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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned About The Unusual Spotting, Bloating, Heartburn, And Bleeding With Clots?

ok so my last full cycle ended may 16th. 2 weeks after my end date i started spotting lightly. I was bloated, had light heartburn, lots of clear discharge, lower back pain and felt some pressure in my lower abdomen. on the 8th of this month i started bleeding clots. prior to spotting I ve always had heavy cycles, I m sexually active and I m also anemic, I ve never been pregnant unsure of any miscarriages, and i have never spotted as a result of a full cycle.Just to be sure i also took 3 pregnancy test and all came out negative. I m currently in American Samoa and the doctors have given me nothing, I need a second opinion,
posted on Wed, 10 Jul 2024
Twitter Tue, 14 Oct 2025 Answered on
Twitter Fri, 31 Oct 2025 Last reviewed on
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General & Family Physician,  's  Response
Hello,

You have a history of having heavy periods and anemia. You are sexually active, never had spotting between periods before. Your pregnancy test is negative. Some causes of such symptoms are benign, like hormonal imbalance or fibroids, especially with clotting and heavy cycles. But persistent spotting with clots and bloating, needs gynecologic evaluation.

Even after negative pregnancy tests that are reassuring, other uterine or ovarian conditions need to be ruled out. Benign uterine growth can cause heavy bleeding, clots, and spotting between periods, as well as pressure or bloating. Similar symptoms will show for ovarian cysts, adenomyosis, or clotting disorders.

Before you start developing symptoms like soaking more than one pad per hour with severe abdominal pain or cramping. Dizziness, fainting, or shortness of breath you are advised to get clinically examine by a gynecologist. You require to get pelvic exam and ultrasound done to detect fibroids, polyps, or ovarian cysts.

Get blood work like CBC (for anemia), hormone panel tests done. Test for benign tumors like fibroid or cysts as well. To get rid of heartburn and bloating, you can take antacids and increase fiber in diet. You are advised to eat iron rich food and stay adequately hydrated. Avoid constipation.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Should I Be Concerned About The Unusual Spotting, Bloating, Heartburn, And Bleeding With Clots?

Hello, You have a history of having heavy periods and anemia. You are sexually active, never had spotting between periods before. Your pregnancy test is negative. Some causes of such symptoms are benign, like hormonal imbalance or fibroids, especially with clotting and heavy cycles. But persistent spotting with clots and bloating, needs gynecologic evaluation. Even after negative pregnancy tests that are reassuring, other uterine or ovarian conditions need to be ruled out. Benign uterine growth can cause heavy bleeding, clots, and spotting between periods, as well as pressure or bloating. Similar symptoms will show for ovarian cysts, adenomyosis, or clotting disorders. Before you start developing symptoms like soaking more than one pad per hour with severe abdominal pain or cramping. Dizziness, fainting, or shortness of breath you are advised to get clinically examine by a gynecologist. You require to get pelvic exam and ultrasound done to detect fibroids, polyps, or ovarian cysts. Get blood work like CBC (for anemia), hormone panel tests done. Test for benign tumors like fibroid or cysts as well. To get rid of heartburn and bloating, you can take antacids and increase fiber in diet. You are advised to eat iron rich food and stay adequately hydrated. Avoid constipation. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician