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Dr. C.
Dr. C., Board Certified
Category: OB GYN
Satisfied Customers: 3064
Experience:  30 yrs experience, awarding winning educator
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My daughter gave birth over 4 weeks ago & has a painful hematoma

Resolved Question:

My daughter gave birth over 4 weeks ago & has a painful hematoma and is unabeto bend or sit, she has to lie on her side. She also has thrush as she had antibiotics weeks infection when her stitches came close. It is very painful to go to the toilet. How long does a vaginal hematoma take to heal and what can be done as its not absorbing into her body.
Submitted: 2 years ago.
Category: OB GYN
Expert:  Dr. C. replied 2 years ago.
Dr. C. :

and welcome to the site. My name is***** and I'll be providing your medical information today.

Dr. C. :

To speed the resorption of a vaginal hematoma, warm baths can help or aplying a heating pad. That soften up the blood clot making it easier to move into the body.

Dr. C. :

This can take time however so unfortunately patience and time is needed.

Dr. C. :

She should have been given some pain medication if the hematoma is large. otherwise a combination of ibuprofen at 800mg every 8 hours (with food) and Tylenol as per package instructions should be used.

Dr. C. :

If she's unable to use the bathroom, in extreme situations, the hematoma can be "evacuated", although this isn't the first choice. The reason is that the blood clot is acting like a tamponade to stop further bleeding and removing the clot can cause bleeding to restart.

Dr. C. :

If she's still having a lot of trouble, she should be seen by the OB before the usual routine 6 week post-partum check-up.

Dr. C. :

It may be helpful to have it examined again to make sure it's on the right track and perhaps she needs a prescription narcotic pain medication.

Dr. C. :

Vaginal hematomas are unfortunate, painful and the blood clot can take more time to resorb than we like .

Dr. C. :

I hope this information has been reassuring and helpful.

Dr. C. :

Be sure to reply if I can clarify anything or provide more details.

Dr. C. :

If nothing else, please leave a feedback rating. I aim service.

Dr. C., Board Certified
Category: OB GYN
Satisfied Customers: 3064
Experience: 30 yrs experience, awarding winning educator
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