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Blood Loss During Menstruation

In oct 2016 I had menstrual bleeding for one month so I visited gynaecologist in nearby hospital and she recommended ultrasound of my lower abdomen and in my reports my overy size was found abnormal and my report indicated that I could have pcos and then she gave me oral pills and told me the food items I should avoid .following months after that I start having regular cycles and 6 months later after that I started following my normal eating lifestyle and stopped taking her other medicine. After that I did not have "extended bleeding days" for 3 years but I have 2-3 irregular cycles in a year where gap between my two menstruation was 2 months. But I ignored it. Now in dec 2018 again I have continuous bleeding for 15 days again I visited doc, ultrasound happened but my reports came normal this time she gave oral pills. I used oral pills for 1 month. But my periods are still irregular. Infact I have last period on 7 sep and today is now 20 oct and I did not have my periods till now. What should I do so that I start having regular undelayed periods?

Dr. Prakhar Singh 95% (1750 ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
In oct 2016 I had menstrual bleeding for one month so I visited gynaecologist in nearby hospital and she recommended ...
Regular or excessive consumption of pill have a slightly greater risk of rare serious problems like blood clots, heart attacks, liver tumors, and strokes. It is imperative that when on the pill, you have a good diet and some form of exercise. It is recommended that you do not go on the pill if your family has a history of diabetes, blood clots, high blood pressure, and high cholesterol. Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don't experience blood loss severe enough to be defined as menorrhagia. You may require a physical examination and few test like pap test, endometrial biopsy, ultrasounds, blood test etc. To diagnose your menstrual disorders.
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Hi Sir, I had unwanted 72 pills about 27 days back. Nothing was happening but on 7th September pain and bleeding started, in the beginning, blood flow was less, so I thought it's happening because of the pill but then flow got heavy n pain was more, it seemed like periods but didn't last long. Bleeding was there for approximately 4 days. But it was too early, my menstruation cycle usually starts at 15th but since 7th Sep nothing is happening but lately, I'm feeling like I'm gaining weight and sometimes there is primary dysmenorrhea and sometimes I feel nausea but didn't really puked. Is there any possibility of getting pregnant?

Dr. Prakhar Singh 95% (1750 ratings)
MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Hi Sir, I had unwanted 72 pills about 27 days back. Nothing was happening but on 7th September pain and bleeding star...
There are various contraceptive pills available but be careful before taking any of them without right prescription. Some pregnancy tests may clarify your doubts. You needs proper medical advice if still in doubt. Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding. Although heavy menstrual bleeding is a common concern, most women don't experience blood loss severe enough to be defined as menorrhagia. You may require a physical examination and few test like pap test, endometrial biopsy, ultrasounds, blood test etc. To diagnose your menstrual disorders.
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Hi, Unable to sleep for constant 20 to 40 hours even after constant yawning and tiredness, always exhausted if done nothing for 1 or 2 days too. Shortness of breath - can't climb staircases or put bedsheets on the face while sleeping. Even if I sleep, get awake in 2 or 3 hours and then no matter what or how I try, cannot sleep for 1 or 2 days again! this has started a week or 2 ago, since I started taking deviry and orofer for my vitamin d and iron deficiencies. Doctor have be alprazolam to take for 3 days before sleep as it would become a couple but that didn't work either! have anaemia since menstruation started, had irregular periods ever since that lasted 10 days almost, the doctor asked to take birth control like crisanta or yasmin for 3 months to regularize it, which worked! I stopped taking those 3 months back and now the menses are normal but the blood loss made me deficient to all the above-mentioned things as per tests so I stayed the tablets and have high palpitations almost always and shortened of breath and unable to sleep completely.

