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Cause of heavy bleeding with large blood clots - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
Doctor :   HI
User :   hello, we got interrupted for some reason
Doctor :   THIS Is dR xxxx
User :   do i need to repeat my question
Doctor :   I did read your query
Doctor :   You have currently heavy periods
Doctor :   Did you read the chat history, that I gave before ?
Doctor :   Are you there ?
User :   no, but its not the heavy periods that bother me.. it is the large blod cloths that worry me
Doctor :   Presence of blood clots, mean that the bleeding this time is heavy. over the age of 35-40, the pattern of bleeding changes
some may have heavy bleeding, but some the bleeding decreases.
Doctor :   have you done a PAP smear this year?
User :   no
Doctor :   when was the last time you had a pap smear?
User :   when my last child was born, 13 years ago
Doctor :   ok
Doctor :   Do you have any pain, during your periods?
Doctor :   heavy bleeding could be due to a number of reasons.
User :   used to be mild... this time the pain made climb to bed it was very painful
Doctor :   Most probably, its just a simple changed bleeding pattern ( due to change in blood parameters)
Doctor :   But you need to get evaluated for other disorders like fibroids,
Doctor :   as well which can cause increased blood flow, and painful menses.
Doctor :   please get yourselves checked by blood tests (CBC, ESR) TO LOOK FOR ANEMIA
Doctor :   also, you may need a ultrasound pelvis - to rule out fibroids
Doctor :   Are you following me ?
User :   yes thank you
Doctor :   currently for the pain, try OTC ibuprofen OR naprozen
Doctor :   which are available over the counter
User :   will do thank you
Doctor :   You are welcome
Doctor :   Do you have any other query for me?
User :   just one more
Doctor :   sure go ahead.
User :   my tubes are tied.. but i just want to know if i do get pregnant with this what would the simptoms be
Doctor :   the probability of you getting pregnant are minimal
Doctor :   But in case, you would have symptoms like nausea, vomiting ( usual symptoms of pregnancy)
User :   i am aware of that but since i got pregnant on 3 different types of birth control i thiught it wouldnt hurt to ask
Doctor :   Also, heavy bleeding & severe pain in pregnancy, would mean ectopic pregnancy
User :   my worry is that it would be an inner tubal pregnancy or an out of sack pregnancy either way dangerous so just want some heads up
Doctor :   being on OCPs, or IUDS can cause pregnancy, BUT once tubal ligation is done, pregnancy is very rare.
Doctor :   Out of sac pregnancy, will cause severe abdominal pain, and bleeding PV will not be seen
Doctor :   Since you have severe bleeding, the most probable cause would be FIBROIDS
Doctor :   Which match your symptoms
User :   thank you for your time
Doctor :   you are welcome
Doctor :   Do you have any other query?
Doctor :   Thanks for consulting me
Doctor :   bye for now
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