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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, Moderate Bleeding, Taking Lovenox, Having Pain, Pelvic Pressure. Cure?

Some moderate bleeding 11 weeks and 5 days taking lovenox and also have to 8 cm fibroids been bleeding since my 7 week of pregnancy . Now having pain and pelvic pressure , pain in back and legs.a first year resident said my cervix is slightly open but I seen the doctor 2 day before with bleeding and he did nt mention it .also blood is a burgny color with a odor now
Mon, 28 Oct 2013
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OBGYN,  's  Response
Hi,

Your symptoms may be due to multiple causes and treatment would be formulated only after a complete evaluation of your condition as well as some specific tests.
The bleeding may be due to:
1. Threatened abortion: in this the baby is alive but there is a tendency to abort. For this you need bed rest, tested for TORCH, blood sugar and thyroid along with an ultrasound to see how the baby is and if there is any internal bleeding.
2. Bleeding due to lovenox: this drug is used to prevent blood from clotting. Sometimes the dose may be more than your need and then it leads to bleeding tendencies even with slight trauma. For this check your coagulation profile and if any abnormalities adjust dose accordingly.
3. Bleeding due to fibroid: sometimes they tend to enlarge and bleed during pregnancy depending upon their location. An ultrasound will help.

So discuss all these issues with your treating obstetrician at the earliest. It is better to go for a second opinion as you do have multiple issues.

These problems can be dealt with, if the exact cause is pinpointed and you will be all right after that.

Hope I was able to help you.
Thanks for using health care magic.
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Pregnant, Moderate Bleeding, Taking Lovenox, Having Pain, Pelvic Pressure. Cure?

Hi, Your symptoms may be due to multiple causes and treatment would be formulated only after a complete evaluation of your condition as well as some specific tests. The bleeding may be due to: 1. Threatened abortion: in this the baby is alive but there is a tendency to abort. For this you need bed rest, tested for TORCH, blood sugar and thyroid along with an ultrasound to see how the baby is and if there is any internal bleeding. 2. Bleeding due to lovenox: this drug is used to prevent blood from clotting. Sometimes the dose may be more than your need and then it leads to bleeding tendencies even with slight trauma. For this check your coagulation profile and if any abnormalities adjust dose accordingly. 3. Bleeding due to fibroid: sometimes they tend to enlarge and bleed during pregnancy depending upon their location. An ultrasound will help. So discuss all these issues with your treating obstetrician at the earliest. It is better to go for a second opinion as you do have multiple issues. These problems can be dealt with, if the exact cause is pinpointed and you will be all right after that. Hope I was able to help you. Thanks for using health care magic.