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Visible Old Blood in Urine

Have been on coumadin almost 2 years for mild A fib. Out of the clear blue sky 09 April I had a toilet bowl full of old blood, enough that one couldn't see the bottom of the bowl. Absolutely no other symptoms and no medication changes.

INR at ER was 1.5. Urine culture indicated budding yeast and some bacteria. Xray and CT scan showed no abnormalities in urinary tract . Dx was hematuria. One Diflucan was administered and 7 or 10 days of Keflex (I forget which) and sent home w/instructions to continue current medications. Family doctor referred for cystoscopy which was also negative.

Urine cleared visibly for a few days and then returned, some episdoes darker than others but never enough to cloud visibility of bottom of bowl. Still no other symptoms. Still always old blood (brown not red or pink).

Should I ask about discontinuing coumadin (other than at ER my INR has been running 2.7)?

Why does the visible blood continue to be brown and never pink or red?

Where can it be coming from?
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Avatar universal
Thank you. I so appreciate your taking the time to respond!

Actually, my cardiologist did say to stop the coumadin just a day or so after I posted this. It took 2 1/2 weeks to eliminate any visible blood from the urine.

I've not had an A fib event since the third day of Rythmol and have completed two 21 day event monitors in the almost 2 years since. It was on the basis of that my cardiologist decided to take me off coumadin. I'm hoping I can convince him to let me try the "pill in a pocket" approach in the near future if I encounter any more A fib.
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1711789 tn?1361308007
MEDICAL PROFESSIONAL
Hi there!

The blood in urine is likely to be a side effect of Coumadin, however its disuse is not advised since this is relatively not a major side effect compared against the benefits of using it in AFib; though you may likely to have the dosage adjusted after consultation with your cardiologist/ haematologist.
Hope this helps.

Take care!
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Avatar universal
Ooops. I forgot. I've had mild Crohn's disease for 37 years w/1 resection and 2 long remissions. Currently in remission for the last 10 years, previous remission was 20 years. But I will not even consider Pradaxa and do not and won't take NSAIDs.
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