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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are The Reasons For Bleeding After Hysterectomy Surgery?

I had a hysterectomy surgery 4 weeks ago and I also had a infection so they went back in to drain that area. Yesterday I noticed that I was bleeding a little more so I just stayed in bed most of the day. Today I bled some but just went to the bathroom and was a little more blood and I passed a clot. Should this be happening.
Thu, 6 Mar 2014
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OBGYN 's  Response
Hello and thanks for using Health care magic.

I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries.

I am sorry that you are having these problems.

The causes of bleeding may be:
1. Bleeding due to infection in the vaginal vault or a bleeder left open in the vault. This is usually the commonest cause. The excess bleeding that you notice may be due to blood collecting in the vagina as you were lying down for most of the time and then a gush of the collected blood after getting up.

The management is usually conservative meaning that surgical intervention is not needed. Drugs like tranexamic acids and antibiotics are used to control infection. Bleeding usually stops after a few days to weeks.

2. Bleeding from the hysterectomy stump: Happens with subtotal hysterectomy when the lower most part of the uterus is not removed leading to bleeding .

It is better if you see your doctor and look for the cause of bleeding and get treated accordingly.
Thanks for using HCM.
Have a good day.
Dr Nilajkumar Bagde
Consultant Obstetrics and Gynecology
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What Are The Reasons For Bleeding After Hysterectomy Surgery?

Hello and thanks for using Health care magic. I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. I am sorry that you are having these problems. The causes of bleeding may be: 1. Bleeding due to infection in the vaginal vault or a bleeder left open in the vault. This is usually the commonest cause. The excess bleeding that you notice may be due to blood collecting in the vagina as you were lying down for most of the time and then a gush of the collected blood after getting up. The management is usually conservative meaning that surgical intervention is not needed. Drugs like tranexamic acids and antibiotics are used to control infection. Bleeding usually stops after a few days to weeks. 2. Bleeding from the hysterectomy stump: Happens with subtotal hysterectomy when the lower most part of the uterus is not removed leading to bleeding . It is better if you see your doctor and look for the cause of bleeding and get treated accordingly. Thanks for using HCM. Have a good day. Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology