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Interventional Cardiology  (Expert Forum)
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Excessive bruising with aspirin
Answered by
Darcy Green Conaway, MD - General Cardiology, Echocardiology
Truman Medical Center
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina, atrial fibrillation, cardiac catheterization, cardiomyopathy, drug abuse & cardiac disease, echocardiography, heart failure, hypertension & heart disease, lipid management, minorities and heart disease, peripheral vascular disease, prevention, valvular heart disease, women’s heart health, and the warning signs of a heart attack.

Excessive bruising with aspirin

by runnertom, Jun 28, 2008 09:16PM
My 85 year old mother is having a lot of trouble with bruising from very insignificant bumps around the house, which I understand is very common in the elderly.  When injured however, she has great difficulty in stopping  the bleeding. She is on 81 mg aspirin and I question whether this is prudent. My big concern is her having a brain bleed if she should bump her head. She does have a pacemaker if this is a relevant factor. Other meds include Premarin, Toprol, and Avapro, and a proton pump inhibitor prescribed after a bleeding ulcer. I hesitate to tell her to quit the aspirin as I'm not sure who prescribed it, nor does she. So far as anyone knows, she does not have any cardiovascular disease, although there are obviously other cardiac issues. Do the cardiac benefits of aspirin trump the bruising issues?
Thank you for your comments.

by Darcy Green Conaway, MD, Jun 29, 2008 07:44AM
If she had a major bleeding ulcer in the past it may prudent to stop it. I would discuss the risks and benefits of taking it versus stopping it with her primary care doctor (someone who knows all of her medical conditions)--that is the safest way to figure this out from a risk to benefit perspective.
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