Conversation: The conversation between human and AI assistant.
[|Human|] hey i had several bloodclots in my left upper arm after 9 monthes they took me off warfrian at the time the clots were gone i was off warfrian 30 days and they come back now i think there gone again i have been on blood thinner for 2 years they say my blood is ok this week it is 2.7 but my arm is killing me can you still get clots if your blood is that thin?m
[|AI|]  Hello and thank you for sending your question. You have indicated that despite the fact you are on anticoagulation you have significant pain in your arms. The pain could possibly be related to some musculoskeletal problems such as a pinched nerve but in light of your history it is important that your doctor rule out additional blood clots. It is theoretically possible to have a blood clot even if the blood is thinned with Coumadin. If that is the case the Coumadin needs to be changed to an alternative anticoagulant. While it is unlikely that you have a blood clot it is important that you review this with your doctor so that appropriate diagnostic testing can be done. Thanks again for sending your question.