Doctor insights on:
Can I Eat Food Before Prothrombin Time Test
Depends on : Circumstances. In a normal person, usual drugs and foods do not affect pt measurably. In patients on warfarin, foods both prolong pt, e.g., grapefruit, or shorten it, e.g., green leafy vegetables. Many drugs affect pt, e.g., birth control pills, isoniazid, anti-fungals, antibiotics, and many other drugs metabolized through cytochrome p450 system, and barbiturates and alcohol. ...Read more
Abnormal clotting : An abnormal prothrombin time means that there is something wrong with your blood's ability to form clots and prevent bleeding. There are many conditions that result in such an abnormality, and you need to have your doctor figure out what the problem is based on other test findings and your symptoms. Sometimes you'll need a hematologist to consult if there is a chance of a serious bleeding problem. ...Read more
Blood clotting: Thrombocytopenia means low level of blood plateletes. Prothrombin time is a test for extrinsic coagulation pathway that is initiated with factor vii. Vitamin k deficiency or use of Coumadin or liver function deficiency will prolong the prothrombin time, while several blood clotting diseases that affect intrinsic coagulation such as von willibrand or hemophila will not affect prothrombin time. ...Read more
Measures clot factor: This is a test that measures clotting factor activity. All these factors are synthesized in the liver, except factor viii, so this is also a check on the capability of the liver as well. If this is high, it can be from a deficiency or incabability of the factors or a liver failure issue, like cirrhosis, or a vitamin k deficiency from fat malabsorption. This shoud be worked-up dr.'s office. ...Read more
Can mean Vit K low.: If prothrombin time blood test is high, without other high levels, it can mean a vitamin k deficiency or warfarin use. Vitamin k helps in the function and viability of factors ii, vii, ix, and x and these affect prothrombin time. If there are other levels altered, it could be a factor v, or x deficiency, disseminated intravascular coagulation (dic), or liver failure. See your doctor to be sure. ...Read more
Blood clotting : Defective. Prolonged prothrombin time can be due to deficiency of a number of coagulation factors. A common cause it treatment with warfarin/coumdain. Liver disease is an other common reason for prolonged pt. Depending on the prolongation, the person may be at risk of bleeding. ...Read more
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