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Cause of pressure in vaginal area with contractions and headaches - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I'm pregnant and on lovenox and my doc says he thinks there is a clot in my cervix. I have immense pressure in the vaginal area and daily contractions, but they say I'm fine. I also have headaches that won't stop and feel helpless and useless. This is my third pregnancy. I'm at 16 weeks now
Doctor :   Hello.
User :   hi
Doctor :   Let me read your query.
User :   okay
Doctor :   Since when are you having these symptoms?
User :   I've had major contractions for three weeks, my cervix, acc. to their exam is closed. the pressure has been there since then and won't stop. I stand and it feels like the bottom is going to fall out. The clot or whatever it is in my cervix is large. Even I could see it on the ultrasound.
User :   I go to an army medical hospital and they have the walk it off mentality
User :   I used to be a nurse and something doesn't feel right
User :   Headaches started two weeks ago
User :   They gave me fioricet but it comes right back
Doctor :   What did the ultrasound report say?
User :   I have no idea, they just did it in the office
User :   and said it looks like a big clot, but I'll be fine, don't worry
User :   etc
User :   no ultrasound tech did it
User :   it wasn't done in radiology
Doctor :   Ok.
Doctor :   Do you have any bleeding per vagina?
User :   All the time.
User :   But every time I go in they say it's fine
User :   nothing more than just surface bleeding etc
Doctor :   Ok.
Doctor :   How about the fetus condition?
User :   Told me that pregnancy is uncomfortable as it is, so deal with it. Baby is fine. His heart rate dropped last week when the contractions were particularly bad, but seems to be fine now
Doctor :   Ok.
Doctor :   If it is a big clot, then there could be a possible risk to fetus.
Doctor :   How many ultrasound have you done?
User :   Doc said it was in the middle of my cervix so not to worry, but I have NOT had these issues with my first two pregnancies.
User :   Just the couple in the office and one in the ER, but they were all docs just scanning for a heartbeat and to see the cervix
Doctor :   Ok.
User :   I haven't had an indepth one, doc says to wait until twenty weeks. I'm worried I'm going to bleed or have a misscarriage at this rate
Doctor :   Then you have to wait till 20 weeks and repeat the scan.
User :   ok, thanks.
Doctor :   How much bleed is there?
User :   Depends on how bad the contractions and cramping are on any given day
User :   Sometimes a few drops to a lot
Doctor :   Is it bright red or dark?
Doctor :   fluid type or clots?
User :   bright red and dark, depends on the day.
User :   Fluid more than clots, but I have seen clots
Doctor :   Ok.
Doctor :   Ok.
Doctor :   Have you informed you treating doctor about the lovenox you are taking.
User :   of course.
Doctor :   Ok.
Doctor :   You have to wait till 20 weeks and repeat the scan.
Doctor :   to check on the prognosis of the clot.
User :   thanks for your help. I will take it in mind.
Doctor :   Is there anything else, i can help?
User :   No, I suppose there's nothing that will calm me at this point, just in a lot of pain and frustrated. Thanks.
Doctor :   You have take lots of bed rest.
Doctor :   And stay clam .
User :   easier said than done.
User :   Thanks again.
Doctor :   Thanks for consulting healthcaremagic.
Doctor :   bye for now.
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