Conversation: The conversation between human and AI assistant.
[|Human|] My blood pressure is 149 over 88 and my pulse is 112, I had a aortic valve replacement in June 2011 and they can t seem to get my coumadin levels right. Doc told me my level was a 10 on Monday and told me not to take any for 3 days. Now I m hurting under my left breast especially if I take a deep breath. What should I do?
[|AI|]  Hi, If the pain is localized under the breast and gets worse with breathing than most probably it is a muscle pain. As you have high INR level around 10, it is not advisable to take a painkiller, I would advise you to use local painkiller ointments, such as diclofenac. The pain is not dangerous, it can easily reveal with painkillers, such as Ibuprofen, Naproxen, Diclofenac. But it would be better to wait until your INR level is under 3. Hope this was helpfulWishing you good health In case of further questions don't hesitant to ask