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Is Hematoma On Vaginal Wall Detectable In Ultrasound?

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Posted on Mon, 2 Feb 2015
Question: Can you have a hematoma that isnt viewable on vaginal ultrasound. I am 9 weeks pregnant. I had an ultrasound on Tuesday and everytiing looked great. Measuring right size and 173 heartbeat. Closed cetvix. Doc was happy.

Today had a tough bowel movement to pass and now seeing bright red blood.

doctor
Answered by Dr. Dr. Rakhi Tayal (47 minutes later)
Brief Answer:
Hemorrhoid likely.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
A small hematoma in the vaginal wall might not be detectable on the vaginal ultrasound. But the bright red blood that appeared after a tough bowel movement is likely to be due to a hemorrhoid.

A hemorrhoid is basically a small swollen blood vessel in the area of the anus. On occasion, these can be triggered by - prolonged sitting, heavy lifting, pregnancy or possibly from anal sexual intercourse.

These are not dangerous or life threatening.

Let me give you a few suggestions as far as what to do now. First, twice daily I'l like you to sit in a warm batch in the bathtub for 20 minutes. The warm water will sooth the area and help shrink the swollen tissue.

Next, you can go to any local pharmacy and pick up a tube of preparation H cooling gel. This is a clear gel which you can apply to the swollen areas after each bowel movement and also at bedtime. Over time this helps also to shrink the hemorroidal tissue.
Again, hemorrhoids are common and not worrisome. Occasionally they can become larger and bleed but in your case this is not a concern.
Be careful to avoid constipation at all costs. You should increase the fiber in your diet by eating fruits and vegetables. Be a smart grocer, choose foods which have fibre more than 25gm in the nutrition information label
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (3 minutes later)
This is what i thought it was too. I did have anal bleeding afterwards which assumed was a hemmorhoid.

I wasnt concerned until i wiped only my vaginal (intentionally) area a few hours laterand there waa blood.
doctor
Answered by Dr. Dr. Rakhi Tayal (21 minutes later)
Brief Answer:
Not likely to be vaginal bleeding.

Detailed Answer:
Hello.
Thanks for writing again.
The blood in the vaginal area might have trickled from the anal opening. Keep the area clean and watch for any more bleeding. It is not likely to be a vaginal bleeding.
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
Answered by
Dr.
Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14039 Questions

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Is Hematoma On Vaginal Wall Detectable In Ultrasound?

Brief Answer: Hemorrhoid likely. Detailed Answer: Hello, Thanks for trusting us with your health concern. A small hematoma in the vaginal wall might not be detectable on the vaginal ultrasound. But the bright red blood that appeared after a tough bowel movement is likely to be due to a hemorrhoid. A hemorrhoid is basically a small swollen blood vessel in the area of the anus. On occasion, these can be triggered by - prolonged sitting, heavy lifting, pregnancy or possibly from anal sexual intercourse. These are not dangerous or life threatening. Let me give you a few suggestions as far as what to do now. First, twice daily I'l like you to sit in a warm batch in the bathtub for 20 minutes. The warm water will sooth the area and help shrink the swollen tissue. Next, you can go to any local pharmacy and pick up a tube of preparation H cooling gel. This is a clear gel which you can apply to the swollen areas after each bowel movement and also at bedtime. Over time this helps also to shrink the hemorroidal tissue. Again, hemorrhoids are common and not worrisome. Occasionally they can become larger and bleed but in your case this is not a concern. Be careful to avoid constipation at all costs. You should increase the fiber in your diet by eating fruits and vegetables. Be a smart grocer, choose foods which have fibre more than 25gm in the nutrition information label Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal