Abnormal Bleeding and Abdominal Pain in Women

Intermenstrual bleeding with abdominal pain?

Hello Doctor, 👋 I started noticing some light brown discharge in my underwear about two days ago (on January 17).
By this morning (January 19), the brown discharge had increased, and I also experienced bleeding that was heavy enough to require a pad.
Additionally, I have been feeling some dull abdominal pain throughout the day, which prompted me to visit a gynecologist in the evening.
After an ultrasound, the doctor informed me that my uterine lining is very thin but there are no growths, and it appears to be intermenstrual bleeding.
The doctor prescribed hemostatic medication and advised me to monitor the situation.
However, the doctor did not address the cause of my abdominal pain or whether this is normal.
I also have symptoms of dizziness, fever, and nausea, but the doctor mentioned that these symptoms are likely unrelated to the bleeding.
Therefore, I would like to ask if it is normal to experience mild abdominal pain with intermenstrual bleeding? The pharmacist also prescribed me medication for my stomach, and I am unsure if this is related, but I have noticed that my gastrointestinal motility seems to be faster today.
Thank you for taking the time to answer my questions.
🙏

Dang nǚshēng zhēn lèi, 20~29 year old female. Ask Date: 2024/01/19

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the factors that can cause this are numerous and may not necessarily be related to bleeding.
It is advisable to consult a physician for further examination if your symptoms persist or worsen.
Thank you! Wishing you safety and health.
Dr.
Chang

Reply Date: 2024/01/19

More Info

Abnormal bleeding and abdominal pain in women can be concerning symptoms, and it's important to understand the potential causes and implications of these signs. Based on your description, you experienced a change in your vaginal discharge, initially presenting as brown spotting, which progressed to heavier bleeding requiring sanitary pads. Additionally, you reported abdominal discomfort, dizziness, fever, and nausea.
Firstly, let's address the abnormal bleeding. Non-menstrual bleeding can occur for various reasons, including hormonal imbalances, uterine fibroids, polyps, or even more serious conditions like endometrial hyperplasia or cancer. In your case, the ultrasound indicated a thin uterine lining without any masses, which is a reassuring sign. However, the presence of abnormal bleeding still warrants careful monitoring and further evaluation, especially if it persists or worsens.

The abdominal pain you are experiencing can be attributed to several factors. It could be related to uterine contractions, which can occur during abnormal bleeding. The uterus may contract in response to the bleeding, leading to discomfort or pain. Additionally, if there are any underlying conditions such as ovarian cysts or pelvic inflammatory disease, these could also contribute to abdominal pain. It's worth noting that while your doctor mentioned that your symptoms may not be directly related to the bleeding, the body can react in complex ways, and sometimes gastrointestinal symptoms can overlap with gynecological issues.

The dizziness, fever, and nausea you mentioned are also important symptoms. Dizziness can result from blood loss, especially if the bleeding is significant enough to cause a drop in blood pressure or anemia. Fever might suggest an infection, which could be related to a gynecological issue or a gastrointestinal problem. Nausea can also be a symptom of various conditions, including gastrointestinal disturbances, which could be exacerbated by stress or anxiety related to your current health concerns.

Regarding the medications prescribed, the hemostatic agent is intended to help manage the bleeding, and it's essential to follow your doctor's instructions regarding its use. The gastrointestinal medication may be aimed at alleviating any discomfort you are experiencing in that area, which could be a separate issue from your gynecological symptoms. Increased gastrointestinal motility could be a response to stress or anxiety, or it could be related to dietary changes or other factors.

In summary, while mild abdominal pain accompanying non-menstrual bleeding can sometimes be normal, it is crucial to monitor your symptoms closely. If the pain worsens, if you experience heavy bleeding, or if you develop additional concerning symptoms such as severe dizziness or persistent fever, you should seek medical attention promptly. Additionally, if your symptoms do not improve with the prescribed treatment, a follow-up appointment with your healthcare provider is advisable to reassess your condition and consider further diagnostic testing or treatment options.
Always remember that your health is paramount, and it is essential to communicate openly with your healthcare provider about any changes in your symptoms or concerns you may have.

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