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D dimer 5.0
Hi,
I had mild fibula avulsion two weeks back and now from yesterday have calf pain mildly when I stretch or move it. I checked here in UK and d dimer result is 5.0. The ultra sound is planned for tomorrow. I can't take blood thinners because I have mild haemophilia. Factor 8c deficiency. What to do?
Answers (15)
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Treatment decisions are based on the severity of the hemophilia (mild, moderate, or severe) and the presence of inhibitors (antibodies that neutralize the factor). Patients with mild or moderate hemophilia may tolerate anticoagulation more easily, but those with severe hemophilia require the strictest monitoring
concurrent Factor VIII replacement therapy or prophylaxis must be considered. Maintaining a safe minimum level of Factor VIII is necessary to prevent spontaneous hemorrhaging while using anticoagulants.
Next Steps
please consult a haematologist at UK
Get a Doppler of lower limbs
Drink plenty of water
Health Tips
Immediately reach out ER if you find any breathlessness
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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D-dimer of 5.0 microgram/mL is significantly elevated and indicates the body is actively breaking down blood clots, which requires immediate investigation before undergoing any surgical procedure.
Do a Doppler to exclude Deep vein thrombosis.
Next, before surgery, correct the Factor 8c deficiency by raising it to 50-100% of normal.
Next Steps
In urgent cases, Desmopressin (DDAVP) is used to raise the factors.
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Please consult a physician or haematologist offline.
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Yes
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Consult superspecialist lik haematology
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Hematologist concern required
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D-dimer of 5.0 is significantly elevated, but D-dimer can be raised after recent trauma/fracture and does not by itself confirm DVT. However, calf pain occurring 2 weeks after a fibular avulsion injury warrants urgent exclusion of deep vein thrombosis.
Since you have mild Hemophilia A (Factor VIII deficiency), anticoagulation decisions are more complex and should be made jointly with a hematologist if DVT is confirmed.
My advice:
• Proceed with the scheduled venous Doppler ultrasound urgently (earlier if possible).
• Seek immediate medical attention if you develop increasing leg swelling, chest pain, shortness of breath, or coughing blood.
• Until Doppler is performed, maintain hydration and avoid prolonged immobility.
• Do not start or stop anticoagulants without specialist review.
If the Doppler confirms DVT, treatment is still possible in patients with hemophilia, often with factor replacement support and close hematology supervision.
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Until the ultrasound:
Avoid prolonged immobility).
Drink plenty of water
Avoid calf massage
Consult for pain killer
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Hi,
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. R S Disodia
General Physician
31 yrs exp
Gurgaon
Also consult some orthopaedic surgeon also
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Dr. Anuj Mothsra
General Physician
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.