Abnormal Bleeding: When to Seek Medical Help

Last time, I inquired about abnormal bleeding?

Hello Doctor: After consulting you about the abnormal bleeding issue, my partner has been continuously taking anti-inflammatory medication (as it is inconvenient to seek medical attention while abroad).
The bleeding seems to have slightly improved, but there is still ongoing bleeding, and I am unsure if the red color in the urine is related to the medication.
Can he continue taking it? If the bleeding persists, could it be indicative of other issues beyond just vaginal injury? (The bleeding has been ongoing for two weeks now.)

Luo, 20~29 year old female. Ask Date: 2007/01/30

Dr. Lin Zhaopei reply Obstetrics and Gynecology

1.
If the anti-inflammatory medication contains properties for urinary tract inflammation, it is normal for urine to appear orange and there is no need for concern.
2.
It is recommended to visit the obstetrics and gynecology outpatient clinic for a detailed examination to rule out any causes of bleeding.

Reply Date: 2007/01/30

More Info

Abnormal bleeding can be a concerning symptom, and it is essential to understand when to seek medical help. In your case, it appears that your partner has been experiencing persistent abnormal bleeding for two weeks, which is a significant duration that warrants further investigation. While the use of anti-inflammatory medication may provide some relief, it is crucial to determine the underlying cause of the bleeding, especially since the urine has also turned red.

Firstly, it is important to note that abnormal vaginal bleeding can arise from various causes, including hormonal imbalances, infections, trauma, or more serious conditions such as fibroids, polyps, or even malignancies. Given that your partner has been experiencing this symptom for an extended period, it is advisable to consult a healthcare professional for a thorough evaluation. This evaluation may include a pelvic examination, ultrasound imaging, and laboratory tests to assess hormone levels and rule out infections or other underlying conditions.

The fact that your partner's urine is also red raises additional concerns. Hematuria, or blood in the urine, can result from several factors, including urinary tract infections (UTIs), kidney stones, or more serious conditions affecting the urinary tract. It is essential to differentiate whether the red coloration in the urine is due to blood or possibly a side effect of the medication being taken. Some medications can cause urine discoloration, but persistent hematuria should not be ignored.

In terms of continuing the anti-inflammatory medication, it is crucial to consult with a healthcare provider before making any decisions. While these medications can help manage pain and inflammation, they may also have side effects or interact with other medications. If the bleeding persists or worsens, or if your partner experiences additional symptoms such as severe pain, fever, or dizziness, it is imperative to seek immediate medical attention.

In summary, abnormal bleeding lasting more than a week, especially when accompanied by changes in urine color, should be evaluated by a healthcare professional. It is essential to identify the underlying cause to ensure appropriate treatment and management. Encourage your partner to seek medical attention as soon as possible, as early intervention can lead to better outcomes and peace of mind.

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