How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Pauline Your Own Question

Pauline
Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience:  Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
659881
Type Your Health Question Here...
Pauline is online now
A new question is answered every 9 seconds

Should I go back to the ER

Customer Question

Should I go back to the ER?
Submitted: 5 years ago.
Category: Health
Expert:  Pauline replied 5 years ago.
Hello, can you tell us more about your problem and the history around it?
Expert:  Pauline replied 5 years ago.

Did you have any investigations, scans or tests when you were at the hospital?

What treatment or medication have you been given?

Customer: replied 5 years ago.
I was given Vicodin. They said I have to wait for my pap results. I had a pelvic exam and a pap smear done.
Expert:  Pauline replied 5 years ago.

Thanks for the extra information.

Did they mention any possible causes of your problem?

Did they do abdominal ultrasound?

Are you sexually active?

Have you been using any contraceptive tablets/implants/injection or coil?

Where is the pain now?

Any fever?

Any changes to bowel motions or urine?

Customer: replied 5 years ago.

Did they mention any possible causes of your problem?

No. I had a surgical abortion on December 13th, so I'm guessing the chronic bleeding is from that.

 

Did they do abdominal ultrasound?

No

 

Are you sexually active?

January 24th was the first time I had sex since the abortion.

 

Have you been using any contraceptive tablets/implants/injection or coil?

I'm on the Depo shot.

 

Where is the pain now?

Lower abdomin.

 

Any fever?

98.1

 

Any changes to bowel motions or urine?

I've been urinating a lot more.

Expert:  Pauline replied 5 years ago.

Thanks for the extra information. I assume that from examination they have ruled out a post-surgery infection and the normal temperature also supports this.

 

Depo provera can, in the early months of use ,cause heavy and unusual patterns of bleeding. It can also cause abdominal pain but as the pain is increasing in severity then I would have been inclined to run a pelvic ultrasound to look for possible causes, including any post-abortion complications. This allows full examination of ovaries (rules out cyst and torsion) as well as the uterus.

 

This increase in bleeding and pain does require being checked over again however I feel that you would be better served at a gyn clinic who can give you an adequate assessment although I understand that cost may be a factor.

 

The other thing that needs checking is your hemoglobin. Bleeding for this duration does suggest that you are at risk of anemia which can lead to dizziness. I would also check a urine sample to rule out an incidental urinary tract infection.

 

So you do need to be followed up, you need to determine which facilities local to you can give the best treatment. A course of hormones may reduce the bleeding once other problems have been ruled out.

 

 

Customer: replied 5 years ago.
So, I don't need to go?
Expert:  Pauline replied 5 years ago.

You do need to be followed up, my concern is that the ER may not be the best place for a full assessment.

 

Increasing pain is one reason to go to ER. And we should also remember that there are other possible causes for abdominal pain including appendicitis, obstruction, pancreatitis etc.

 

I would like you to be seen by a Gyn, but only you can decide whether you have the money for that consultation if there are no non-profit clinics or teaching hospitals close to you.

Customer: replied 5 years ago.
Alright, I will have to go to Planned Parenthood on Monday.
Customer: replied 5 years ago.
Vomitting is not a symptom of anything?
Expert:  Pauline replied 5 years ago.

Vomiting can occur due to pain, intestinal infection and side effect of some medication.

 

How bad has the vomiting been?

Customer: replied 5 years ago.
Once or twice a day.
Expert:  Pauline replied 5 years ago.

If you have been vomiting for a long time then this can contribute to dehydration and electrolyte imbalance. A blood test will help understand if this is a problem. If the vomiting has been continual since your procedure in December then I would suggest that you get blood hormone levels checked as this may be a factor.

 

 

Customer: replied 5 years ago.
I got my blood taken at the ER and they did tests. If there was a problem, they would have found it it, correct?
Expert:  Pauline replied 5 years ago.

Depending on the tests performed then yes. although it depends how quickly the results came back. I assume that they did not discharge you until blood test results were available.

 

 

Customer: replied 5 years ago.
Yes, they even gave me a sheet of how my blood tests went. Apparently, my red blood cell count is low. But, I suppose, it is to be expected if I've been bleeding for over a month.
Expert:  Pauline replied 5 years ago.

Yes, your low blood count is to be expected however you will need to have follow up treatment such as iron supplement (depending on the exact level)

 

If this has been helpful, please remember to click the accept button.

 

Regards

Pauline, Doctor (MD)
Category: Health
Satisfied Customers: 8631
Experience: Medical Doctor & Registered Pharmacist. Worked as Community pharmacist for 17 years.
Pauline and 3 other Health Specialists are ready to help you
Customer: replied 5 years ago.
I now have a 99.5 temperature and I'm extremely dizzy and nauseous.
Expert:  Pauline replied 5 years ago.
As temperature is rising together with dizziness then you should go back to ER for an acute assessment. Infection needs to be ruled out as well as other causes of acute abdominal pain.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions