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Dr. Andrew Rynne

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Have prolonged vaginal bleeding, back pain and swollen legs. What is going on?

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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13336 Questions

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Posted on Wed, 9 Jan 2013 in Women's Health
Question: Hi,

I have been XXXXXXX bleeding" now for the past 20 days. i did go to my gynacologist, as this worried me. He has asked me to do external and XXXXXXX ultrasound, and also blood tests to check hormones and thyroid. I guess i just wanted a second opinion on what you may think it could be. this is around the time now that i would have gotten my periods but now don't know if it is my periods??? i find when im asleep and wake up in the morning not much blood, when im on my feet, i have the back aches, and blood loss. maybe about the amount of 3/4 of a sanitary pad a day.
......i have noticed abit of swelling in my legs as well?? i did take the morning after pill back on the 22nd Oct ?? so don't know if this has affected it?
as it is the holiday season now and most doctors are closing i AM just abit concerned if it gets worse? and also if i can take any supplements to help this?
doctor
Answered by Dr. Rakhi Tayal 1 hour later
Hello,
Thanks for posting your query.
You are having prolonged vaginal bleeding,a menstrual disorder called Menorrhagia.
There are many cause for having such heavy bleeding commonest being:-
-Female hormone imbalance,
-Uterine fibroids,
-Disorders of the uterine lining,
-Uterine,ovarian or cervical cancer,
-Hypothyroidism,
-Endometrial hyperplasia,
-Dysfunctional uterine bleeding, to name a few.
The bleeding you are having now is not likely to be related to the emergency pill you took two months ago.
The management of this condition would require treatment with progesterone to stabilize the endometrium and reduce bleeding along with hemostatic agents like ethamsylate or tranexaemic acid . Oral contraceptive pills (OCPs) suppress endometrial development, reestablish predictable bleeding patterns, decrease menstrual flow, and lower the risk of iron deficiency anemia.

You might consult your OB-GYN who can do the needed tests and initiate the proper therapy.
Meanwhile start taking iron supplements to combat excessive blood loss from your body.

Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakhi Tayal 14 hours later
can i ask, as it is the holiday season and wont be able to see my gyno again till the 15th XXXXXXX when is it a cause for concern to go to the hospital or er with the excessive blood loss?

As i have noticed it has gotten heavier over the past day? but i was supposed to have gotten my regular period over the past couple of days, could it be this?
ohhh and im noticing quite a few more clumps/clots coming out....
doctor
Answered by Dr. Rakhi Tayal 9 hours later
Hello.
Thanks for writing again.
A heavy bleeding- like passage of clots or if you are soaking more than three pads per day for more than 3-4 days then you must attend an ER for an immediate management.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakhi Tayal 3 hours later
do you know of any home remedies that i could try in the mean time?
doctor
Answered by Dr. Rakhi Tayal 1 hour later
The home remedies are not likely to help you much. You can start taking combined oral pills available over the counter for relief.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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