instruction: hello doctor I am a 30 year old female I weigh about 87 keg I am a mother of a year old kid and still breastfeeding no history of pod and my periods are regular with a cycle of 28 days I conceived after three years of marriage life I had a natural delivery in 2018 and got my regular periods back in march 2019 my period pas symptoms include bloating mood swings and temperaments now my problem is for the past three months my periods are super heavy I am using 10 pads per day for the first three days and normal to less in the next three days this makes me drained and weak I am unable to sleep properly and cannot do anything it also leads to bad stomach cramping today is my second day of menses and yesterday I fainted as well what to do
output: hello welcome to iclinq com I can understand your concern the reason for your excess flow could be most probably hormonal yet if the bleeding continues to be more in subsequent cycles then a pelvic ultrasound should be done to rule out any new pathology in the uterus check your he hemoglobin and thyearoid levels sometimes hyperthyearoidism can cause excess flow because of heavy menses in previous cycles your he must have come down causing this severe weakness and giddiness moreover lactation consumes iron for milk production this would have added up to your anemia start iron supplements as soon as possible and take iron rich food you can take tablet tranexamic acid 500 my twice daily during the cycles to reduce the flow and get a gynecologist opinion in person if your problem continues hormonal anemia he ash thyearoid stimulating hormone pelvic scan hormonal anemia hematinics tablet tranexamic acid 500 my to decrease the flow and pelvic scan if bleeding continues