[25F] With sudden onset of large blood clots and colon wall thickening

Patient Description

A 25-year-old female reports the sudden onset of passing 20-30 golf ball-sized blood clots over the past week. There is no relief from these symptoms. Additionally, the patient notes colon wall thickening and a growth on the scalp. The symptoms began suddenly, and there is no associated dizziness or lightheadedness reported. Further evaluation is necessary to determine the underlying cause of these symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several potential concerns:

  1. Uterine Fibroids or Polyps: The echogenic mass in your uterus could be a fibroid or polyp, which can cause heavy bleeding and clots. These are non-cancerous growths but can lead to significant symptoms.

  2. Endometrial Hyperplasia: The thickening of the endometrial lining could suggest endometrial hyperplasia, which is an overgrowth of the cells lining the uterus. This can cause heavy bleeding and needs evaluation to rule out precancerous changes.

  3. Hormonal Imbalance: Elevated HCG levels without pregnancy might indicate a hormonal imbalance or other conditions like a molar pregnancy, which requires immediate attention.

  4. Other Concerns: The colon wall thickening and scalp growth are additional findings that need further investigation to determine if they are related or separate issues.

What you can do

  • Seek Immediate Medical Attention: Given the heavy bleeding, large clots, and elevated HCG levels, it's crucial to see a healthcare provider as soon as possible. They may perform further tests, such as a biopsy or imaging, to determine the cause.

  • Monitor Symptoms: Keep track of your bleeding, any additional symptoms, and how you feel overall. This information will be helpful for your healthcare provider.

  • Emergency Care: If you experience severe pain, dizziness, or feel faint, please seek emergency care immediately. These could be signs of significant blood loss or other complications.

  • Follow Up: Ensure you follow up with your healthcare provider for a comprehensive evaluation and management plan.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

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People Also Ask


What are the potential causes of passing large blood clots in women?

Passing large blood clots can be caused by conditions such as uterine fibroids, polyps, endometrial hyperplasia, or hormonal imbalances. It is important to seek medical evaluation to determine the exact cause.


How is colon wall thickening typically evaluated and treated?

Colon wall thickening is usually evaluated through imaging tests like a CT scan or colonoscopy. Treatment depends on the underlying cause, which could range from inflammation to more serious conditions like cancer.


What could a growth on the scalp indicate?

A growth on the scalp could be a benign condition such as a cyst or lipoma, but it could also be a sign of a more serious issue like a skin cancer. A dermatologist should evaluate it to determine the appropriate course of action.


What are the implications of elevated HCG levels in non-pregnant women?

Elevated HCG levels in non-pregnant women can indicate a hormonal imbalance, a molar pregnancy, or other medical conditions. It is important to have further testing to determine the cause and appropriate treatment.


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