those with otherwise unremarkable screening. What are your thoughts on this? Could my clots have just formed in the lungs? After much research we’ve discovered that a gut metabolite called TMAO caused blood hypercoagubility. He has rather bad varicose veins in his legs and they’ve swollen recently. Yes, the right sided function of the heart normalized also according to the echo four weeks after the event. How long will it take for treatment for the blood clots to work? Use of blood thinners now may be dangerous if it is soon after surgery. She asked me to tell her my symptoms from that night in June . How does something like this happen? The EKOS is a type of catheter directed treatment of pulmonary embolism and is not known to have long term effects on lung tissue. Third and finally is vessel injury. If clots are removed is it like having your appendix removed? Does it mean that the clot dissolved before his autopsy (which was a couple of days after his death)? If there was, he would have been placed on blood thinner which would then be protective. Another pulmonary angiogram in a patient with a large pulmonary embolism. I was immediately started on Heparin via IV and now on Eliquis. They did EKG tests a number of times but these always came back negative. Often i will rescan patients after an interval to see the natural history of the clots and to help guide further management. The shortness of breath and chest tightness are not constant. PE is not diagnosed by ultrasound, rather ultrasound can be used to determine the significance of a PE. In terms of rehab, activity should be performed as tolerated, i personally would recommend he partake in a formal supervised cardiac rehab program and your provider can make a referral for that. I also saw a significant decrease in my eye-sight during this time…before I took the antibiotic, I had perfect vision…now it is very blurred…QUESTION: Is it possible that the long-term use of this antibiotic caused APS like syndrome, my dvt, and PE’s? Gave me one in ER and sent me home with a prescription for ten days. which traveled to the pulmonary region and eventually caused his death. Had substantial blood clot go through right side heart and into both lungs. In cases of significantly large PE, the right side of the heart may show signs of enlargement and strain. Before I went to the ER, I was having chest pain, especially when I inhaled- anything that made my chest expand & I had the constant need to take in a deep breath but couldn’t get one in past my sternum. The blood thinning medication is now key. The Primal Scream producer d… These specimens are clot that have been surgically removed from the lung arteries in a patient with massive pulmonary embolism. Our on-site health care clinic sent her home with a nebulizer, despite the fact that she was on crutches, recovering from recent knee surgery. (My respiration rate was up to 70 breaths a min.) I’m not too concerned about that. Called primary dr and his fill in dr answered. They increased the blood thinner and with time her situation got worse and worse and she started bleeding from the kidneys, lungs and at the end from the mouth. The autopsy showed pulmonary embolism. Is it reasonably safe for me to discontinue Eliquis? If that happens no blood can leave the heart at all due to the obstruction, and this will almost inevitably result in sudden death. September 9, 2018 773512 273 Dr. Jason L. Guichard, MD, PhD, January 7, 2017 433535 78 Dr. Mustafa Ahmed, June 8, 2014 336510 248 Dr. Mustafa Ahmed, November 20, 2014 289099 64 Dr. Mustafa Ahmed, January 28, 2015 278093 337 Dr. Mustafa Ahmed. interested in article however my friend had severe left ventricle dysfunction which was found after admission to hospital having collapsed due to pulmonary embolysm. What is your blood group ? Saw my psychiatrist 2 days later and he gave me xanax to take when I feel the chest pain, as he thinks it’s a symptom of a panic attack. You are on the correct treatment with the blood thinner, the fragmin literally works immediately. He did follow-up with his PCP, the same one he had seen twice the week before his diagnosis and was told it was his asthma and prescribed an inhaler. I was diagnosed with DVT and Many PE’s about 5 months ago. If so it is the preferred test and should show pulmonary embolism clearly. Such decisions are made on a case by case basis taking many factors in to account. I am so confused on how my life has changed drastically since then. Obviously still being in some discomfort from chest pain and aching all over, touch wood, he is initially showing no signs of any further damage. My father died at the age of 56 and his brother, sister, mother and father have all passed on due to heart attacks. I would say he is very fit for his age and has had a healthy lifestyle for as long as I can remember (25 years). Any answers would be appreciated, for the possibility of it being PE is causing immense anxiety on its own. My question is, is it normal to still have this issue with my breathing? I am a 58 year old female who has had 2 pulmonary emboli events, the first in 2008 with also DVTs, the second in 2009 after being off coumadin for 2 months due to hemorrhage. – Megan, After reading your article, especially the death rates being 25% as a sudden death and 33.3% as an eventual death related to PE, I am quite terrified to say the least. The pulmonary artery leaves the right side of the heart and supplies the lungs with blood. Anyway, I’m 27 years old. Long term recovery from the PE itself is often good, close follow up and surveillance is necessary. Once she was released, blood thinners were the only thing prescribed to her. The side effects of Eliquis are aweful for me, causing sleep issues, and brain fog akin to having 24 hour jet lag 24/7. I’m not a doctor, and I know this is late, but when I was diagnosed with bilateral pulmonary embolisms I was still able to talk. Shouldn’t the clots have dissolved by now? I am making an appointment with a pulmonologist. Did you have any use of clot busting medication or procedures? They did a vein test and found no sign of blood clots when the test was done but there could have been when I ended up in the hospital. The fact that here pressure went down is good I think but I think her age makes recovery slower for her. Yes pregnant women survive this, it just needs to be handled appropriately. I have a history of DVT and UDT from injuries, I believe. Do all lung clots eventually dissolve and can they tell if some are old? My concern is that he has had two attacks last night of the very similar under rib pain that brought him in here, very excruciating, to the point he can barely breathe. Is this a normal symptom? Then yesterday I woke up at 5 am with terrible back pain and hour later I coughed up blood so went back to the hospital. More good news 3 clots in Right lung are gone!! Its important to be on blood thinner to allow that process to occur. I had burning chest pain, was short of breath, and had a resting HR of 135 while sitting. I am taking three days off of work and I walked the dog for 30 mins with only minor pain. My neurologidst put me on Tegretal……too strong for me . I was found to have the mthfr mutation. Your comments throughout this forum have been very useful, thank you. 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