Dr. Karuna Chawla 97% (68208 ratings)
BHMS
Homeopath, Noida
Hi, Unable to sleep for constant 20 to 40 hours even after constant yawning and tiredness, always exhausted if done n...
You need to do tsh, cbc n blood sugar random at some lab. If it’s normal then go for ultrasound of abdomen. Do you sleep or take nap in daytime. If so then stop it. If you r not able to sleep, do not watch tv or mobile whats app etc. Read a good book. Switch off tv atleasr 30 mins before bedtime. Drink warm milk before going to bed. Do some exercise daily. Eat healthy well balanced food. Finish your dinner at least 2 hours before bed time. Also dinner should be light for more details you can consult me.
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Chest and back tight ness, dizziness,nausea, numbness in leg, lower abdomen pain finger joint pain, ecg report normal.

Dr. Julie Mercy J David 93% (30779 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Chest and back tight ness, dizziness,nausea, numbness in leg, lower abdomen pain finger joint pain, ecg report normal.
Fibromyalgia also called: fibrositis widespread muscle pain and tenderness. Symptoms requires a medical diagnosis widespread muscle pain and tenderness are the most common symptoms. People may experience: pain areas: in the muscles, abdomen, back, or neck pain types: can be chronic, diffuse, sharp, or severe pain circumstances: can occur at night gastrointestinal: constipation, nausea, or passing excessive amounts of gas whole body: fatigue, feeling tired, or malaise muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms sensory: pins and needles, sensitivity to cold, or sensitivity to pain mood: anxiety, mood swings, or nervousness sleep: difficulty falling asleep or sleep disturbances cognitive: forgetfulness or lack of concentration hand: sensation of coldness or tingling also common: depression, flare, headache, irritability, joint stiffness, painful menstruation, or tingling feet treatment consists of self care and therapy medication, talk therapy and stress reduction may help in controlling the symptoms. Self-carephysical exercise aerobic activity for 20–30 minutes 5 days a week improves cardiovascular health. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering. Stress management pursuing an enjoyable activity or verbalising frustration to reduce stress and improve mental health. Relaxation techniques deep breathing, meditation, yoga, rhythmic exercise and other activities that reduce symptoms of stress therapies support group a forum for counseling and sharing experiences among people with a similar condition or goal, such as depression or weight loss. Biofeedback controlling the body's heartbeat, brainwaves, breathing and blood pressure by monitoring them with sensors. Cognitive behavioral therapy a talk therapy focused on modifying negative thoughts, behaviours and emotional responses associated with psychological distress. Hydrotherapy using water to relieve pain, treat diseases and maintain health. For example, mineral baths and hot tubs. Chiropractic treatment techniques adjusting the spine and massaging the back muscles to relieve pain. Stretching stretching exercises can improve flexibility and improve physical function. Graded exercise therapy physical exercise that starts very slowly and gradually increases over time. Massage relaxes tense muscles. Acupuncture insertion of needles into specific points on the body to relieve pain and treat other conditions. A form of traditional chinese medicine. Medications selective serotonin reuptake inhibitor (ssri) eases symptoms of depressed mood and anxiety. Analgesic relieves pain. Nonsteroidal anti-inflammatory drug relieves pain, decreases inflammation and reduces fever. Nerve pain medication blocks pain caused by damaged nerves. Muscle relaxant reduces muscle tension and helps relieve muscle pain and discomfort.
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I have taken pregnancy test twice and the test is coming negative but I have missed menstruation for this month I got last menstruation on 1 april to 6 th april I have taken usg lower abdomen test which indicated pcod and also taken blood test and there is in increase in proactive as 39.5.so I am pregnant or not?

