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Bleeding disorder Tips

Reasons That Can Lead To Post Menopausal Bleeding!

Dr. Shakuntla Kumar 88% (146 ratings)
Diploma In Endoscopic Surgery, DGO, MBBS
Gynaecologist, Lucknow
Reasons That Can Lead To Post Menopausal Bleeding!

What is menopause?
Menopause is that phase in the life of a woman when she can no longer reproduce. It involves the loss of fertility and the cessation of the menstrual cycle. The woman will stop bleeding every month and the ovaries stop producing eggs that can be fertilized. Menopause normally sets on after the age of 40 and bleeding may permanently stop by the age of 50.

Post menopausal bleeding
You are known to reach menopause when you have not been bleeding for 1 entire year. Even a small amount of spotting should not have taken place. Post-menopausal bleeding is when bleeding occurs after a year of attaining menopause. It can be a serious health disorder and requires medical attention without any further delay.

Reasons behind post menopausal bleeding

  1. Polyps that are mostly non-cancerous, unwanted growths on the cervical canal, uterus or ovaries are known to cause post-menopausal bleeding.
  2. Thinning of the endometrium that lines the uterus can cause unexpected bleeding. It can be due to the rapidly receding levels of estrogen in the blood. It is also known as endometrial atrophy.
  3. Endometrial hyperplasia is a condition that leads to the thickening of the inner lining of uterus (endometrium). It also leads to the growth of abnormal and malignant cells.
  4. Endometrial cancer
  5. Other health conditions such as reaction to hormone therapy, infections of the blood or reproductive organs, certain medications and blood-thinning drugs
  6. Cancer of the ovaries, uterus or cervix

How it can be treated?

  1. For diagnosis, you can undergo blood tests, ultrasounds, sonography and biopsy.
  2. Hysterectomy is done to remove the uterus and cervix can be conducted for a complete cure. It also removes the ovaries, fallopian tubes and other lymph nodes.
  3. Chemotherapy and other radiation therapies may be done for those who are in an advanced stage of endometrial cancer.
  4. Medications such hormone regulators must be taken to prevent complications.
3849 people found this helpful

Excessive Bleeding - How To Manage It?

Dr. Nikhil D Datar 88% (12 ratings)
MD - Obstetrics & Gynaecology, DGO, MBBS , FCPS, DNB, FICOG, LLB
Gynaecologist, Mumbai
Excessive Bleeding - How To Manage It?

Every woman has her own pattern of menstruation. Abnormal bleeding can lead to excessive and unnecessary blood loss and may result into anemia. If a woman notices that the amount and or number of days of menstruation are more... she should get herself checked to find out why is she having excessive bleeding. Many women think that it is good that they are bleeding heavily. But that is a myth. 

Causes: 

  • Hormonal imbalance 
  • Polyps or fibroids 
  • Uterine infections 
  • Cancer of the cervix, endometrium, or uterus 
  • Pregnancy 
  • Pre-menopausal age, when there is ovulation and altered levels of hormones 
  • Hormone replacement therapy after menopause 

Diagnosis: 

  • Blood test to check hemoglobin level 
  • Pregnancy test 
  • Ultrasound 
  • Endometrial biopsy to check for growths 
  • Hysteroscopy 

Management: Once the cause is diagnosed, then depending on the age and the woman’s gynecologic history, a treatment plan is made. 

  1. Weight loss: Obesity is one of the causes of excessive bleeding so losing weight can help in controlling bleeding. Optimal weight also helps in controlling hormone levels. 
  2. Hormonal imbalance: This can be corrected medically. A medicated intrauterine device lthat releases the medication in sustained manner can help in controlling bleeding. 
  3. Birth control pills: These are hormones again which can prevent the lining of the uterus from becoming too thick, which in turn contributes to the bleeding. It also helps to regularize the cycles and controls cramping
  4. Dilation and curettage: A biopsy is obtained from the lining of the uterus by sucking it out or scraping it out. This can guide the doctor to decide what medicine will be best suited to treat the condition. There are many medications available to treat the condition, thus avoiding surgery completely. 
3552 people found this helpful

Signs You Can Be Suffering From Postpartum Hemorrhage?

Dr. K S Anamika 90% (327 ratings)
Advanced Infertility, MIS TRAINING, FICMCH, PGDS, MD - Obstetrtics & Gynaecology, MBBS, Masters in Reproductive Medicine(UK)
Gynaecologist, Faridabad
Signs You Can Be Suffering From Postpartum Hemorrhage?

Postpartum hemorrhage is a condition where a woman may lose a lot of blood (approximately 500ml to 1000ml) from her vulva shortly after childbirth. This usually occurs within the first 24 hrs of childbirth and can even result in severe blood loss threatening the mother’s life in case the blood loss is over 2000 ml. Secondary postpartum hemorrhage can also occur until 12 weeks after childbirth and this extra care should be taken, if there is any such possibility.

Symptoms of postpartum hemorrhage:
1. Rapid increase in heart rate.
2. Feeling dizzy while standing up.
3. Increase breathing rate.
4. Feeling cold and chilly even if the room temperature is normal.
5. Sudden fall in blood pressure levels.
6. Fainting or becoming unconscious.

Causes of postpartum hemorrhage:

  1. Uterine atony: This is a condition in which the uterus contracts and may lead to excessive bleeding. Infection in the placental tissue can also lead to postpartum hemorrhage.
  2. Trauma: This is a very common cause for postpartum hemorrhage. Sometimes, the uterus (womb), vagina, cervix (passage forming the lower end of the womb) and the perineum (area between the vulva and the anus) can get injured. These areas become vascular during the course of pregnancy and may rupture in the process of childbirth causing excessive bleeding.
  3. Tissue: At times, the whole placenta or fetus tissue does not come out of the body after childbirth. This can lead to profound blood loss resulting in postpartum hemorrhage.
  4. ThrombinThis is a disorder which occurs when there is excessive bleeding when the blood fails to clot inside the body.

How can you prevent postpartum haemorrage?

  1. Oxytocin is a substance which is used after the delivery of the baby. This prevents postpartum hemorrhage. It can be administered in the following ways :
    • As an injection which is directly injected into the blood stream.
    • After delivery, breastfeeding your baby can also trigger natural oxytocin. This occurs as encouraging the baby to suckle also stimulates the nipples which release oxytocin, thus preventing postpartum hemorrhage.
    • In the form of intravenous drips mixed in with important medications. IV drips can administer oxytocin along with other important fluids along with it.
  2. Uterine massage is also recommended to prevent postpartum hemorrhage. After delivery, massaging the uterus makes the muscles relax and contract. This reduces the risks of excessive bleeding.

A lot of women can also die due to excessive bleeding after childbirth, especially in developing countries including India. This is a cause for concern and proper care should be taken if you start experiencing these symptoms. In case you have a concern or query you can always consult an expert & get answers to your questions!

4850 people found this helpful

Nosebleeds - Know The Rare Causes Behind It!

Dr. Parth Amin 85% (12 ratings)
DNB (ENT), Diploma in Otorhinolaryngology (DLO), MBBS, SR (ENT)
ENT Specialist, Ahmedabad
Nosebleeds - Know The Rare Causes Behind It!

Nosebleed is a condition wherein blood vessels burst in the nasal lining. Nosebleeds are fairly common and it is rarely a serious condition.

  1. Anterior nosebleed: It is caused by the eruption of a blood vessel at the tip of the nose. Anterior nosebleeds are generally easy to control by yourself or by a doctor.
  2. Posterior nosebleed: It is a rare type of nosebleed. Posterior nosebleed mostly occurs in older people. It occurs when an artery bursts behind the nose, which causes the blood to flow down the throat. Posterior nosebleeds are, thus, dangerous, and they need immediate medical attention.

