Dr. Uzma Arqam
Obstetrics and Gynecology
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Patient's Query
Hello doctor,
Currently, I am five weeks pregnant. I started bleeding bright red and cramping yesterday morning and today, I am still bleeding (some small tissue which is sometimes stingy) has shown up.Today, I also have low back pain and a constant headache. I was told to rest yesterday and I have been on bed rest today. I had an ultrasound but there was nothing and the doctor did not say much except that it may be too early to see anything.
She also stated my cervix was not bleeding but stated I may have a bacterial infection. She labeled it as a “threatened miscarriage”. They took a blood test for hCG levels and I will return next week. My question is that if this does happen, what can I take for the pain I may feel? I know one cannot stop a miscarriage from happening even with bed rest and at this point, I am not very hopeful that I am still pregnant with blood and extremely small tissue being seen. Thank you in advance.
Hello,
Welcome to icliniq.com.
Try to collect beta hCG report immediately and have another sample to be given for beta hCG 48 hours from the previous report when that was collected. The difference in both levels will help to differentiate between miscarriage and ectopic pregnancy. If the level reduces after 48 hours, it is a miscarriage and it is occuring by itself, but if beta hCG shows less than 60 % increase in level then from previous beta hCG it is an ectopic pregnancy that needs an emergency intervention. Better observe symptoms closely. In case of single-sided lower abdominal pain, dizziness, fainting, weakness, you need to report to the hospital immediately.
For pain, only if it is a miscarriage, you can have Ponstan (Mefenamic acid) or Paracetamol, but if it is ectopic, it needs emergency intervention. Have beta hCG repeated after 48 hours of previous beta hCG blood collection and discuss here or with your doctor. Have a multivitamin and a good diet.
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Obstetrics and Gynecology
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