Question: Hello. I am suffering from vaginal bleeding. I gave birth about a month and a half ago by C-Section. I had bleeding for about a week afterwards. Then it stopped for about 2 weeks and then it started again daily about 2 weeks ago. Can this be due to blood clotting or is this normal after a c-section? I have uploaded CBC, PT, INR/PTT results for you. Thanks again ahead of time for your answer or help.
Answer: Based on the information you have provided you seem to be suffering from postpartum hemorrhage and from the docs you sent they do indicate some type of blood clotting disorder raised prothrombin time (PT) and international normalized ratio (INR). This needs to be examined and treated immediately. I recommend you go to an ER or hospital. The following tests need to completed: blood, liver function tests (LFT), urea, creatinine, platelet count, bleeding time (BT), clotting time (CT) prothrombin time (PT) and activated partial thromboplastin (APTT) as well as an USG (ultrasonography) . Administration of IV antibiotic as well as FFP transfusion and blood reserve will probably be required.
Regards,
Dr. John Claude
