Conversation: The conversation between human and AI assistant.
[|Human|] am on coumadin long term with inr of 2.5 i now have red spots under the skin down the front of both legs.  if inr is 2.5 can my blood still be too thin.  I am 77 years of age with a genetic heart disease.  I am 5.5 and weigh 239 lbs.  I have had av node ablated and am dependent on pacemakers and a defibulator.
[|AI|]  Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Yes, Coumadin can cause it.2. Due to increased bleeding tendency secondary to anticoagulation therapy, mild subcutaneous bleeding can present with large red spots.3. Improved intake of protein and it c to stabilize blood vessels will be helpful. Good HY Chat Doctor. 4. Do not reduce or stop Coumadin. It's necessary for you. Improved nutritional supplements will reduce further red spot formation. Hope it helps. Any further queries, happy to help again.