Bleeding Spotting After Internal Exam

4 Replies
rebolson - November 7

Hello~ I had an internal exam on Monday and bled heavy, bright red blood with clots for the rest of the day. But here it is Wednesday and I'm still spotting. It's not bright red/clotty anymore, but does anyone know if this is normal?? Should I still be spotting on the third day after an internal exam?

 

Tory1980 - November 7

How far on are you? I know you can spot after an internal exam but that is all it usually is - spotting and usually a rust or brown colour, sometimes slightly pink. What you are describing wasn't spotting sweetheart and I would go and get checked over. Have they mentioned anything about the position of your placenta? I only ask as I was diagnosed with placenta previa after a bleed like your description with my first baby at 29 weeks.

 

rebolson - November 7

Hi, Tory~ I'm 37 weeks along. For fear of a too long post, I left out a lot....Right after the dr did the exam, she said I'd "spot." I didn't think much of it as I've heard spotting can happen after internals so I didn't ask how long to expect "spotting"- I figured I'd spot for the day and that would be that.... After the bright red, clotty bleeding all day on Monday, I did actually call and go in on Monday night. They did a NST (baby's fine) and the nurse ended up telling me that my dr's definition of "spotting" is different than most patients' definitions and that if "it" was "still happening" on Wednesday, to call them back. Incidentally, before my dr appt, I had an ultrasound (to check baby's size) and the placenta was where it was supposed to be. Nothing was said about anything looking out of the ordinary, but then again, they weren't in there looking for previa or abruption, so I don't know if they would've noticed??? I really don't know....When the nurse said "if it's still happening on Wed," I should have clarified....what? bleeding bright red or just spotting..??? What??? I hate to admit it, but I'm a bit intimidated to call in, because when my dr was called and told I was being checked in L&D, she told the nurse, "I TOLD her she'd spot!" like geez, doesn't she listen? Had I known my dr considered BRIGHT RED CLOTTY BLOOD "spotting, I wouldn't have been concerned. Anyway, it's definitely only light, pinkish spotting going on now, but should it still be happening? It's day 3 after the exam....?

 

Buffi R. - November 7

IF you're bleeding/spotting from a placental abruption, you might get some other signs to indicate that. Watch for excessive thirst, painful abdomen, especially to the touch, warm spot on the belly, and a contraction that doesn't let up (meaning it peaks and never comes back down). Only 20% of all abruptions are visible on an ultrasound, even if they're specifically looking for it. If you have an abruption, it's possible you're bleeding less now if the blood is getting trapped between the placenta and uterus, then you might end up with those other symptoms. But it's good that your baby was doing fine. Usually abruptions (unless they're mild) cause fetal distress which they would have detected. Also, that'd be quite a coincidence to abrupt right after an internal exam, so that's probably not what you have, but I wanted to let you know the other symptoms to watch out for just in case.

 

Tory1980 - November 7

I would say it's not normal to be spotting for three days after an internal - at least I have never done so and this is my sixth pregnancy (fourth baby). The Doctor should have been glad you went in with that kind of bleeding. It is good baby is happy where it is for now. For me I definitely wouldn't consider what you described as merely 'spotting' either - I would have freaked completely seeing that. I a__sume the NST didn't show any contractions or anything to indicate labour? It's just if all was fine with baby and placenta was where it should be (if it was previa the tech definitely should have seen it!) then that kind of bleeding is how my sister described her 'show'. Very bloody for a day and then spoting for two or three - then she went into full b__wn labour! Congratulations on the 37weeks!

 

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