Dr. Reetika
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am almost four weeks pregnant. I have intense cramps, mainly during the night, maybe for 15 minutes, and it wakes me up. It is like my lower tummy contracts, and the pain is there for some time. I cannot keep still, and sometimes I sweat and cry from the pain, but no other complications. I am not sure if it is normal. Please advise.
Hi,
Welcome to icliniq.com.
I fully understand your concern and will surely help you. Certain females may experience pain during early pregnancy, but I recommend you to take an ultrasound if that is intense. If you have any old ultrasound report, please share with me. Also, I request you to repeat the pregnancy test with the first urine of the day for accurate results. Do not drink too much fluid before your test. Adhere to all guidelines written on the package of the pregnancy test kit. Please share the test's outcome so that we can decide upon further management of your menstrual health.
Patient's Query
Thank you doctor,
I am getting an ultrasound at six weeks. I am 3 weeks pregnant at that time, and I am waiting for the blood test results to come back tomorrow, so should I worry about doing another urine pregnancy test. My other doctor did think maybe urine infection, does that cause cramps on and off?
Hi,
Welcome to icliniq.com.
As you are getting the blood test results tomorrow, no need to do a urine pregnancy test. I agree with the doctor, and yes, urine infection can cause cramps, but it should not be so severe that it leads to crying. Also, are you having any other urine infection signs like burning sensation during urination, bladder fullness, etc? Are you taking any medicines for this or anything else? Did you bring any changes in your lifestyle recently or any changes in food habits?
Patient's Query
Thank you doctor,
Yes, I have bladder fullness and frequent urination. Not sure if that is the cause of pregnancy, though. And I have random burning in my vagina while using the restroom. I do not take any medicines. Can I take anything? I was not sure it would help if it is only cramps sometimes. I have also had green snot-like discharge sometimes and was not sure if that was urine infection or pregnancy discharge. I stopped smoking and took more water than before, as I drank hardly any now and more interest in foods like tomatoes. I also have Crohn’s disease and polycystic ovaries. I had Clomid to help me fall pregnant. I had low blood pressure, too, and have fainted a few nights ago.
Hello,
Welcome back to icliniq.com.
You can get a urine examination done to rule out urine infection. I hope you do not have any loose stools or constipation. Little uneasiness or heaviness can be due to increased blood flow to the uterus. If you have taken Clomid (Clomiphene) for ovulation induction, there is a chance of multiple pregnancies. Ultrasound will help in making the diagnosis and also ruling out an ectopic pregnancy. Please be in touch with your local practitioner in case of an emergency.
Patient's Query
Thank you doctor,
I do not have frequent stools.
Hello,
Welcome back to icliniq.com.
Cramping and abdominal pain can be there if you have active Crohn's disease. Wait for the scan and well being of pregnancy. You can consult a surgeon for a further course of action if the symptoms worsen.
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Obstetrics and Gynecology
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