I have been taking Coumadin for eight years now.
Based on my personal experience as a patient, I would say that the INR levels jump high, even over 4 or 5, at least once a year without *any* apparent explanation - not counting the expected changes resulting from a new drug therapy (typical example, amiodarone) or from a new and unbalanced diet.
Since your husband's INR levels have been pretty steady over the years ... you can simply say that your husband is lucky

.
And I'd bet you'll never now why the increase in the last three months. Obviously the doctor will now have him readjust his Coumadin dosage.