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Prolonged Brown 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, Dr Kaul. Since my A fib was mild, infrequent and ending on its own my cardiologist has opted that I stop the coumadin at least for now. A 21 day eCardio loop event monitor was normal sinus rhythm the full time so we have to assume that Toprol and Rythmol are doing the trick for me.

Still it really bugs me, WHERE was the old blood coming from and WHY always old brown blood rather than some pink or fresh blood?

It took 2 1/2 weeks after the last dose of coumadin for there to be no more visible blood in the urine.
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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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