Dr. Sanjay Kumar Bhattacharyya
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
Hi doctor,
I am a 27 year old woman. I am 5 weeks 2 days pregnant as per USG report. Four days ago, I have had a little bleeding with pain. It was mucus type blood and dark brown colored. I went to a local gynecologist for seeking medical treatment. He advised me to take Duphaston 10 mg tablet twice a day. I was also taking Pregsafe 200 mg capsule at night. I have done USG a week ago. It was observed that gestational sac is regular at present and fetal node is not visualized. He advised me to do USG test again after 15 days and take complete rest. I am worried in this situation and would not want to lose my baby. I have also PSVT (sudden abnormal heart rate) and vaginal yeast infection. Yeast infection is not currently present, but it is recurrent. Please help me doctor.
Hello,
Welcome to icliniq.com.
Truly speaking, any form of bleeding in pregnant state is risky and needs consultation. An ultrasonography is appropriate here, but you need another scan at 7 weeks or 2 weeks later to know whether you are having any viable fetus or not. Absence of fetal heartbeat or fetal node usually denotes a missed abortion. Nothing can be done now, except waiting. Continue all medications as before.
Patient's Query
Thank you doctor,
Actually, the bleeding was stopped today. Could it be due to sexual intercourse or Duphaston?
Hello,
Welcome back to icliniq.com.
You cannot be 100% sure that the bleeding was due to sexual trauma. It could be coincidental also.The point of concern here is the absence of fetal node, which always raises a query about the viability of the fetus. Do not research over the medications so much. Duphaston (Dydrogesterone) is recently targeted and this does not mean we have stopped prescribing it. There is still a lack of documentation to tell Duphaston is harmful. Please continue it along with Pregsafe (Progesterone) and do a repeat USG as advised previously.
Patient's Query
Thank you doctor,
I have a fever of 101 degrees Fahrenheit now. I also have back and leg pain. I am very depressed now.
Hello,
Welcome back to icliniq.com.
You need to visit a clinic for a clinical examination. You might need a few tests as fever could be due to a lot of reasons including dengue.Meanwhile, start taking Paracetamol 500 mg three times a day as it is safe in pregnancy.
Patient's Query
Hi doctor,
My wife is currently admitted in a nursing home due to bleeding and pain. Her fever is under control, although test result is yet to come. Please give some suggestions.
Hello,
Welcome back to icliniq.com.
There is a need for a clinical examination. If it the birth canal is open, she needs curettage. This means this pregnancy is no more viable. Also, if she is having a negative blood group, she needs separate treatment. Please consult the treating doctor and take the treatment as advised.
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Obstetrics and Gynecology
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