Aa
A
A
Close
Avatar_universal
blood thinners and liver
I am a Hep C 1a.  Just prior to my 1st gastro appt, doctors found a blood clot formed from thoracic outlet syndrome.  Gastro ended up canceled to accomodate vascular surgeon appointments.  Now after a week of Warfarin and Lovemox shots, I am scheduled for a venogram, thrombolysis and then surgery to remove my 1st rib.  After that lots of Heparin and more Warfarin for at least a month..not to mention LOTS of painkillers as this is a tough surgery.  

My question is how damaging are these blood thinners, anesthesia, painkillers and contrasts to the liver?  Is there anything I can do to help my liver through this?  Currently my blood tests are normal for liver function, my viral load is consistently below 200,000 and as far as a CAT scan can tell, my liver looks normal.  (I presume a biopsy may not be possible for a while due to the anticoagulants.....?)
Any suggestions would be great..feeling a little nervous about it all.
Cancel
2 Answers
Page 1 of 1
87972_tn?1322664839
Wow, sounds like you have a full plate right now; sorry to hear you’re going through all this. There have been a number of HCV patients that have reported using Lovenox/coumadin therapy, some of them while undergoing HCV treatment. None have reported any problems that I’m aware of. If the painkillers are opiate/opioid narcotics, there is little concern with them as well. Narcotic analgesics do very little organic damage to your body.

If they are performing surgery anyway, I wonder if it’s possible to perform biopsy while you’re under anesthesia, although you have a point about the anticoagulants. I imagine they will have you discontinue them for a day or two prior to surgery though; I know someone that had a couple of surgeries while doing anticoagulant therapy, and she was ordered to stop both drugs 48 hours prior to the procedure. Discuss this with the surgeon, perhaps he could consult with the GI doc and make this work?

I don’t think your HCV positive status should be an issue in any of this, as it doesn’t sound like you’re cirrhotic. Cirrhosis can be challenging due to low platelets, things like that.

Good luck, and take care—

Bill
Comment
Cancel
87972_tn?1322664839
Comment
Comment
Submit Comment
Avatar_universal
Yes, they will discontinue your anticoagulants a few days before the surgery.

There is nothing to worry about. All the drugs you mentioned might cause problems only if you are in end stage liver disease and very extensive liver damage is present. Your labs show that this is not the case. Even with extensive liver damage all these drugs still can be used, but the dosages would have to be lowered.

Anesthesia and contrast also can be safely used in patients with liver disease. The liver is very resilient and really can take a lot.

Wish you the best and hope for a good outcome of your surgery.
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Your Answer
Avatar_universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
blood thinners and liver
Submit Answer
A
A
Recent Activity
406584_tn?1399591666
Blank
10356 commented on Jade59's status
9 hrs ago
1415174_tn?1453246703
Blank
mkh9 commented on photo
21 hrs ago
Avatar_universal
Blank
zahidkapariya commented on photo
22 hrs ago
Blank
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
163305_tn?1333672171
Blank
orphanedhawk
Rural Mural, CA
Avatar_m_tn
Blank
can-do-man
IN
683231_tn?1438659664
Blank
flyinlynn
Auburn, WA
446474_tn?1446351282
Blank
HectorSF
San Francisco, CA
317787_tn?1428318779
Blank
Dee1956
DC
1815939_tn?1377995399
Blank
pooh55811
Hepatitis C Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Hepatitis Answerers
163305_tn?1333672171
Blank
orphanedhawk
Rural Mural, CA
Avatar_m_tn
Blank
can-do-man
IN
683231_tn?1438659664
Blank
flyinlynn
Auburn, WA
446474_tn?1446351282
Blank
HectorSF
San Francisco, CA
317787_tn?1428318779
Blank
Dee1956
DC
1815939_tn?1377995399
Blank
pooh55811