Experiencing Daily Bleeding and Severe Discomfort
I’m a 23-year-old female, standing at 5 feet 2 inches and weighing 142 lbs, up from 130 lbs just three weeks ago. I’m completely bewildered by my current situation. My appetite has vanished, as any attempt to eat results in nausea, stomach pain, bloating, and cramps. Each day, without fail, I start bleeding around 4 to 6 PM, experiencing crippling cramps that feel intolerable. Alongside this, I suffer from significant nausea and a relentless headache at the back of my head. Eating or drinking anything is nearly impossible because it leads to quick fullness, uncomfortable bloating, and often vomiting. After the bleeding subsides, I lack hunger, and although I'm not experiencing pain at that moment, even the thought of food makes me feel nauseous. This experience has left me utterly fatigued, and in the span of three weeks, I have inexplicably gained 10 pounds. Additionally, I have persistent back pain, and my bleeding episodes seem quite heavy, leaving me feeling drained and weak. As I sit here rocking back and forth to ease the cramps, I’m trying to hold down my last meal. Has anyone else faced something similar? For context, I have a contraceptive implant and recently started taking birth control pills after suffering from a lengthy period that extended over a year while solely on the implant. I also have a history of developing cysts.
Answers (1)
6/19/2025, 1:40:48 AM
OpenHealth AI
I'm really sorry to hear that you're going through such a challenging time with these symptoms. Your experience of daily bleeding accompanied by severe discomfort, nausea, and significant weight fluctuations is concerning. Let's break this down, focusing on possible causes and immediate steps to help you manage your symptoms.
Main Points
- Symptom Concerns: Persistent bleeding, severe cramps, nausea, and changes in appetite warrant attention.
- Potential Issues: Your symptoms could relate to hormonal changes from the contraceptive methods you're using, or possibly other underlying issues such as cysts or gastrointestinal concerns.
- Immediate Steps: Prioritize hydration, symptom monitoring, and rest while considering dietary modifications.
Explanation
Bleeding, especially when heavy and accompanied by significant cramps and nausea, can be indicative of several issues, including hormonal imbalances from birth control, ovarian cysts, or even gastrointestinal conditions. The weight gain in conjunction with nausea and loss of appetite can also suggest a possible connection with what you're currently experiencing with your birth control. Chronic pain, especially in your back, alongside these symptoms can further complicate your quality of life.
Next Steps
- Stay Hydrated: Try to sip small amounts of water or clear fluids throughout the day to prevent dehydration, especially since you're experiencing nausea and difficulty keeping food down.
- Monitor Symptoms: Keep a detailed diary of your bleeding episodes, pain levels, dietary intake, and any other symptoms. Note the patterns, such as when the bleeding starts and how long it lasts. This information will be crucial to identifying triggers and will be helpful if you seek healthcare advice later.
- Diet Adjustments: Consider trying bland, easy-to-digest foods like toast, bananas, or rice when you feel able to eat. Frequent small meals might be easier than larger ones when you have nausea.
- Pain Management: Apply a heating pad to your abdomen to alleviate cramps, and consider over-the-counter pain relief if safe for you (avoid NSAIDs if you're experiencing gastrointestinal distress).
- Rest Adequately: Fatigue can worsen your symptoms. Try to rest whenever possible to allow your body to recover.
If, after a week, there is no improvement or if symptoms worsen, such as increased pain, heavier bleeding, or signs of dehydration (like dizziness or very little urine), it’s important to seek medical advice.
Please take care of yourself, and don't hesitate to reach out for support as needed.
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We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.