Dr. Karuna Chawla 97% (68208 ratings)
BHMS
Homeopath, Noida
I have taken pregnancy test twice and the test is coming negative but I have missed menstruation for this month I got...
No, your periods are delayed because of pcos pcod/pcos is a common hormonal disorder in women which can lead to weight gain and irregular periods. While most women depend on pills to deal with it, these simple changes in your lifestyle will help you deal with the condition in a better way. 1. Nutritional approach: deficiency of micronutrients contributes to insulin insensitivity and compromise ovarian function. So, •completely stay away from processed/ refined cereals (which have a high glycemic index or gi). Switch to wheat, rice, jowar, ragi, barley (which have low gi) and enjoy your roti, parantha, pulao, biryani, dosa, poha, upma etc. •eat an adequate amount of lean proteins like dal, milk, eggs, fish, yogurt, cheese, paneer, lassi, sprouted legumes. •include good sources of omega-3 and omega-6 present in nuts, seeds, ghee, olives, coconut etc. Our body needs essential fatty acids for absorption of fat soluble vitamins like a, d, and e. •alpha-lipoic acid improves glucose uptake in cells, promotes weight loss and improves the health of ovaries. It is found in flaxseeds, walnuts, spinach, broccoli, peas, brussels sprouts etc. •micronutrients like selenium, zinc, chromium, magnesium, niacin, and riboflavin improve sugar control and promote hormonal balance. These can be obtained from a variety of whole grains, nuts, green leaves, fresh fruits and veggies, egg, seafood etc. •vitamin b12 is essential to support the function of ovaries. So include dairy (especially curd, paneer), eggs, seafood, and sprouted/fermented items. •calcium in abundant supply helps to overcome premenstrual cramps. •include supplements of above-mentioned nutrients as diet may not provide enough because their requirement is above normal. •most importantly, eat local, seasonal, freshly prepared food items, stay away from food items that have long ingredient lists as they are 'processed' and have a number of additives (preservatives, artificial colors, flavor enhancers et al). 2. Exercise strategies: regular workouts are non-negotiable. They are essential to burn off fat stores for hormonal balance and regular ovulation. A minimum of 150 minutes a week is recommended. Divide your time between strength training, cardio exercises and yoga for optimal results. Just like a diet, your exercise must be balanced too. 3. Sleep: adequate sleep is non-negotiable too. Sleeping at a more or less fixed time every day and for an adequate number of hours is a prerequisite to keep hormones in sync. 4. De-stress yourself: love yourself more than anyone else, prioritize your health, learn to say no, take time out to exercise and relax. Pursue your favorite activities, learn a new skill, and never ignore your body signals. For more details you can consult me.
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I started feeling symptoms of fibromyalgia for the last seven/eight months. I consulted allopathic doctor but did not take allopathic medicine prescribed. Recently I started taking homeopathy medicine for a month or so. Condition slightly improved but later felt almost same. Can ayurveda cure it? What to take for how long, please advise. Mob. mobile. Age: 45 years.

Dr. Julie Mercy J David 93% (30779 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
I started feeling symptoms of fibromyalgia for the last seven/eight months. I consulted allopathic doctor but did not...
Widespread muscle pain and tenderness. Symptoms requires a medical diagnosis widespread muscle pain and tenderness are the most common symptoms. People may experience: pain areas: in the muscles, abdomen, back, or neck pain types: can be chronic, diffuse, sharp, or severe pain circumstances: can occur at night gastrointestinal: constipation, nausea, or passing excessive amounts of gas whole body: fatigue, feeling tired, or malaise muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms sensory: pins and needles, sensitivity to cold, or sensitivity to pain mood: anxiety, mood swings, or nervousness sleep: difficulty falling asleep or sleep disturbances cognitive: forgetfulness or lack of concentration hand: sensation of coldness or tingling also common: depression, flare, headache, irritability, joint stiffness, painful menstruation, or tingling feet treatment consists of self care and therapy medication, talk therapy and stress reduction may help in controlling the symptoms. Self-carephysical exercise aerobic activity for 20–30 minutes 5 days a week improves cardiovascular health. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering. Stress management pursuing an enjoyable activity or verbalising frustration to reduce stress and improve mental health. Relaxation techniques deep breathing, meditation, yoga, rhythmic exercise and other activities that reduce symptoms of stress therapies support group a forum for counseling and sharing experiences among people with a similar condition or goal, such as depression or weight loss. Biofeedback controlling the body's heartbeat, brainwaves, breathing and blood pressure by monitoring them with sensors. Cognitive behavioral therapy a talk therapy focused on modifying negative thoughts, behaviours and emotional responses associated with psychological distress. Hydrotherapy using water to relieve pain, treat diseases and maintain health. For example, mineral baths and hot tubs. Chiropractic treatment techniques adjusting the spine and massaging the back muscles to relieve pain. Stretching stretching exercises can improve flexibility and improve physical function. Graded exercise therapy physical exercise that starts very slowly and gradually increases over time. Massage relaxes tense muscles. Acupuncture insertion of needles into specific points on the body to relieve pain and treat other conditions. A form of traditional chinese medicine. Medications selective serotonin reuptake inhibitor (ssri) eases symptoms of depressed mood and anxiety. Analgesic relieves pain. Nonsteroidal anti-inflammatory drug relieves pain, decreases inflammation and reduces fever. Nerve pain medication blocks pain caused by damaged nerves. Muscle relaxant reduces muscle tension and helps relieve muscle pain and discomfort. Fibromyalgia medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: •pain relievers. Over-the-counter pain relievers such as acetaminophen (tylenol, others), ibuprofen (advil, motrin ib, others) or naproxen sodium (aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time. •antidepressants. Duloxetine (cymbalta) and milnacipran (savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. •anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (lyrica) was the first drug approved by the food and drug administration to treat fibromyalgia. Therapy a variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include: •physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. •occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body.
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I am suffering from fibromyalgia and taking pregabalin 50 for the last six years I want to know I can take for a longer period or you can suggest me any other.

