Concluded Case

Female 16yr complains irregular menses at 15 days from last 2 months.heavy bleeding and pain .

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Concluded answer
Dysfunctional uterine bleeding. Inj cromostat 1 amp iv stat. Inj buscopan 1amp I'm stat for pain. Oral contraceptive for 3 months. Buscopan SOS. Needs further investigation and evaluation to conclude and than D and C and send pieces for examination. Hormonal aspect and anxiety and other relevant history useful. Reassurance and counciling required. During bleeding Luke warm water compression and massage may be useful. Good nutritious balanced diet.
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Dysfunctional uterine bleeding. Inj cromostat 1 amp iv stat. Inj buscopan 1amp I'm stat for pain. Oral contraceptive for 3 months. Buscopan SOS. Needs further investigation and evaluation to conclude and than D and C and send pieces for examination. Hormonal aspect and anxiety and other relevant history useful. Reassurance and counciling required. During bleeding Luke warm water compression and massage may be useful. Good nutritious balanced diet.
Thanks Dr Vipin Bihari Jain
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Menarche hormonal disorder or infection causing pelvic inflammatory disease Advise sonography
Thank you doctor
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Young lady having frequent menses need to go deep in history R/o 1 any h/o oral contraceptives missing the dose 2 any consensual sexual activity And miscarriage Adv usg abdomen and pelvis Rx ruling out and misconceptions HRT treatment for 3months Failing that adv d&c but if lady is virgin no surgical intervention Only counseling repeated hrt treatment
Thanx dr Vipin Bihari Jain
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Take a detailed history .cbc Hormonal assay thyroid function test usg lower abdomen to r/o diseases like endometriosis . Give her a uterine tonic mefenamic acid and tranexamic acid combination to control pain n bleeding oral contraceptives n iron supplements. Decide as per reports
Thank you doctor
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Dysfunctional uterine bleeding Treatment Injection Trenexa one amp iv stat , Injection Anafortan one amp IM stat, cap Metylprogesteron 200 one daily and ask for CBC ESR Blood SUGAR BT CT PT INR T3T4TSH FSH LH USG OF LOWER ABDOMEN
If it was regular before 2 months,& now irregular It’s ??Dysfunctional uterine bleeding,Geneva.opinion sought If its irregular since beginning??HPA axis imbalance
Tq.Dr.Ashok neel
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Proper Usg abdomen and pelvis should be carried out to find the exact cause any history related to contraceptive or other To treat her well
Thank you doctor
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IT'S A..CASE OF.. ? DUB.. ? UTERINE PATHOLOGY.. ? HORMONAL.. NEED'S.. USG..ABDOMEN.. HEMOGRAM.. HORMONAL STUDY..
Tnx Dr Vipin Bihari Jain
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SUGGESTIVE of DYSFUNCTIONAL UTERINE BLEEDING NEEDS. FURTHER. EVALUATION USG PROPER. HISTORY
Get her usg and hormonal analysis If reports normal put her on Ocp for 3months
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