Patient's question:
My wife is 28 years old. She still has lochia 50 days after childbirth and abdominal pain. At 35 days, she saw a doctor who diagnosed it as caused by insufficient rest and provided treatment, but the effect was not significant. What do you think? She previously had second-degree cervical erosion, which could be related to this?Doctor's answer:
The lochia typically lasts for about three weeks postpartum before it completely stops, although some weaker women may take up to six weeks. If the lochia continues to flow without a decrease in amount beyond this time, it is referred to as "lochia retention." This is often related to physical weakness, commonly due to qi deficiency and blood stasis or blood heat. It may lead to local and systemic infections, with severe cases potentially resulting in sepsis.The primary principles should be to replenish deficiency and remove blood stasis. Sitz baths with a 1:5000 potassium permanganate solution in warm water can be used. The diet should be light yet nutritious, including chicken soup, longan soup, jujube soup, fresh lotus root, pears, cucumbers, watermelon, and tomatoes. Avoid cold and spicy foods. Try postpartum lochia ointment.