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Bleeding after premature pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Child Birth
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
User :   hello
Doctor :   how can I help you?
User :   yes
User :   i delivered a baby premature on 27th march
User :   after that till now im bleedin on and off
User :   i got a scan done 2 weeks back
Doctor :   ok
User :   n they told me i had clots
Doctor :   ok
User :   but now all clots came out
Doctor :   ok
User :   still im havin bleedin
Doctor :   there are chances that still there may be some clots in the uterus
User :   its not heavy but its not stopping
Doctor :   ok
User :   they told me maybe uterus is empty but maybe thers a fibroid
User :   down
Doctor :   ok
User :   i dont think it can b a fibroid
Doctor :   what is the size of the fibroid?
User :   coz i have been getting my scan since six months
Doctor :   ok
User :   and there was no sigb of it
User :   they say 3 cm
Doctor :   ok
Doctor :   do you have the report with you now
User :   even after delivery i did my scan
User :   and everything was noemal
User :   in 1st diagnosis he said its remains of placenta
User :   and then 2nd one said fibroid
User :   i m very confused n scared
Doctor :   let me explain you
User :   ok
Doctor :   there cannot be remnants of placenta for so long
User :   ok
Doctor :   they generally come out with in 20 days
User :   ok
Doctor :   regarding clots there are chances that there are still some clots left inside
User :   ahaan
Doctor :   regarding the fibroids do you have the report with you now?
User :   yes
User :   i do
Doctor :   plz get the report
User :   yes it wid me
Doctor :   plz type it
User :   the report for fibroid id on have the last one i have says
User :   remains of conception
User :   sorry
User :   retained products of conception
User :   and infection and anaemia
Doctor :   the last one, plz type the exact language
User :   diagnosis:retained products of conception ,infection ,anaemia
User :   now theres no infection and i have taken 2 unots of blood as well
User :   units
Doctor :   is this the sonography report?
User :   i have the scans wid me
User :   no this is doctors report
Doctor :   i want you to type the sonography report
User :   in tat just says retained products of conception
Doctor :   plz type the exact language
User :   os 5/6/2009 retained products of conception
User :   tats all is written
Doctor :   i think it is the impression
User :   sorry
User :   i didnt get u
Doctor :   there must be some findings written under heading UTERUS
Doctor :   along with measurements
User :   no i don have tat one with me
User :   this one is from clinic
User :   but i remembr them sayin it was 3.4 cm
User :   the scan report frm hospital s not wid me
Doctor :   ok
Doctor :   just now you mentioned me the doctors report stating infection, what is the date on that report
User :   that time i had brown discharge and some foul smell
Doctor :   ok
User :   6-0000
Doctor :   what is the date on that report
Doctor :   you mean 4 days back?
User :   yes
Doctor :   ok
Doctor :   after that you were taking medications?
User :   yes
Doctor :   ok
User :   they gave me iv
User :   antibiotics
Doctor :   for how many days?
User :   2 days
Doctor :   ok
Doctor :   it is possible that the bleeding is due to the infection
Doctor :   now are you taking oral antibiotics
User :   no just vitamins and calcium
Doctor :   only for two days you were given antibiotics?
User :   no b4 tat
User :   i took for a week
Doctor :   ok
User :   and later 2 days iv
User :   now im not taking coz
User :   i ran away from there for rong diagnosis
User :   sometimes they say placenta sometimes fibroid sometimes tissue
User :   tats y i don have my last reports even
User :   im really woried
User :   i wud b grateful if u can help me out
Doctor :   without report it is difficult for me to judge what exactly your problem is, but as you said that you had foul smelling brownish discharge it seems that there is some infection
Doctor :   as you have discontinued the treatment the infection will not subside and the bleeding will continue
Doctor :   you need an antibiotic course for infection, whatever may be the reason behind the bleeding the primary thing at this point is infection which should be treated promptly
Doctor :   and as early as possible
Doctor :   did you follow?
User :   see
User :   now i don have any smell
User :   the discharge has turned to pink
User :   u thR?
User :   hello
Doctor :   yes
User :   i think thers no infection now
Doctor :   plz try to understand each antibiotic has its proper dosage if it is taken in a low dose then once the infection will subside and then it will again come up with more of severity
Doctor :   and if you believe that you dont have infection
User :   ok
User :   so can u tell me what antibiotics i can take for this infection
Doctor :   i will advice you to go for CBC a blood test and tell me the reports, if no signs of infection are found then we will think in different direction
User :   i have done blood test
User :   and i have report
Doctor :   which antibiotics you had taken previously
Doctor :   when?
User :   UCEF
User :   ON 6TH
Doctor :   and IV
User :   AFTER TAT '
Doctor :   do you have report
User :   IT WAS 6.8
Doctor :   plz type it
User :   YES
User :   HB 6.7
User :   RBC COUNT 4.0
User :   PCV 34.5
User :   MCV 81.9
User :   MCH 27.8
User :   MCHC33.9
Doctor :   TOTAL LEUCUCYTE COUNT 0000 is suggestive of infection
User :   MONOCYTES 1
Doctor :   even leucocytes are increased
Doctor :   this report shows that you have infection
User :   OK
User :   now
User :   what shud i do
Doctor :   let me make you understand the complete picture
User :   ok
Doctor :   after delivery there will be discharge that will normally last upto 90 days
User :   ok
Doctor :   it changes its colours with time and is normal
User :   ok
Doctor :   but in your case the bleeding is prolonged as is evident by your blood report that shows anemia
User :   yes
User :   but still my 90 days are not over
Doctor :   yes
Doctor :   but you had anemia which indicates blood loss
User :   4 times i bled heavily and with tat blood clots came out
Doctor :   let me make you understand
User :   ok
Doctor :   as you are bleeding continuously which is also evident from your report which shows anemia
Doctor :   it may be due to retained products of pregnancy or clots
Doctor :   or due to some fibroid
User :   ok
Doctor :   or due to some infection
Doctor :   or it is possible that out of these three factors two of them are present
Doctor :   did you follow?
User :   yes
Doctor :   ok
Doctor :   now infection is confirmed but either of other two factors are there or not it is not clear
Doctor :   is it ok?
User :   ok
Doctor :   so my suggestion to you is to go for a Sonography at some other clinic and get the report from them which will make it clear that if there is any underlying cause or not
Doctor :   acordingly the further treatment can be planned
User :   i cant go now.. i have done so many scans ..and again they will repeat the same thing
User :   can u tell me what i cna do to become alright and stop this bleedin
User :   i have abdominal pain also
Doctor :   plz try to understand your are having a infection, pain is because of that, if at this stage you were not treted properly and the bleeding is stopped as such then there may be very serious complications that can occur
Doctor :   so you will need to go for the investigations and then the medications can be planned
Doctor :   overlooking the condition can be very serious
Doctor :   the infection can spread to ovaries and other organs of the body
User :   the report i gave u was b4 they gave me iv
Doctor :   and can cause serious damages
User :   i had scan 2 days back
User :   in which the said everthin was ok but there seems 2 be something like a fibroid
Doctor :   thats why i am asking you to go for blood counts and sonography again to confirm the diagnosis
Doctor :   if there is fibroid then you will need hormones
User :   i don need surgery?
User :   here they say surgery
Doctor :   and if there is retained placenta then you will need a different treatment and if infection then antibiotics
Doctor :   it will depend on the size and location of the fibroid
User :   i asked them for d and c
Doctor :   ok
User :   t he said its no ned
Doctor :   ok
Doctor :   but go for investigations first it is important
User :   they said its a sub mucosal fibroid
User :   mybe
User :   3*3 is the size
User :   ok
Doctor :   plz confirm the diagnosis first then will plan the treatment
User :   is there any medicine to naturally remove the fibroid or placenta
Doctor :   medications are there for fibroid but they cannot remove it completely
Doctor :   they can control it
User :   im just 25 now
User :   u think thers a chance tat i can have somethin like tat
Doctor :   ok
User :   cos no one inmy famil has ha d it
User :   not my mother or sister
User :   no one
User :   and can i have a pregnancy again ??
Doctor :   plz go for sonography that will be confirmatory
Doctor :   get me the report then i can answer your questions in a much better way
Doctor :   Is there any thing else I can help you with?
User :   ok
Doctor :   Is there any thing else I can help you with?
User :   no
User :   thanks
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
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