Conversation: The conversation between human and AI assistant.
[|Human|] A few years ago I had pulmonary embolisms treated with TPA successfully, stemming from a blood clot in my leg.  Subsequently, I had a hysterectomy and my doctor inserted a filter just before the surgery to avoid complications...success.  Recently, because of a random nosebleed, I discovered that since my Coumadin was changed last year to Warfarin, I may have been dealing with side effects...the most serious one being a low Hg...5.2 for no reason...hospitalized for a week...all tests...no internal bleeding...transfusions, iron infusion.  This shows up as a side effect in some reading I have done.  Since, I have the filter do you think I need a blood thinner or can I do without and not deal with these issues?  Thanks.
[|AI|]  Hi I do care for your concern. Continuing blood thinner is a must it's not for the filter in place, but you have previous history of pulmonary embolism. Hence, you should continue the medicine, you can discuss with your physician to change to other blood thinners such as LMWH. This will reduce random bleeding also. Regarding anemia consider taking iron and folic acid tablets, a healthy balanced diet will help you though. Hope I have answered your question. If you have more feel free to ask. Thank you.