Dr. Julie Mercy J David 93% (30779 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Widespread muscle pain and tenderness. Symptoms requires a medical diagnosis widespread muscle pain and tenderness are the most common symptoms. People may experience: pain areas: in the muscles, abdomen, back, or neck pain types: can be chronic, diffuse, sharp, or severe pain circumstances: can occur at night gastrointestinal: constipation, nausea, or passing excessive amounts of gas whole body: fatigue, feeling tired, or malaise muscular: muscle tenderness, delayed onset muscle soreness, or muscle spasms sensory: pins and needles, sensitivity to cold, or sensitivity to pain mood: anxiety, mood swings, or nervousness sleep: difficulty falling asleep or sleep disturbances cognitive: forgetfulness or lack of concentration hand: sensation of coldness or tingling also common: depression, flare, headache, irritability, joint stiffness, painful menstruation, or tingling feet treatment consists of self care and therapy medication, talk therapy and stress reduction may help in controlling the symptoms. Self-carephysical exercise aerobic activity for 20–30 minutes 5 days a week improves cardiovascular health. If injured, pursuing an activity that avoids the injured muscle group or joint can help maintain physical function while recovering. Stress management pursuing an enjoyable activity or verbalising frustration to reduce stress and improve mental health. Relaxation techniques deep breathing, meditation, yoga, rhythmic exercise and other activities that reduce symptoms of stress therapies support group a forum for counseling and sharing experiences among people with a similar condition or goal, such as depression or weight loss. Biofeedback controlling the body's heartbeat, brainwaves, breathing and blood pressure by monitoring them with sensors. Cognitive behavioral therapy a talk therapy focused on modifying negative thoughts, behaviours and emotional responses associated with psychological distress. Hydrotherapy using water to relieve pain, treat diseases and maintain health. For example, mineral baths and hot tubs. Chiropractic treatment techniques adjusting the spine and massaging the back muscles to relieve pain. Stretching stretching exercises can improve flexibility and improve physical function. Graded exercise therapy physical exercise that starts very slowly and gradually increases over time. Massage relaxes tense muscles. Acupuncture insertion of needles into specific points on the body to relieve pain and treat other conditions. A form of traditional chinese medicine. Medications selective serotonin reuptake inhibitor (ssri) eases symptoms of depressed mood and anxiety. Analgesic relieves pain. Nonsteroidal anti-inflammatory drug relieves pain, decreases inflammation and reduces fever. Nerve pain medication blocks pain caused by damaged nerves. Muscle relaxant reduces muscle tension and helps relieve muscle pain and discomfort. Fibromyalgia medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include: •pain relievers. Over-the-counter pain relievers such as acetaminophen (tylenol, others), ibuprofen (advil, motrin ib, others) or naproxen sodium (aleve, others) may be helpful. Your doctor might suggest a prescription pain reliever such as tramadol (ultram). Narcotics are not advised, because they can lead to dependence and may even worsen the pain over time. •antidepressants. Duloxetine (cymbalta) and milnacipran (savella) may help ease the pain and fatigue associated with fibromyalgia. Your doctor may prescribe amitriptyline or the muscle relaxant cyclobenzaprine to help promote sleep. •anti-seizure drugs. Medications designed to treat epilepsy are often useful in reducing certain types of pain. Gabapentin (neurontin) is sometimes helpful in reducing fibromyalgia symptoms, while pregabalin (lyrica) was the first drug approved by the food and drug administration to treat fibromyalgia. Therapy a variety of different therapies can help reduce the effect that fibromyalgia has on your body and your life. Examples include: •physical therapy. A physical therapist can teach you exercises that will improve your strength, flexibility and stamina. Water-based exercises might be particularly helpful. •occupational therapy. An occupational therapist can help you make adjustments to your work area or the way you perform certain tasks that will cause less stress on your body.
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Hello, I am a 29 year old female. I take glycomet and glador 1 for diabetes, thyronorm 125 for thyroid, yasmin for pcod and dilzem cd 120 for my supraventricular tachycardia. Recently I did a blood test. My sugar level is under control. My thyroid is 9.02. But my hemoglobin is 7. I was wondering if the medicines I take can lead to anemia or is the cause something different?

