Patient's question:
I have been postpartum for fifty-five days, and I had a cesarean section. However, I still have lochia (postpartum discharge) now, though in small amounts. At fifteen days, the color of the lochia faded, then it stopped for a few days, but then it returned, still in small amounts. By day forty-five or forty-six, it stopped again, but then returned after a few days, still in small amounts. Is this normal? If not, what tests should I undergo? Is an ultrasound sufficient?Doctor's answer:
After giving birth, the most common reason for lochia not clearing up is vaginitis caused by infections such as bacteria, viruses, or fungi in the reproductive system. It is recommended that you visit a gynecologist promptly. After diagnosis, oral antibiotics (metronidazole + cefixime) should be taken for better treatment, and you will recover quickly. Avoid consuming foods that may exacerbate the condition, such as mutton, shrimp, crabs, and blackfish. Additionally, avoid spicy foods and drinks like chili peppers, raw garlic, and baijiu.