When bleeding from simple cuts or dental procedures persists for days without stopping, it indicates a significant failure in either the Primary Hemostasis (platelet function) or the Secondary Hemostasis (clotting factor cascade). In a 58-year-old, we must rule out acquired bleeding disorders, the impact of occult medications (like Aspirin or Blood Thinners), or underlying
liver dysfunction that prevents the production of essential clotting proteins
Next Steps
Immediate Hematology Panel: Youu must get a PT/INR (Prothrombin Time), aPTT, and a Bleeding Time/Clotting Time (BT/CT) test. These will pinpoint exactly which part of the clotting process is failing.
Complete Blood Count (CBC): This will check your actual platelet count.
Symptomatic Relief: Use Trapic (Tranexamic Acid) 500mg as suggested only to manage acute bleeding, but remember this is a temporary fix, not a cure.
Liver Function Test (
LFT): Since the liver produces most clotting factors, an LFT is essential to ensure the 'factory' is working correctly.
Review Medications: Book consultation with me and Make a list of every single supplement or pill you take and show it to me .....
Health Tips
bleeding that lasts for days is your body's way of saying it has lost its 'repair kit.'
Book an urgent consultation today and get your PT/INR tests done so we can identify the missing link in your clotting and get you the right treatment."