Posted By Steven D. Ostrowsky on February 24, 1999 at 19:11:54:
In Reply to:
Coumadin and Gum Bleeding posted by CCF CARDIO MD - MTR on February 22, 1999 at 22:05:57:
: In June 1989 (at age 47)I had a mechanical
aorticAbdominal aortic aneurysm
Aortic aneurysm
Aortic angiography
Aortic arch syndrome
Aortic dissection
Aortic insufficiency
Aortic rupture, chest x-ray
Aortic stenosis
Hypertrophic cardiomyopathy
Thoracic aortic aneurysm valve implanted (along with a
tripleTriple antibiotic
Triple paste
Triple paste af
Triple sulfa topical
Triple tannate pediatric
Triple x pediculicide bypassHeart bypass surgery
Heart bypass surgery - series). I take
coumadin. Over the last few years, my basic dose has been plus/minus 5 mg per day. My problem is that a night (and sometimes during the day) my gums will start bleeding uncontrollably. Last night was an example. My mouth fills with blood. I ave spoken with both my cardiologist and my denstist and neither seems to have any idea what to do about it. Meanwhile, I continue to have this problem
: Besides the loss of blood, I have ruined bed clothing, pajamas, etc. When it happens during the day, it can be very hard to communicate with clients.
FaceFace pain-to-face, they just kind of stare at me as blood begains dribbling out of my mouth. Often, I'm not even aware it is happening until I see the expression on their faces. I feel like they think I'm a vampire.
Are there any suggestions?
Thank you.
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Dear Steven
I don't know if this helps or not but I have been on coumadin since a Mitral Valve repair in September. My INR range is around 2-3 for six months. I started using an ultrasonic toothbrus. The one I use is Sonicare. I found that my teeth feel cleaner and I have not had any bleeding gums at all. It may be worth a try although the ultrasonic toothbrushes are expensive, it may be worth it.
I also try to take care of dental hygene because of the concern that the heart valve is somewhat susceptable to infection. I brush with a bacteria killing mouthwash as part of my brushing procedure.
I no longer have sore gums at all
Nathan Jones
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Dear Nathan, thank you for your input to the heart forum.