22 May 2012
See a doctor immediately. They will have to give you a shot of vitamin K. Is this on a home test? If so take the equipment with you. Also the coumadin you are taking. Are you taking any NSAIDS? If so STOP. If it means you have to go to the ER to see a doctor, then go. You could bleed too easily.
22 May 2012
Contact your Dr. 6.5 isnt horribly high. We didnt give Vitamin K until you were over 8.0 but 6.5 still puts you at higher risk for bleeding internally. More than likely your Dr will have you hold doses of coumadin and test again but you need to do so under his orders NOT on your own!! Like Kaismama states, if you got this result on a home monitor, you should take it with you to be sure it is calibrated properly and not giving you a false high reading. They may double check your result with a regular blood draw lab test or they may go ahead and treat you. If you start getting signs of bleeding like bloody or tar-like stools, nosebleeds, abdominal pain, large unexplained bruising, etc. then go to the ER or call 911. This happens on occasion (high INR).
Have you changed anything in your diet? Were you eating more greens then suddenly stopped? Have you taken any OTC pain medications including Tylenol or acetaminophen? Vitamin E? These things can affect the way coumadin works in your body and makes it more potent. Your blood isnt actually "thinner". Coumadin affects clotting factors. It interferes with the way your blood normally clots so if you cut yourself or get an internal bleed, it may not stop and you can hemorrhage. Dont panic yet though. The main thing is to contact your Dr who prescribes your coumadin and let him know your results then follow his directions. It is very important to keep your diet consistant and not take ANYTHING medication (OTC or Rx) without asking your coumadin Dr about it. Sometimes a body just does this for no apparent reason at all. That is why monitoring the INR is so important and why it should be done regularly even when you are fairly stable.
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