Reply To: Topical tranexamic acid!
I think in any cases like this where there is heavy bleeding from the abdomen, there may indeed be an indication for TXA. The only possible contraindication would possibly be bleeding that was coming directly from a kidney (e.g. idiopathic renal haematuria). The issue here might be that if there is bleeding directly from the kidneys and we encourage clot formation with TXA, blot clots could get stuck in the ureters and cause a ureteric obstruction.
Hope that helps.