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Dysfunctional uterine bleeding and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3612 Questions
User :   Hi In the past 2 months I had sudden onset of vag bleeding, and I had internal ultrasound which showed bulky uters, I am not menpausal,, since then I have delveloped excruciating lower back pain, constant debilitating abd cramps, occasional vag bleeding or spotting and generalized malaize. Went to emerg did a CT of abd which was negative ande had back xray which was negative. I feel terrible and getting worse. What could be wrong with me?
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   let me read what you have typed
Doctor :   when was your last menstrual period?
Doctor :   please provide your age.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
User :   Sorry age is 43, last mentral period was I think 2 weeks agok, but now have black gritty stuff coming out
Doctor :   ok
Doctor :   do you have other symptoms during your periods like discomfort/pain while going for bowel movement and urination?
User :   n pain with urinatin, had testfor uti, neg, not "aware of bowel movement" pain due to excruciating back ain
Doctor :   bowel movement=passing of stools (fecal matter)
User :   Yes, not really aware, I have too much back pain to be aware of anything else, but no pain in the rectum
Doctor :   at age of 43 years with symptoms of change in bleeding pattern and bulky uterus you might be having perimenopausal symptoms or going into DUB (dysfunctional uterine bleeding)
Doctor :   discuss wth your treating gynecologist about DUB and finding the cause for bulky uterus
User :   what does that have to do with severe back pain, so debilitating that I can barely stand and when I take a step it burns and causes me to gasp?
Doctor :   with uterus being bulky, it will put strain on ligaments
Doctor :   causing the back pain
Doctor :   if the pain is too severe, it could aso signal possibility of endometriosis
User :   and the solution for this and could I have cancer in the head of my pancrease with such a sudden onset
Doctor :   this can be confirmed by getting a diagnostic laparoscopy done
User :   i ave never had endometriosis in all my yrs before
Doctor :   no, cancer symptoms will have some time to occur and it will not be suddenly severe
Doctor :   endometriosis can occur at any time and at any age
Doctor :   it can even be latent and show symptoms only wen severe
User :   and what about ca of the uterus, my mom was diagnosed all of a sudden by a routine D and C for vag bleeding with sudden onset 2 yrs ago?
Doctor :   this is only a possibility suggested based on the severity of your symptoms.
User :   meaning the more severe my symptoms the greater the likely hood that I could have aso ca of the uterus
Doctor :   then you should consider getting tumor marker tests done for uterus cancer
Doctor :   to look for possibility of cancer
User :   I live in xxxxxx...what is this test exactly?
Doctor :   it is special test to detect presence of cancer
User :   I am also an RN.....
User :   what is the test
Doctor :   tumor markers for CA uterus
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