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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Heal Recurring Bleed Post Hysterectomy Surgery?

I have a question... I am status post hysterectomy day 26. I was doing good for the first 6 days. I started bleeding. I went to the doctor and she put me on bed rest. over the Thanksgiving weekend it got worse. Very bad. I went to her on Monday and on Tuesday she did another surgery... re stitched.... as soon as I got up from the recovery bed to get dressed I can feel the bleeding... after a while I called and they rechecked me that after noon still on compete bed rest... well time goes by not getting better she does another surgery.. this time she says she see's the bleed.... go in for the third surgery... on Tuesday... (third one in 2 1/2 weeks)... by Thursday night I started bleeding again..... now she is talking of going in again,,,,, Please advise ..... this is 26 days of complete down time.... and i dont know what to do from here, I just want to be better....
Thu, 10 Apr 2014
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OBGYN 's  Response
Hello and welcome,

I completely understand the problem.

The best way to manage things now is by a conservative approach. After so many days post surgery the tissue is difficult to handle. The best way out now is to pack the vagina not very tightly for 6-8 hours. This is done by your doctor and not you. Take drugs to stop bleeding like tranexamic acid and ethamsylate. You must keep moving your limbs in bed while on these drugs as they may cause clots in legs.

Take a low grade antibiotic like doxycycline, vitamin C, B complex vitamins and placentrex injections to encourage healing. An abdominal and pelvic ultrasound is needed to see if there is any collection inside. If there is a collection it will need to be drained to stop the bleeding.

Eat a healthy diet rich in fruits and vegetables as well as proteins to encourage wound healing. Also check your clotting system for minor abnormalities.

The bleeding will stop. Do not worry, but it will take time. The healing will be slow now but it will heal. Use sterile pads daily and maintain local hygiene. This is not a common occurrence but happens in some women where there are minor bleeders.

Also discuss this with your doctor. Also ask her if a second opinion y someone else may be needed.

These types of bleeds, in my experience do heal. It may take a month more if there is no collection. I understand the situation. Do not get disheartened. This happens rarely but it may happen in rare cases. But I do not advise frequent surgeries for this. A patient and conservative approach with maybe even packing twice a day will help.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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How To Heal Recurring Bleed Post Hysterectomy Surgery?

Hello and welcome, I completely understand the problem. The best way to manage things now is by a conservative approach. After so many days post surgery the tissue is difficult to handle. The best way out now is to pack the vagina not very tightly for 6-8 hours. This is done by your doctor and not you. Take drugs to stop bleeding like tranexamic acid and ethamsylate. You must keep moving your limbs in bed while on these drugs as they may cause clots in legs. Take a low grade antibiotic like doxycycline, vitamin C, B complex vitamins and placentrex injections to encourage healing. An abdominal and pelvic ultrasound is needed to see if there is any collection inside. If there is a collection it will need to be drained to stop the bleeding. Eat a healthy diet rich in fruits and vegetables as well as proteins to encourage wound healing. Also check your clotting system for minor abnormalities. The bleeding will stop. Do not worry, but it will take time. The healing will be slow now but it will heal. Use sterile pads daily and maintain local hygiene. This is not a common occurrence but happens in some women where there are minor bleeders. Also discuss this with your doctor. Also ask her if a second opinion y someone else may be needed. These types of bleeds, in my experience do heal. It may take a month more if there is no collection. I understand the situation. Do not get disheartened. This happens rarely but it may happen in rare cases. But I do not advise frequent surgeries for this. A patient and conservative approach with maybe even packing twice a day will help. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist