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Started vaginal bleeding with abdominal cramp after period. Pregnancy test negative. Worrisome

Mar 2016
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Practicing since : 2011
Answered : 4047 Questions
Bleeding between periodsSo I had, what I thought to be a period about 2 weeks ago. Friday night I discovered I was bleeding again, a lot heavier then last time. I had horrible cramps and was bleeding a lot. It's been 2 days and I've been bleeding just as much, with 'cramps' that don't feel like normal cramps, nausea, dizziness, headaches, back pains and no energy what so ever. I took a pregnancy test to make sure I'm not having a miscarriage and it came up negative. What could it be?
Posted Sat, 25 May 2013 in General Health
Answered by Dr. S Patra 47 minutes later

Thanks for writing to us. I am trying to solve your problem.

First of all, you are suffering from sudden heavy vaginal bleeding with abdominal cramp following your period over 2 weeks ago. Here, you should undergo one blood test for beta HCG level & Trans Vaginal Sonography (TVS scan) to exclude product of conception if any. Early home pregnancy test may give negative result.

In exclusion of conception, other reasons are uterine fibroid/ endometrial polyp/ pelvic endometriosis/ adenomyosis/ hormonal imbalance associated with using OCP etc which may present with above features.

Pelvic examination along with some relevant investigations like pelvic ultrasound scan, thyroid profile, endometrial biopsy following D & C etc are needed to pin point the diagnosis.

Proper treatment depends on underlying causative factor. Therefore, I suggest you to consult with gynecologist regarding this and take suggestive measures according to test reports.

Do the following things:

1) Take healthy diet and drink more water/ juice, eat fresh fruits/ vegetables.
2) Take iron & vitamin supplements with diet. Try to avoid stress/ anxiety.
3) Maintain genital hygiene & take sound sleep with complete relaxation.
4) Take some anti-spasmodic medication (like drotaverine) and some hemostatic agents (like tranexamic acid) to alleviate presenting symptoms.

Hope I have answered your query. If you have any further questions I will be happy to help.

Wish your good health in future.

Dr Soumen
Above answer was peer-reviewed by
Follow-up: Started vaginal bleeding with abdominal cramp after period. Pregnancy test negative. Worrisome 28 minutes later
Thank you
Answered by Dr. S Patra 16 minutes later

You are most welcome in our XXXXXXX platform.

If you are satisfied with my answer, you can close the discussion and rate the answer.

Take care yourself.

Dr Soumen
Above answer was peer-reviewed by
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