HomeAnswersObstetrics and Gynecologyblood clotI have more blood clots, less bleeding, and severe pain. Why?

What could be the reason for blood clots with severe pain during a period?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At May 31, 2023
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

There is some irregularity regarding my periods this month. I usually get heavy flow on the first day of the period with severe cramps and lower back pain. I generally take painkillers that help in relieving period pain. I also get clots on the first day of the period. But this time, there is very light blood flow on the first day of the period with severe pain. It has been five hours since the start of my period, but whenever I check the bleeding, there are more blood clots and only a little bit of diluted brown-colored blood. I am currently not taking any medication other than the painkillers. The painkillers this time did not completely relieve the pain but made it a bit tolerable. So I am not able do my daily activities.

Please help me resolve my problem.

Answered by Dr. Uzma Arqam

Hello,

Welcome to the icliniq.com.

I have read your query and can understand your concern.

However, more information regarding your drug, medical, and social history would be helpful for making a precise diagnosis.

Based on your given information, you are a teenager which is the phase of reproductive development. However, still one can have ovulatory, anovulatory, regular, or irregular menstrual cycles. But in your current situation, if you are sexually active, then I suggest you check the levels of serum Beta hCG (blood pregnancy test) to check your pregnancy status. If it comes positive then I suggest you to go to the gynecological emergency department, undergo an immediate transvaginal ultrasound scan, detailed examination, and get treatment accordingly. If the test comes negative, then I suggest you follow the instructions mentioned below,

  1. Take a tablet of Ponstan 500 mg (Mefenemic Acid) and a tablet of Tranexamic acid 500 mg (antifibrinolytic) every eight hours for three to five days as required.
  2. Consult a specialist, talk with them, and take the medications with their consent. They may suggest a few blood investigations like a thyroid function test, complete blood count, and a transvaginal ultrasound scan.
  3. To regulate your menstrual cycles and prevent heavy bleeding, I suggest you take oral contraceptive pills for three cycles.
  4. Consume a healthy diet including carrots, apples, and spinach.
  5. Drink more water.
  6. Do regular exercise, yoga, and walking to maintain your BMI (body mass index) and weight.
  7. I hope this has helped you out.

    Kindly follow up if you have more doubts.

    Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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