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Irregular period, some spotting and depression, suffering from constipation and piles - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
Doctor :   hi
User :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   how can I help you?
Doctor :   please proceed with your health query
User :   its with regards to my periods
User :   its become very irregular
User :   u there
Doctor :   ok. please describe your problem in detail
User :   k
User :   i usally have a 25 day cycle
User :   where the first two days there is only slight spotting and 3rd & 4th day the flow is heavy and then stops on the 5th day
User :   this month i startedspotting after 20 days of my last period
Doctor :   ok. were you having regular periods before?
Doctor :   what is the problem/change that you are facing?
User :   and its been more thn 3 days the flow hasnt started
User :   and infact there is no spotting either
User :   could i be pregnant
Doctor :   are you having any other symptoms?
User :   just on day one slight blood spots n dat two a some discharge
User :   symptoms like???
User :   u there???
Doctor :   ok. Yes, as I am chatting with some patients simultaneously. Please bear with me for a reply
User :   k
Doctor :   do you have symptoms like nausea, increased sleep, increased appetite, frequent urination, breast soreness and pain, back pain, headache, mood changes?
User :   no
User :   usually depressed these days
Doctor :   ok. it is not necessary that all women should experience symptoms of pregnancy.
Doctor :   your symptoms of delay in pereiods and depression could suggest pregnancy
User :   but here there is no delay
Doctor :   I would recommend you to go ahead with an examination done by our gynecologist along with a blood beta HCG level test to confirm/rule out pregnancy
User :   the spotting happened at a 20 day cycle
Doctor :   you said earlier that "its been more thn 3 days the flow hasnt started"
User :   and second day also there was blood discharge
User :   yes but after that no flow at all
Doctor :   this suggests possibility of implantation bleed or a decidual bleed. getting it confirmed with examination and tests will reveal the exact cause.
Doctor :   so getting examination and tests like blood beta HCG levels will help you in knowing if the cause for the altered bleeding is pregnancy or not
Doctor :   if you are not found to be pregnant (since pregnancy is most common cause), further investigations can be done to rule out hormonal imbalances
Doctor :   have you followed what I have said?
Doctor :   are you there?
User :   yes
User :   actually the chances of prenancy should be very minimal
Doctor :   ok. then only after you go ahead with the tests to rule out pregnancy it can be safely ruled out
Doctor :   and appropriate treatment given to you to correct the menstrual cycle
Doctor :   after determining any hormonal imbalances. if any abnormalities are found (with no pregnancy) then treatment in form of hormonal pills might be necessary to regulate your bleeding and cycles
Doctor :   have you followed what I have said?
Doctor :   are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   hi
Doctor :   hi
Doctor :   are you back?
User :   yes
Doctor :   please proceed with the discussion
Doctor :   have you followed what I said uptil now?
User :   yes i have
User :   thanks
Doctor :   is there anything else I can help you with?
User :   i have another problem
Doctor :   ok. please proceed
User :   i suffer from constipation and piles
Doctor :   since when you are having these symptoms?
User :   and severe bloating
Doctor :   have you had any check up/examination done for it?
User :   snce many yrs now
User :   no
Doctor :   ok
User :   and constipation goes on some times for morethan 3 days
User :   and then in the end i end up getting an upset stomach / loose motions
Doctor :   what do u mean by constipation ? how often do you pass stools?
User :   once in 2 - 3 days
User :   and then too there is a feeling that the bowel is not clean
Doctor :   do you have hard stools. pain while defecation, etc - are these present?
User :   yes
Doctor :   please try some laxatives, which are available over the counter
Doctor :   like with milk or water at night
Doctor :   also, have some additional fibre dich diet (fruits, cereals, cornflakes, fibre supplements in diet)
User :   i do that
User :   i have at night
Doctor :   change in diet patterns, adequate intake of water, will help u as well
User :   but i get a feeling that its still not complete
Doctor :   have you used laxatives before?
Doctor :   may i know your age?
User :   33
Doctor :   are you physically active ?
User :   no not much
Doctor :   do some sit ups, lying down on the floor, these exercises imporve the motility and health of the colon
User :   k
Doctor :   also called ab cruches, these are good
Doctor :   upto 50-100 per day, will help you daily
Doctor :   also for relief now, try some laxatives available OTC
Doctor :   ARE YOU THERE /
Doctor :   ?
User :   yes
User :   can u suggest some
User :   otc
Doctor :   benefiber 2 tsp twice daily
User :   k
User :   morning and evening????
Doctor :   or trulax 1 tab at night
Doctor :   i guess trulax is better
Doctor :   for you
User :   k
Doctor :   Is there anything else I can help you with?
User :   for how long should i take trulax???
Doctor :   try it initially for one week,
User :   k
Doctor :   it will help you, but consult your physician, if it still persists,
User :   k
User :   thaks you
User :   thank u
Doctor :   you are welcome
Doctor :   Thanks for consulting me here
Doctor :   Any more query?
Doctor :   are you there?
Doctor :   I have to close the window as you are not responding.
Doctor :   Please chat with our doctors 24/7 for medical queries.
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