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  1. #1
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    Default Blood clot on the lungs

    Has anyone had any experience with this?
    I am 30 weeks with my 1st had really bad BH yesterday and horrible chest pain, rang the midwives and they had me come in and check me out baby all good and cervix was shut. But couldn't work out chest pains, so sent me to emergency and they hooked me up on all these machines and took blood, they said my bloods came back positive and they will have to do a CT scan to eliminate blood clots in the lungs, but there was a risk having a scan cause of radiation. DH and I decided to go against it and monitor the pain over the next couple of days.
    Should I of had the scan?

  2. #2
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    Did they give you any indication of likelihood of the chance you actually have the clots, or is it just to exclude them as a possibility?? Did they do other tests such as an ecg or chest xray? Did they let you go home or were you admitted? If they let you go home then maybe they weren't too concerned, but it's a very scary thing if you did have clots.

    That's one if my biggest fears in life, let alone pregnancy, but maybe that's because I'm a nurse and often seen the worst. I don't know what the risks of radiation are and I don't know what i'd do in your situation but one of my best friends died from a blood clot during pregnancy a few years ago and that's a pretty big risk to take.

    Were they a maternity hospital (this must happen a lot to pregnant women and so something they can counsel about) or do you have an obstetrician or someone you can get a second opinion from?? I would be nervous to leave it at that without a little more info (there's a difference between doing the test because they think you have clots versus just doing it to rule it out as a possible diagnosis). I hope I haven't scared you, I don't mean to but I would at least get a second opinion from someone who had all your results so you can feel you've made an informed decision. All the best, what a scary time for you. Hugs

    Sent from my GT-I9000 using BubHub

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    Blood clots on the lungs (pulmonary embolisms) is a very serious matter! I know, I have had them and are very lucky to be here. Mine were when my bub was three weeks old, so caused by the pregnancy, but not while pregnant if you know what I mean. Are you on any medication for it? You should be put onto a blood thinner. If you are not, I would be immediately asking for options and why you are not. There may be a reason why not- I don't know your medical history, but that is usually the immediate action.

    This is serious. I know it just feels like some chest pain, but it is more than that. I dont want to upset you, but I also want to make sure you realize that it is not something to ignore.

    Do you have pain anywhere else? Legs are arms or maybe pelvis where another blood clot could be. Usually they start in one place and as the clot breaks up, it travels to your lungs. This is dangerous as if the clot is big enough, it can block the arteries going to and from the lungs or to and from the heart.

    This may not be the case for you, but it can and does happen.

    You need to really talk to your doctor here and get his advice. If you are not in a maternity hospital then call them and see what they say. You need to take action on this, even if it's just blood thinners for now.

    If you have any questions please PM me and I am happy to help.

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    Was just thinking...

    The treatment for pulmonary embolisms is usually blood thinners. Can you just go on these and not have the scan. Ask them if the scan would lead to a different outcome, or if it would just confirm a diagnosis.

    What I mean to say is that you have already had the blood test to confirm that you have clots somewhere. So they will put you on blood thinners. Ask them if there is anything at all that the scan will show that would change the treatment plan. If the answer is no, then I would just go on the blood thinners and skip the scan.

    However, the answer may be yes as they may want to evaluate the size of the clots. So for me, I had so many clots and of decent size that it was blocking two thirds of one lung, and half of the other. This could have caused serious damaged to my lungs. In some cases they try and blast the Clots with either meds or an operation.

    I guess it all comes back to really needing to talk to your doctor about what they think your circumstances are. There are too many ifs for us to give advice.

    You will need to know the exact risks of the scan too. For both you and bub. And also for your breastmilk. I was not able to feed for three days because of the radiation in my milk. Not sure how this would affect colostrum etc.

    Sending you big hugs. It's a scary time and I will be thinking of you!

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    Omgoodness, I'm against most medical intervention but refusing a CT scan when u have chest pain is really REALLY dangerous! I had a blood clog in my lung at 30w chest pain and couldn't breathe. No family history, not flown on a flight, never smoked the doctors were shocked at such a young age that I had one I was not a candidate in any way shape or form. I suggest you go back and get checked out. It's really dangerous, I'm so thankful it was picked up, yes I had to have daily blood thinners but you can die, blood clots move! Mine was on its way to my brain it was so big, didn't catch it down in my pelvis they said that's where it came from! Please PLEASE don't wait.


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    The doc told me the bloods are more likely to come back positive because of the bloods being different in pregnancy, they want to do the CT to eliminate clots. Going to see my gp this morning. I did ask the hosp to give me the thinners. It their policy was to do the scan first. He also said a chest X-ray wouldnt show up anything. No chest pains today. I'm hoping it's just bad reflux as I'm carrying a big baby and I'm tiny, so maybe everything is pushed up and making the reflux worse. Trying to stay positive and not put myself into anxiety

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    It is common to get a false positive on the d-dimer blood test when pregnant. So it is quite likely that you dont have a clot in you lung. There can be many causes of chest pain when pregnant (and even when not). I hope it turns out just fine.

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    I agree - if there's a possibility of blood clots, you need to get it properly checked out asap - it's potentially very serious. I wish you all the best, and sincerely hope that it turns out to be something innocuous.

    Given the personal experiences of the people who've responded to this thread, I was hoping you might all be able to also answer a question for me. I've had blood clots in my calf once before and was on clexane then warfarin for almost 6 months. Blood tests didn't show any factors which increased my risk of clotting (ie. doesn't appear to genetic - it resulted from being immobilised and wearing a brace for far too long post knee surgery), but once you've had a clot, you're always considered at higher risk of future episodes.

    I'm now TTC. I know there's an increased risk of clots during pregnancy, but am unsure of the rate at which it increases with gestation. My question is - do I need to get myself in to see an OB as soon as I get pregnant to talk about my medical history, or is it okay to wait till the usual 10/12 week first OB appointment?

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    Gentoo, there is a high possibility you will need blood thinners for pregnancy. They usually start you around 6-8w on them so telling ur GP you are TTC and getting them to refer you to a haemotologist would be beneficial. In my experience OBs are TERRIBLE with blood clot issues! With my first birth I had 3 OBS say different things, 1 said csar one said natural birth and yes to an epidural then web I got to my birth no one would give me an epi, I had one guy ruin my 2nd birth, but still no epidural. went to a haemotologist who had conflicting info with my 3rd went to another OB he wanted me to have a csar for NO reason other than a blood clot in my FIRST pregnancy then another OB who said I could have an epi THEN a haemotologist who said I didn't need clexane!!! All very confusing!!!

    OP, so good to hear u have no chest pain, I'm tiny and have big babies (big for me) I found that my chest only hurt 1 day out of the 3 they were trying to find the blood clot. Bloods didn't show anything for me either. My baby who I had the CT with is a gorgeous bright girl, it didn't affect her, I saved her life. Blood clots affect the blood supply to the baby.


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  10. #10
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    Took everyone's advice and just waiting to go in for my CT scan now. Thanks for all your help. Hopefully good outcome!!


 

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