Causes:

  1. There are numerous causes of nosebleeds. The most common cause of nosebleeds is dry air. Dry climates dehydrate the nasal membranes (internal nasal tissues). This dryness leads to crusting which can cause irritation or itching.
  2. Also, if you pick or scratch your nose too much, it can start to bleed.
  3. Decongestants for allergies, sinus infection or cold and antihistamines can make the nasal membranes dry and cause nosebleeds as well.

Some other causes of nosebleeds include:

  1. Some sort of foreign object stuck in the nasal cavity
  2. Allergic reactions
  3. Repeated sneezing
  4. Nose injuries (For example, car accidents, a punch to the face, etc.)
  5. Chemical irritants
  6. Cold air
  7. Respiratory infection
  8. Consuming high doses of aspirin-high dosage thins the blood down, thus triggering nosebleeds

There are other rarer causes as well, such as:

  1. High blood pressure
  2. Bleeding disorder
  3. Blood clotting problems
  4. Cancer

Treatment: A nosebleed can easily be treated at home. While in a sitting position, close your nostril by squeezing the soft part of your nose. Hold your nose for ten minutes, then lean slightly forward. Inhale and exhale slowly using your mouth.

Never lie down when you are trying to stop a nosebleed, as you will end up swallowing the blood which can upset your stomach. Remove your hand from your nose after 10 minutes and check if the bleeding has stopped. If it has not, repeat the steps all over again.

However, consult a doctor if the bleeding does not stop or if there is a foreign object stuck in your nose. In case you have a concern or query you can always consult an expert & get answers to your questions!

4838 people found this helpful

5 Things That Can Cause Abnormal Vaginal Bleeding!

Dr. Arun Muthuvel 85% (10 ratings)
MCH - Reproductive Medicine & Surgery, MS - Obstetrics & Gynaecology
IVF Specialist, Chennai
5 Things That Can Cause Abnormal Vaginal Bleeding!

Vaginal bleeding is a common phenomenon in women. Sometimes it is due to cyclical changes in the cycle, while other times, it may be indicative of something unnatural and perhaps severe.

Abnormal vaginal bleeding includes:

  1. Heavy periodsThis is a very common phenomenon. Bleeding during periods cannot be measured with optimum accuracy but periods can be considered heavy if it lasts over 7 days, if you need double protection, or if you seem to pass too much clots. It is recommended to consult your doctor if it starts to affect your lifestyle and causes hindrance in your day to day activities. The cause of heavy bleeding during menses is often unclear, but it may be indicative of uterine fibroids or cysts.
  2. Post coital bleeding: Post coital bleeding happens when you bleed after sex. The most likely reason for this to happen is if there is inflammation in the neck of the cervical opening or it is sore. The common cause of this can probably be sexually transmitted diseases such as Chlamydia.
  3. Inter menstraul bleeding: Bleeding between your periods is also a possibility. There can be several causes for this. It can be broadly indicative of uterine polyps or infections. Polyps are fleshy masses of cells which are basically an abnormal growth in the uterus or cervix.
  4. Break through bleed: These bleeds happen very suddenly and spontaneously in the middle of the cycles or close to the menstrual cycles. These can happen when you start contraceptive pills and usually settle down in a matter of few months.
  5. Post menopausal bleeding: Bleeding or spotting post menopause can be indicative of something more serious. The common causes can be uterine or cervical cancer. Often, it may also happen that the uterus starts to degrade, and small fibrous bleeding or spotting may be visible.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2880 people found this helpful

5 Strange Reasons Behind Vaginal Bleeding!

Dr. Papolu Rama Devi 86% (33 ratings)
Advanced Infertility, MD - Obstetrtics & Gynaecology, MBBS
IVF Specialist, Hyderabad
5 Strange Reasons Behind Vaginal Bleeding!

