Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
Ok, I am in need of peoples opinions/help here. It has been two months since my PE and since I have been on warfarin. For the whole month of April my INR was stable, changing from 2.7 to 2.4 to 2.5. Now in the month of May it dropped to 1.7. I was taking 6 mg a day. After dropping to 1.7, my doc upped my dosage to 6 mg everyday, but 10 mg on wednesday. I went back two weeks later and I was up to 1.8. He still said that was too low and upped me to 10 mg on both wednesday and thursday, along with the 6 mg every other day. I went today and I was down to 1.6. I don't understand why this is happening. I have been watching my diet. No leafy greens and and potatos. I will occasionally have some french fries if i am out to eat, but its not like i'm eating them everyday. So he just increased my monday dose to 10mg as well. He is stumped. I am going back in 10 days to see if it has increased at all. Has anyone else had this issue?
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Look at what my best friend did with my picture!
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We all have 24 hours in a day. How we spend these hours is important. Watching a little bit of a video about how sitting affects us made me aware of how much sitting and laying down I do. Gonna have to work on that.Your turn. Tell me another truth.
RMB is right that different amounts of activity can affect INR. I think stress can too. Even if you've added a new vitamin to your regimen or whatever ... and I'm kind of convinced that the phase of the moon or the ebb and flow of the stock market affect it too. Seems like pretty much ANYTHING can affect the INR. Spending too much time pondering the "why" of the whole thing can make you nuts.
I mean, if INRs were consistent all the time, we wouldn't have to be checked on a regular basis, right?
Let him tweak to figure out the right dose and don't stress too much about what you're eating or not eating. I mean, don't go vegan or anything, but just eat what you want and let him find the dose that matches your lifestyle.
I do best when my diet is consistent and that includes some green things too, just in small amounts. But weather and exercise can be unpredictable in its effect at times I think.
I eat salads almost every day. The idea is to be consistent with your diet vs eliminating foods from your diet.
Potatoes... that's a new one for me.
A look at the USDA nutrient charts (listing Vit K among the other nutrients) potatoes are (fairly) low in Vit K.
http://www.nal.usda.gov/fnic/foodcomp/Data/SR18/nutrlist/sr18a430.pdf
One baked pototo, size not defined, has 4.0 ug Vit K. Not much at all. Especially considering a pototo has a 'feel full' quotient much more than lettuce!
A cup of iceberg lettuce will have about 9 ug Vit K. (Iceberg lettuce has less Vit K than romaine lettuce.)
[Oddly enough mashed potatoes, home-prepared are high. ??? A little digging around found that those mashed potatoes had margarine in it. Margarine comes in at a whopping 5 to 14 Vit ug per tablespoon!!!! Didn't know that, since margarine does not pass my lips---- ever---- knowingly or on purpose. I'll get fat using butter, thank you very much!]
I would question the discharge information. My own experience, when first going to the co-ag clinic,------- I was given a list of foods high in Vit K and they had BEETS listed!!! At first I took it as gospel until I started thinking. It's beet GREENS that are high, not beets!
Question everything. Even information from your doctors/clinics and support groups!
***I just talked my doctor into raising my "low" dose (3.75mg) to 5mg rather than increasing the number of days I have to take my higher dose (7.5mg). It just seems more logical to me.****
Sounds logical to me also. I concur. (grin)