[33F] With lower left abdominal and middle left back pain, high INR, and history of multiple conditions

What might be happening

Based on the information you’ve provided, there are several serious conditions that could be causing your symptoms:

1. Internal Bleeding: Given your high INR (International Normalized Ratio) of 8.0 and the fact that you have been accidentally double-dosing on Warfarin, there is a significant risk of internal bleeding. This could be causing your sharp, constant abdominal and back pain. Internal bleeding is a medical emergency and requires immediate attention.

2. Kidney Issues: The combination of lower abdominal pain and back pain could indicate a problem with your kidneys, such as a kidney infection or kidney stones. However, given your high INR, internal bleeding is a more pressing concern.

3. Gastrointestinal Issues: Conditions like peptic ulcers or gastrointestinal bleeding could also cause sharp abdominal pain, especially if exacerbated by eating. Again, the high INR increases the risk of bleeding in the gastrointestinal tract.

What you can do

1. Seek Immediate Medical Attention: Given the severity of your symptoms and the high risk of internal bleeding due to your elevated INR, you should seek immediate medical attention. Go to the nearest emergency room or call 911 for an ambulance. Do not drive yourself; have someone else take you if possible.

2. Avoid Eating or Drinking: Until you are seen by a medical professional, avoid eating or drinking anything, as this could exacerbate your symptoms.

3. Monitor for Additional Symptoms: Keep an eye out for any new symptoms such as dizziness, fainting, increased pain, or any signs of external bleeding (such as bruising or bleeding gums). If any of these occur, inform the medical professionals immediately.

4. Bring Your Medication Information: When you go to the hospital, bring all your medications with you, including the Warfarin, so the healthcare providers can see exactly what you have been taking.

Remember, I am not a doctor, and this advice is based on the information you have provided. It is crucial to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.