Dr. Prabhakar Laxman Jathar 93% (18080 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Hello, I am a 29 year old female. I take glycomet and glador 1 for diabetes, thyronorm 125 for thyroid, yasmin for pc...
Hello, thanks for the query. I have seen the details given and understand your concern. Low hemoglobin is unlikely to occur because drugs being taken. It is mostly related to loss of blood during menstruation and improper nutrition. With tsh at 9.02 mu/l, your hypothyroidism is not in control. Ideally tsh should be between 3 to 4 mu/l, when all the symptoms are in check. You have mentioned that" my sugar level is in check" but no actual numbers are given, so difficult to comment. For controlling anemia or improving hemoglobin, there is a need to take appropriate iron, folic acid and b12 combination for over 6 months. If hemoglobing goes further down then you may need infusion of packed cells (rbcs). There are no details of weight and height also. Thanks.
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This is for my wife 50 years suffering from following symptoms particularly during and before menstruation. Are they pre menopausal symptoms and normal 1. Severe pain on breast and nipple when pressed 2. Muscular pain in legs and hands and all over in general 3. Facial swelling 4. Dizziness and general weakness 5. Nauseating feeling at times 6. Loss of taste

Dr. Kajal Mangukiya 85% (30 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology, Diploma in Obstetrics & Gynaecology
Gynaecologist, Surat
This is for my wife 50 years suffering from following symptoms particularly during and before menstruation. Are they ...
Yes. Some are premenopausal symptoms with but she needs to get her check up done physical as well as few blood reports.
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Hello Sir, Last time partner ke periods 26 September ko start hue the or aab 25 October ko .but ab ki bar periods me usko chakkar jyada aa Raha he or sir dard bi bahot Kar Raha he to Kya uska Karan pregnancy he? Ya ku or? Chakkar Ana or sir dard hona kis Karan se ho sakta he sir please answer.

Dr. Tanmay Palsule 94% (6305 ratings)
MD - Homeopathy, BHMS
Homeopath, Pune
Hello Sir, Last time partner ke periods 26 September ko start hue the or aab 25 October ko .but ab ki bar periods me ...
If she is menstruating she cannot be pregnant. Fainting may be due to blood loss and pain in a part of routing menstrual cycle.
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