[37F] Experiencing sudden abnormal vaginal bleeding post-hysterectomy

Patient Description

A 37-year-old female reports sudden onset of abnormal vaginal bleeding and cramping, beginning today. The bleeding is more than spotting when urinating. The patient had a hysterectomy in 2014, with removal of the cervix and uterus due to cervical cancer, and has had two miscarriages since. She denies previous episodes of similar bleeding. No pain during intercourse or unusual discharge is noted. The patient reports fatigue and recent episodes of nosebleeds and coughing up blood, but no fevers or night sweats. There is no easy bruising or prolonged bleeding from cuts. She has not traveled recently and does not use tobacco, alcohol, or recreational drugs. Her medical history includes a stomach ulcer, hiatal hernia, and acid reflux, diagnosed in 2009. She has no known allergies and is not currently taking any medications.

Show More

Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  • Vaginal Bleeding and Cramping: Since you've had a hysterectomy, bleeding could be due to vaginal or cervical issues. It's important to rule out any remaining cervical tissue issues or vaginal atrophy, which can cause bleeding and discomfort.

  • Nosebleeds and Coughing Up Blood: These symptoms could be related to a bleeding disorder or a respiratory issue. It's important to address these symptoms with a healthcare provider to rule out any serious conditions.

  • Fatigue: This could be related to your current symptoms or other underlying conditions like anemia, especially if there's unexpected bleeding.

What you can do

Vaginal Bleeding and Cramping:

  • Schedule an appointment with your healthcare provider to evaluate the cause of the bleeding.
  • Keep track of the bleeding episodes, including frequency and amount, using MDandMe to journal your symptoms.

Nosebleeds and Coughing Up Blood:

  • Seek medical attention to determine the cause of these symptoms.
  • Stay hydrated and use a humidifier to keep nasal passages moist.

Fatigue:

  • Ensure you are getting adequate rest and nutrition.
  • Monitor your energy levels and any other symptoms using MDandMe.

What you should look out for

Seek immediate medical attention if you experience:

  • Heavy or persistent bleeding
  • Shortness of breath or chest pain
  • Dizziness or fainting

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

Show More

1
 Hugs
0
 Comments

Save

3 mo ago

Top picked over-the-counter products for Painful Periods (Dysmenorrhea)

People Also Ask


What could cause vaginal bleeding after a hysterectomy?

Vaginal bleeding after a hysterectomy could be due to issues with remaining cervical tissue, vaginal atrophy, or other vaginal conditions. It's important to consult a healthcare provider to determine the exact cause.


What are potential causes of nosebleeds and coughing up blood?

Nosebleeds and coughing up blood can be caused by a variety of factors, including bleeding disorders, respiratory infections, or other underlying health issues. It's crucial to seek medical evaluation to identify the cause.


How can fatigue be related to unexpected bleeding?

Fatigue can be related to unexpected bleeding due to potential blood loss leading to anemia, which reduces the oxygen-carrying capacity of the blood and can cause tiredness and weakness.


What steps should be taken if experiencing heavy or persistent bleeding?

If experiencing heavy or persistent bleeding, it's important to seek immediate medical attention. This could indicate a serious condition that requires prompt evaluation and treatment by a healthcare professional.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback