Hello, thank you for sharing your concern. Your symptoms suggest a hormonal imbalance causing irregular/prolonged bleeding, and conditions like PCOS can sometimes present with: Irregular periods Hair thinning Scalp oiliness/itching Fatigue Because your bleeding has continued for 13 days along with dizziness and weakness, you may also have developed anemia from blood loss. The scalp bumps and itching are more likely a separate scalp condition such as seborrheic dermatitis or folliculitis. At this point, it would be important to get evaluated with: CBC (hemoglobin) Thyroid profile (TSH) Ultrasound pelvis Possibly hormone tests if advised For now: Rest and maintain hydration Eat iron-rich foods (green vegetables, dates, jaggery, protein) Avoid excessive stress as it can worsen hormonal imbalance Seek urgent care if: Bleeding becomes very heavy (soaking pads frequently) Severe dizziness/fainting occurs Severe abdominal pain develops Final Prescription (Short-Term Symptomatic Use): Tab Tranexamic Acid 500 mg three times daily after food × up to 3 days if bleeding is heavy Tab Mefenamic Acid 500 mg SOS after food for cramps Tab Iron + Folic Acid once daily × 1 month For scalp symptoms: Ketoconazole 2% shampoo twice weekly × 3–4 weeks Advice: Gynecology evaluation is recommended because prolonged bleeding for nearly 2 weeks should not be ignored, especially with weakness and recurrent irregular cycles.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
Hello
Periods lasting 13 days with cramps, dizziness, weakness, and fatigue can lead to anemia from blood loss and should be evaluated by a gynecologist. Irregular periods, hair thinning, and scalp issues may also suggest a hormonal condition such as Polycystic Ovary Syndrome, thyroid problems, stress-related hormone imbalance, or iron deficiency.
You should get checked with blood tests (CBC, iron, thyroid, hormones) and possibly a pelvic ultrasound. Until then, rest, stay hydrated, eat iron-rich foods, and avoid skipping meals. Seek urgent care if you are soaking pads hourly, passing large clots, fainting, having severe pain, or feeling short of breath.
Take care Feel free to talk dear
