[30F] Experiencing abnormal vaginal bleeding and cardiac symptoms

Patient Description

A 30-year-old female reports a faint positive pregnancy test followed by abnormal vaginal bleeding, which was heavy initially and has now transitioned to a brown milky discharge. She has been experiencing these symptoms for 4 days. Additionally, she is experiencing heart palpitations, a sensation of her heart 'not keeping up,' and chest pressure without pain. She also reports lightheadedness, particularly upon standing, which has been occurring for one day and is rated as 5 out of 10 in severity. The patient notes shortness of breath for about a week, which worsens with deep breaths. There is no past medical history of heart conditions, but her mother has heart disease. She has no known allergies or current medications. She denies any severe headaches, sudden vision changes, or light sensitivity. The patient has not been diagnosed with any pre-existing conditions or chronic illnesses and does not regularly visit the doctor.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possibilities:

  • Pregnancy: Given the positive pregnancy test and the symptoms you're experiencing, it's possible that you could be pregnant. The vaginal bleeding you've experienced could be implantation bleeding, which sometimes occurs in early pregnancy. However, it's also important to rule out an ectopic pregnancy, which is a medical emergency and occurs when a fertilized egg implants outside the uterus.

  • Cardiovascular issues: Your symptoms of chest pressure, heart palpitations, lightheadedness, and shortness of breath could indicate a cardiovascular issue. Given your family history of heart disease, it's important to rule this out.

  • Anxiety or stress: Sometimes, physical symptoms can be a manifestation of psychological stress or anxiety. This could potentially explain some of your symptoms, such as the heart palpitations and lightheadedness.

What you can do

  1. Seek immediate medical attention: Given your symptoms, it's important to seek immediate medical attention. This is particularly important to rule out serious conditions such as an ectopic pregnancy or a cardiovascular issue.

  2. Pregnancy test: If possible, take another pregnancy test to confirm the result of the previous test.

  3. Keep track of your symptoms: This can help your healthcare provider make a diagnosis.

What you should look out for

If any of the following occur, seek immediate medical attention:

  • Severe abdominal pain
  • Severe chest pain
  • Difficulty breathing
  • Fainting or loss of consciousness

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


What could cause a faint positive pregnancy test followed by abnormal vaginal bleeding?

A faint positive pregnancy test followed by abnormal vaginal bleeding could indicate early pregnancy changes such as implantation bleeding. However, it could also suggest a miscarriage or an ectopic pregnancy, which is a medical emergency. It's important to seek medical evaluation to determine the cause.


What are the potential causes of heart palpitations and chest pressure in someone with no known heart conditions?

Heart palpitations and chest pressure can be caused by anxiety, stress, or cardiovascular issues. Even in the absence of known heart conditions, these symptoms should be evaluated by a healthcare professional, especially with a family history of heart disease.


How can lightheadedness and shortness of breath be related to each other?

Lightheadedness and shortness of breath can be related due to decreased blood flow or oxygen levels reaching the brain, which can occur with cardiovascular issues, dehydration, or anxiety. It's important to assess these symptoms in conjunction with other signs to determine the underlying cause.


What should I do if I suspect an ectopic pregnancy?

If you suspect an ectopic pregnancy, seek immediate medical attention. An ectopic pregnancy occurs when a fertilized egg implants outside the uterus, often in a fallopian tube, and can cause life-threatening complications if not treated promptly.


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