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.
JuliesLife
My PE was 13 months ago and I'm still on Xarelto. Yesterday, I fell carrying heavy suitcases down the stairs and twisted my ankle quite badly and bruised my arm on the side I fell. I ended up heading to the ER in the evening as the pain was increasing. No break, just a good sprain on both the inside and outside of my ankle. I'm concerned about any possible increases risk of clots with this. I can still walk with my air cast on but I have to ice my ankle 4-5 times a day and try to keep it elevated. The ER dr suggested pointing and flexing my foot while I ice it to contract the calf muscles and pump the blood. Does anyone have any experience with injury after a PE? Are there any other special precautions? I imagine IF anything, you would just be put on blood thinners, which I'm already on. I'm extra nervous because my PE occurred just over 3 months after I slipped on ice and sprained my other ankle (I've always had weak ankles!). No one has specifically said that sprain could be related to my PE, but I worry. I'm also nervous because my doctors have given us the green light for trying for another baby. If I fall pregnant this month, i feel like I'll have two strikes against me in the clotting world. It makes it feel extra dangerous!
http://www.webmd.com/dvt/news/20080114/minor-leg-injuries-may-up-clot-risk
http://www.webmd.com/dvt/news/20080114/minor-leg-injuries-may-up-clot-risk
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Even if you were to be pregnant too, clotting risk is still relatively minimal in the earliest stages of pregnancy. Your blood changes throughout pregnancy and becomes more hypercoagulable the further you are into it, the apex being AFTER you've given birth, in the first weeks postpartum. But again, you're already on anticoagulation, so there shouldn't be more than the tiniest risk of you getting a clot because you're already on treatment.
When I had an injury last year, I had the opposite problem of a clot happening, and that was because I was on anticoagulation, and because I kept trying to hobble around and use my ankle/foot, it wouldn't clot enough. It kept getting more purple, and when I asked my doctor about it, he was like, Uh, duh, you're on anticoagulants and you need to stay off it to let it clot enough that it can begin healing.