Experiencing Bleeding and Low Iron Levels – Should I Seek Urgent Care?
Hello, I’m a 22-year-old woman weighing 72 kg. I’ve never smoked and haven’t consumed alcohol in over a year. For the past seven years, I’ve been using the Depo-Provera injection, which has resulted in me not having a menstrual period during that time. Recently, I’ve found myself in a bit of a dilemma regarding whether I should visit urgent care. Approximately two weeks ago, I had blood tests conducted due to symptoms such as dizziness, near-fainting spells, nausea, and vertigo. The doctor seemed uncertain if I had an infection, so he prescribed non-oxygen-based antibiotics and carried out blood work. The results revealed my iron levels are alarmingly low, which surprised me since I consume a fair amount of red meat and also take multivitamins containing iron. Following this, my antibiotic regimen was discontinued. Complicating matters, I subsequently developed a thrush infection earlier this week, which was anticipated since the doctor warned that the antibiotics could lead to such an issue. I used Canesten cream to address the irritation, and for a while, things appeared to be under control. However, on Friday, the itching returned with such intensity that it left me in tears. After revisiting my doctor, I was informed that my thrush had worsened significantly. I was given two tablets and a steroid-infused Canesten cream to manage the condition. Since then, I’ve noticed some concerning symptoms, particularly regarding my body temperature regulation. Most of yesterday, I felt unusually cold despite having a warm body temperature. This situation escalated last night as I began to experience the following: - Chills and shaking coupled with a fever (my skin was hot to the touch while I felt painfully cold) - A slightly elevated heart rate - Extreme tiredness that made it challenging to keep my eyes open - General weakness While I was worried, I didn’t initially think a hospital visit was necessary. However, my boyfriend noticed blood on my legs, thighs, and on his bed. Upon checking, I discovered that the bleeding was originating from the vaginal wall, specifically in the area affected by thrush. I applied a pad and took two paracetamol tablets, which seemed to lower my temperature, allowing me to feel warmth again. I returned to bed afterward. This morning, I woke up feeling incredibly weak and still dealing with heavy bleeding (though I’m not needing to change my pad every two hours). Now, I’m reaching a point where standing makes me feel faint. I’ve eaten and taken my iron supplements with orange juice, yet I’m now experiencing coldness again, despite having a normal body temperature. I do not feel critically ill enough to require hospitalization, but family members have urged me to go because of my blood loss and low iron levels.
Answers (1)
8/3/2025, 10:31:00 AM
OpenHealth AI
It sounds like you are experiencing several concerning symptoms that warrant careful attention. Your situation includes low iron levels, significant bleeding, and worsening symptoms like chills, fatigue, and faintness. Given these findings, it's important to prioritize your health and consider seeking medical attention promptly.
Explanation:
- Low Iron Levels: These can lead to anemia, which may explain your symptoms of dizziness, fatigue, and weakness. Anemia can be caused by blood loss, and it's crucial to address this issue to avoid complications.
- Bleeding: The bleeding you described from the vaginal wall, especially if it's significant and you're feeling very weak, is worrisome. It may indicate a more serious underlying issue that needs evaluation.
- Current Symptoms: The combination of chills, increased heart rate, and feeling faint while standing could suggest that your body is under stress, possibly from anemia or infection.
Next Steps:
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Urgent Care or Emergency Room Visit: Given your low iron levels, ongoing bleeding, and the concerning symptoms of weakness and chills, it would be safest to seek medical attention. While you may not feel critically ill, your symptoms indicate a potential risk that needs professional evaluation.
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Prepare for the Visit:
- Bring a list of your symptoms, including how long you have been experiencing them.
- Share your medical history, including your use of Depo-Provera and current medications (iron supplements, etc.).
- Mention the thrush infection and any treatments attempted.
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Monitor Your Symptoms: Until you can be seen by a healthcare professional, take note of any changes in your symptoms, such as:
- Amount of bleeding (if it increases or if you start soaking through pads quickly),
- Any new symptoms like chest pain or severe headaches.
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Stay Hydrated and Rest: Continue to drink fluids and rest as much as possible to prevent further strain on your body.
It's understandable to feel anxious about your health, but seeking timely care can help address these issues effectively. Please take action to ensure your well-being.
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