What causes vaginal bleeding with yellow discharge at 55?

Hello,

Welcome to icliniq.com.

I understand your concern.

According to your history, the possible causes are:

1. Cervical cancer.

2. Cervical polyp.

3. Endometrial hyperplasia.

4. Endometrial cancer.

5. Endometrial polyp.

6. PID (pelvic inflammatory disease).

7. Atrophic vaginitis.

I would like to know the following:

1. Number of children and the last child born.

2. Last menstrual period, if she is menopausal, and how many years she has been menopausal.

3. Which part of the stomach is she feeling the pain in? What is the onset of the pain, and what is the character of the pain?

4. Any radiation to other parts of the body.

5. Any aggravating factors or any relieving factors?

6. The consistency of the discharge, the amount, and how many pads she soaked per day.

7. Association of smell or itching.

8. Any history of chest pain or shortness of breath.

9. Any history of dyspepsia or heartburn.

10. Any history of burning micturition, urgency of frequency, hematuria, or constipation.

11. Any history of loss of appetite or weight loss.

12. Any history of hypertension or diabetes.

13. Any intake of medication for other diseases, like heparin or warfarin.

I would advise you to do the following investigation:

1. Complete blood count.

2. LFTs (liver function tests).

3. RFTs (renal function tests).

4. Random blood sugar.

5. Viral markers include HBsAg (hepatitis B surface antigen) and anti-HCV (hepatitis C).

6. Pelvic ultrasound to see endometrial thickness, endometrial polyps, and myometrial echogenicity.

Management:

After conducting all the investigations and getting the reports, consult a consultant gynecologist for further plans. Management will depend on history, examination, and the ultrasound report. A general physical examination, abdominal examination, bimanual examination, and per speculum examination must be done. If the ultrasound report shows increased endometrial thickness, we must plan hysteroscopic-guided endometrial sampling. If cervical growth is found on a per speculum examination, we must perform a cervical excisional biopsy.

I will advise giving her the following after consulting the doctor:

1. Tablet Naproxen 500 milligrams, two times a day for five days to relieve pain.

2. Tablet Metronidazole 400 milligrams, thrice a day for seven days.

3. Tablet Tranexamic acid 500 milligrams, two times a day for five days.

I hope this has helped you.

Hello,

Welcome back to icliniq.com.

You are most welcome.