Why is there no lochia after a cesarean section?

Patient's question:

Postpartum day 36, vaginal flow of red blood. The second day, gray lochia with little amount. Had sexual intercourse twice, the first time was fine, the second time had blood and sometimes lower abdominal pain. Unsure if it's menstruation or another issue.

Doctor's answer:

The discharge is not clean, often due to poor uterine recovery after childbirth, with retained placenta, fetal membrane remnants, or intrauterine infection. You can use Tian Tui (Bupleurum root) and Pu Huang (Angelica sinensis) half-cooked and ground into powder, mixed with vinegar, and taken orally. Alternatively, you can directly consume the Chinese herbal medicine Sheng Huo Tang pills for treatment. Additionally, dietary therapy can be used, such as brewing red bean decoction as tea or stewing lotus root with mother chicken soup, consuming both the soup and meat. It is best to seek medical attention promptly and follow the doctor's advice to take medication according to your specific condition. Wishing you a speedy recovery.
Doctor's advice: In addition to timely treatment for cesarean section, friends with the condition should maintain a positive mindset to face the illness. Only in this way can the patient receive timely and appropriate treatment.

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