Unexpected or abnormal vaginal bleeding usually refers to the kind of bleeding that occurs any time outside of the normal time of menstruation. Also termed as spotting, inter-menstrual bleeding or metrorrhagia, bleeding between periods always calls for extra measures to be taken against it, and is a matter of serious concern.

The primary causes for unexpected vaginal bleeding generally are:

  1. An imbalance of progesterone and estrogen levels triggered by a variety of causes like thyroid gland problems, dysfunctional ovaries and irregular doses of birth control pills, which may eventually lead to spotting. However, one must take note of the fact that hormonal contraceptives, in many cases, may cause abnormal bleeding for the first few months, after which it always subsides.
  2. Noncancerous growth such as uterine fibroids are also potential causes of spotting or abnormal bleeding.
  3. Miscarriages, ectopic pregnancy, and other kinds of complications involved during childbirth can cause abnormal vaginal bleeding.
  4. Infection of reproductive organs caused due to intercourse, vaginal douching, pelvic inflammatory disease, or STDs (sexually transmitted diseases) may lead to bleeding and inflammation.
  5. Cancer of the vagina, uterus, cervix, or ovaries, albeit extremely rare in nature, may cause abnormal bleeding of the vagina.

While in most cases, this type of bleeding is naturally corrected, some women might need to undergo treatments when the case is severe. Overlooking an otherwise minor issue might thrust you in the face of life-threatening circumstances, if it develops into a case of cancer, infection, or any other type of disorder.

‘Prevention’ of vaginal bleeding, as such, is indeed a narrow possibility and the measures will almost always vary since the factors that cause intermenstrual bleeding aren’t the same in all cases. However, what your doctor will always advise you in this regard will be to ensure that your diet is balanced, your weight under control and your lifestyle is essentially healthy. If you happen to be on birth control medications, be so while adhering to medical instructions. Resorting to taking aspirin doses often might also influence the incidence of such abnormal conditions. If your pain still persists after you experience unexpected bleeding, you must consult your doctor without any further delay.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4400 people found this helpful

Gastrointestinal Bleeding - How It Can Be Treated?

MBBS, DNB - Internal Medicine, DNB - Gastroenterology
Gastroenterologist, Faridabad
Gastrointestinal Bleeding - How It Can Be Treated?

Gastrointestinal bleeding, as the name suggests, is characterized by bleeding in the gastrointestinal (GI) tract and its accessory organs (esophagus, stomach, colon, small intestine, rectum, and anus). The bleeding also referred to as gastrointestinal hemorrhage, is not a disease in itself. However, it may be an indication of a disease, injury or infection in the digestive tract of a person. The bleeding in the GI tract may be mild to chronic (often fatal), depending on the severity of the condition that triggers the bleeding.

What causes the gastrointestinal bleeding?
As stated, the gastrointestinal bleeding may be indicative of some digestive tract disorder. Some of the common conditions that may trigger the bleeding include

  • Tumors that are malignant in nature.
  • Hemorrhoids (a painful condition where veins around the anus, as well as the lower part of the rectum, swell up)
  • Peptic ulcers.
  • Diverticulosis (formation of diverticula or pouches in the walls of the large intestine).
  • Inflammatory bowel disorder.
  • Colon polyps (a small mass of cells that develop on the inner lining of the large intestine or colon).
  • There may be problems in the blood vessels (in the digestive tract).
  • Anal fissures.
  • Esophageal varices (the veins of the stomach or esophagus swell up due to a liver disorder, such as cirrhosis).
  • Angiodysplasia (it is a minute vascular malformation that takes place in the gut).
  • There may be an inflammation of the gastrointestinal lining.

Symptoms:
The appearance of blood in the stool and vomit is one of the characteristic symptoms of the gastrointestinal bleeding. Other symptoms indicative of a bleeding include

  • Weakness and fatigue.
  • The stool appears black and tarry.
  • A person may complain of uneasiness and shortness of breath.
  • The skin appears pale. In some cases, prolonged bleeding that goes unattended may result in anemia.
  • Abdominal pain.
  • The stool may also appear maroon or bright red (often in the case of bleeding from the lower gastrointestinal part).

Consult a doctor at the earliest if the symptoms persist for more than a week.Timely medical assistance can help to minimize the extent of the damage.

Diagnosis and treatment:
Gastrointestinal bleeding in the colon or the stomach is easy to diagnose. However, the diagnosis of the bleeding that occurs in the small intestine may be tricky and often requires the use of advanced and sophisticated equipment. The diagnosis is often done by

Treatment:

  • Endoscopic injections (often diluted epinephrine) at the bleeding site provides great relief.
  • To close or clamp off a bleeding blood vessel, doctors may use Endoscopic clips.
  • Endoscopic intravariceal cyanoacrylate injection is used to treat varices in the stomach effectively.
  • There are medications available to treat GI bleeding triggered by ulcers.
  • In the case of an acute bleeding, a person may need surgery (Laparoscopy).

In case you have a concern or query you can always consult an expert & get answers to your questions!

1874 people found this helpful

Heavy Bleeding- It Could Be Adenomyosis!

Dr. Garima Kaur 90% (308 ratings)
MICOG, MS, MBBS
Gynaecologist, Delhi
Heavy Bleeding- It Could Be Adenomyosis!

Adenomyosis is a condition which occurs when the muscle wall of the uterus is broken by the endometrium lining. You experience pressure in the lower abdomen, menstrual cramps and bloating, before the onset of menstrual periods, resulting in heavy bleeding during the periods. This disorder is not life threatening but is known to cause pain and heavy bleeding.

Symptoms-

The symptoms of adenomyosis are severe pain during periods, prolonged periods and pressure in the abdominal area. You may also experience heavy bleeding during the periods and may also experience intense pain. Sex may be very painful as well. The lower abdomen might feel tender and bigger; this occurs when the size of the uterus increases in this particular condition.

Causes-

The exact cause of this disorder is not yet ascertained. However, certain possible causes could be:

  1. Congenital Defect: In this case, the condition is known to occur from birth wherein the endometrial tissue grows on the uterine muscle wall during the fetus formation.
  2. Invasive Growth of Tissues: This is said to occur when endometrial cells invade the uterus lining, leading to adenomyosis. This can also be triggered by a C-section operation.
  3. Inflammation During Childbirth: During the childbirth process, inflammation may occur in the lining of the uterus leading to this disorder.

In addition to the possible cause, there are certain risk factors which increase the risks of the disorder, such as:

  1. Aging
  2. Giving birth to a child
  3. Surgery related to the uterus such as a C-section

Treatment-

Once you reach menopause, this disorder tends to subside. So depending on how close you are to menopause, the treatment is designed accordingly. The various treatments for adenomyosis are –

  1. Anti-inflammatory Medications: If you are nearing menopause, then anti-inflammatory medications will be administered. This helps in reducing pain and the heavy blood flow.

  2. Hormone Medications: Hormone medications such as hormone patches can also help with the bleeding and pain.

  3. Hysterectomy: If the pain turns intense, then the doctor may recommend hysterectomy, a surgery to remove the uterus.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3940 people found this helpful

Nosebleed - How It Can Be Stopped?

Dr. Shalabh 87% (13 ratings)
Fellowship of the Royal College of Surgeons (FRCS), Diploma in Otorhinolaryngology (DLO), DNB (Otorhinolaryngology) , MS - ENT , MBBS
ENT Specialist, Delhi
Nosebleed - How It Can Be Stopped?

A nosebleed also called epistaxis medically is normally not dangerous, but if you are old nosebleeds come with a number of risks. Treating a bloody nose incorrectly can only make it more dangerous, because of prolonged bleeding. Before we explain the ways to stop nosebleeds, let’s take a look at its causes:
Nosebleeds usually start from just inside the entrance of the nostril. But, why? Because the blood vessels here are quite fragile and are also prone to rupture easily. This is the reason why children suffer from nosebleeds so easily. Other common reasons are

  1. A blocked nose due to colds
  2. Picking one's nose roughly
  3. Blowing one's nose
  4. Injuries
  5. Use of cocaine

A nosebleed usually lasts for about 10-20 minutes and is usually easy to treat. But in some conditions, this bleeding can be profuse and last longer like in cases of 

  1. Heart failure
  2. Blood clotting disorders
  3. Due to 'blood thinning' medicines
  4. Hypertension

Bleeding can sometimes also happen in areas further back in the nose due mostly to injuries and disorders of the nose.

Treatment
Usually, nosebleeds can be stopped using simple first aid.

  1. Sitting up straight helps, especially along with tipping your head forward. It is vital that you don’t tip your head backwards as this can allow the blood to go down your throat and cause vomiting. And this can make your nosebleed worse. So, take care to spit out the blood in your mouth and not to swallow it.
  2. To stop a nosebleed, pinch the soft, cartilaginous part of your nose using your thumb and forefinger. Spraying your nose with a medicated nasal spray before pinching it can help the bleeding to stop faster. Apply pressure for 10 minutes to get results. Check if your nosebleed has stopped after 10 minutes if it’s not; apply pressure for another 10 minutes. Nosebleeds usually stop after 10 to 20 minutes of pressure.
  3. Use an ice pack to your nose and cheeks. This will constrict the blood vessels in the nose and stop the nosebleed.
  4. Use a saline- or water-based nasal gel inside your nose to stop bleeding.
  5. Remember not to blow your nose or insert anything into your nose for at least 12 hours after your nosebleed is over.
  6. If the bleeding doesn’t stop even after 20 minutes of applying direct pressure, it’s prudent to rush to a doctor. He will treat your nose to stop the bleeding.
  7. In a few rare cases, the bleeding is so severe that a blood transfusion is needed, and surgery may be needed to stop it. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
2386 people found this helpful

Heavy Bleeding - 4 Ways to Manage!

Dr. Anita Inani 88% (282 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Indore
Heavy Bleeding - 4 Ways to Manage!

Heavy or prolonged bleeding during menses is medically known as 'menorrhagia'. It is more common as you approach menopause but can occur at any age. The bleeding has to be severe enough to interfere with your daily activities.

The cause could be hormonal, pregnancy complications, bleeding disorder or a structural lesion like a fibroid, polyp, endometriosis or adenomyosis.

In advanced age cancer of the uterus or cervix has to be ruled out.

Symptoms of heavy periods

- soaking a pad or tampon every 2-3 hrs or less in a day

- passage large blood clots during menstruation

- your period lasts more than seven days

- you become anemic due to excessive blood loss

How to manage excessive bleeding

1. Maintain a record of the no of days and pattern of heavy bleeding.

2. Increase your intake of fluids and salt

You should increase your intake of fluids and especially salty fluids during heavy menstruation. You can have vegetable juices like tomato juice as well as salty broths during such times. This will help you especially when your blood volume goes down (which is characterized by dizziness or pounding of heart) when you get up after lying down. Your body would need more than four to six cups on such a day.

3. Increase the intake of iron

Increase your iron intake through natural sources like green vegetables, egg yolks, red meat, liver and dried fruits like raisins and prunes. You can also start an iron tablet once a day for faster recovery from anemia

4. Visit your gynecologist

A good history, few blood tests, and a simple ultrasound generally leads to the diagnosis. Sometimes a biopsy is required to rule out cancer. Multiple new drugs have been added in the last few years which have avoided the need for surgery

An early diagnosis ends up with better results. Hence, it is important to act early. If you wish to discuss about any specific problem, you can consult a Gynaecologist.

2594 people found this helpful
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