Conversation: The conversation between human and AI assistant.
[|Human|] My wife was found to have a blood clot in the lungs, as per cat scan. She is in the hospital with heparin sodium I V. We were asked to decide what medication to be given, Xarelto or Coumadin? She has hiatal hERNIA, gastritis, Acid Reflux, IBS-C, Extruding Disk, Hernieted Disk, Anxiety, High Blood Pressure. She has so many medicines already. Thank you for whatever advise you may provide. Jim
[|AI|]  Thanks for your question on Chat Doctor. Your wife is having pulmonary embolism so blood thinner medicines are must for her. In hospital heparin should be given in injection form, and this should be replaced by oral anti coagulant at home for at least 1-2 years. Both Erato and Coumadin are oral anti coagulant and should be started. There is no alternative to this Chat Doctor.  So start either of these