Question 1

is it usually safe to let a perianal haematoma  run its (painful) course without surgical intervention ? topical anticoagulant ??

Accepted Answer

Yes: this clotted  hemorrhoid (that's what it sounds like) or perianal hematoma will slowly resolve. Suggest you try Sitz Baths with hot water (not "burning" but as hot as you can tolerate it) may help the pain and "speed" the resolution of the clot (resorption)!

Hope this helps and BTW topical anticoagulants are useless in this condition!
Hope this helps
Dr Z

Question 2

are there any household anticoagulants?

Accepted Answer

No.: There are no non-prescription anticoagulants.  Aspirin is actually not an anticoagulant, but interferes with blood clotting by inhibiting platelets, a different component of coagulation.  Anticoagulants should only be given under medical supervision as there are significant risks if taken inappropriately.

Question 3

what are the most common anticoagulants?

Accepted Answer

Warfarin: Warfarin, heparin.

Question 4

what is the newly approved anticoagulant?

Accepted Answer

Several....: The newest class of drugs i know of in that area is the factor xa inhibitors:

http://en.Wikipedia.Org/wiki/direct_xa_inhibitor.

Question 5

what's circulating anticoagulant disorder ?

Accepted Answer

A blood abnormality: It is a substance in the blood, usually an antibody, that interferes with the tests that analyze of ability of blood to clot.  The most common is an anti-phospholipid antibody, or lupus anticoagulant, which actually makes clotting more likely.  There are other antibodies that can make blood not clot (acquired hemophilia, etc.) drugs that prevent clotting are also "circulating" anticoagulants.

Question 6

what is the dosage range of oral anticoagulants?

Accepted Answer

Anticoagulants: There is a wide range of anticoagulants available and they all have their individual doses. There is no 'range' other than for individual drugs and there isn't space here enough to discuss all of them.

Question 7

can i take garlic with an anticoagulant? thanks.

Accepted Answer

You have not: specified the anticoagulant to which you are referring however there is no reason to believe that garlic in usual doses would have any significant interaction with Vitamin K antagonists nor Factor ten A inhibitors nor thrombin inhibitors either. Check with your health care provider to address your specific situation.

Question 8

should anyone on an anticoagulant have a pt test done?

Accepted Answer

Usually: Usually, unless one of the purified products used, products which use a fixed dose on all individuals.

Question 9

what are the advantages and disadvantages of new anticoagulants?

Accepted Answer

Adv & disadvantages: The advantages are that they no longer require blood tests to monitor their effectiveness.  Diadvantages: cost & safety concerns (as you would how to expect with any new drug ).

Question 10

how long should it take for anticoagulants to leave your system?

Accepted Answer

Varies: Full dose aspirin: 3-5 days               baby aspirin: 1-2 days                     plavix: 7 days.                                        Coumadin: 5-7 days.                              Heparin: 2-3 hours.                             Lovemox: 12 hours.                               These are approximations.  Hope this helps.

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Doctor answers about:

Topical anticoagulant

A member asked:

Is it usually safe to let a perianal haematoma run its (painful) course without surgical intervention ? topical anticoagulant ??

A member asked:

Are there any household anticoagulants?

A member asked:

What are the most common anticoagulants?

A member asked:

What is the newly approved anticoagulant?

A member asked:

What's circulating anticoagulant disorder ?

A member asked:

What is the dosage range of oral anticoagulants?

A member asked:

Can i take garlic with an anticoagulant? thanks.

A member asked:

Should anyone on an anticoagulant have a pt test done?

A member asked:

What are the advantages and disadvantages of new anticoagulants?

A member asked:

How long should it take for anticoagulants to leave your system?

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