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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Brown Discharges As Period With Slight Pain In Lower Abdomen. Serious?

Hi I've been having a light brown discharge in place of period and I have no cramps for I was suppose to start period two days ago and today and yesterday I've been having light brown discharge and no cramps but lasr week I had slight pain in lower left abdomen and these pass three days no slight pain what so ever? Do you know why I'm freaken out
Mon, 6 May 2013
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General & Family Physician 's  Response
Hi, thanks for asking in Healthcare Magic.

Light brown discharge with minimal cramps could be due to a normal physiological happening. It can precede period sometimes. Brown colour indicates that the blood is old. The other reasons for brown discharge are;
1. Pelvic inflammatory disease.
2. Cervical inflammation or infection.
3. Uterine polyps.
4. Infections like STD.

You have neither mentioned your age nor your marital status. Light brown discharge with minimal or no cramps could also be due to implantation bleeding. Implantation bleeding occurs when the fertilized ovum gets attached to the inner lining of uterus. It can also occur if you are using oral contraceptive pills.

If you are already married, then you should rule out pregnancy through home pregnancy test. If there is no severe pain or fever you need not worry. Otherwise you should meet your treating Dr to rule out other possibilities.

I hope this is useful.
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General & Family Physician Dr. Luchuo Engelbert Bain's  Response
Hi and thanks for the query,
It is very important to know exactly what this discharge is all about. Is it old brownish blood or a discharge on its own. being accompanied by pain compels this difference to be analyzed with caution. Infectious processes are common causes of these symptoms. A good clinical evaluation shall be very necessary. A vaginal swab and culture could be important in detecting the causative germ. depending on the results of the physical examination. an abdominal ultrasound to ascertain the integrity of the uterus (womb), ovaries and other abdominal structures could be useful. Consult you gynecologist for proper evaluation and management.
Thanks and best regards,
Luhuo, MD.
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OBGYN Dr. Gowri Meena's  Response
Thanks for posting your query.

Irregular spotting whether painless or painful indicates a hormone disturbance or a problem with the uterus or cervix.

It can be a temporary condition that resolves itself as with change of place, weather, stress etc

It might also be something that need treatment like underactive thyroid, pcos, high prolactin levels etc

It could also be due to a problem in cervix like erosion, polyp, tumour or from the uterus due to a fibroid, polyp, thickening of endometrium etc

In any case we have to find out the reason for this pattern.

You have not mentioned whether you are sexually active as pregnancy complications can have a similar pattern.

It might also be due to some medications like steroids, contraceptive pills, IUCD use etc

Its time to meet your doctor who will help you to sort out this issue.

Hope this has helped.
All the best, take care.
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Having Brown Discharges As Period With Slight Pain In Lower Abdomen. Serious?

Hi, thanks for asking in Healthcare Magic. Light brown discharge with minimal cramps could be due to a normal physiological happening. It can precede period sometimes. Brown colour indicates that the blood is old. The other reasons for brown discharge are; 1. Pelvic inflammatory disease. 2. Cervical inflammation or infection. 3. Uterine polyps. 4. Infections like STD. You have neither mentioned your age nor your marital status. Light brown discharge with minimal or no cramps could also be due to implantation bleeding. Implantation bleeding occurs when the fertilized ovum gets attached to the inner lining of uterus. It can also occur if you are using oral contraceptive pills. If you are already married, then you should rule out pregnancy through home pregnancy test. If there is no severe pain or fever you need not worry. Otherwise you should meet your treating Dr to rule out other possibilities. I hope this is useful.