Dr. Poonguzhali Liston
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 six weeks pregnant. For the past few days, I had spotting, and on the 8 th of this month, I visited a doctor and had a transvaginal scan. They told me my baby is in the growing stage, and they asked me to take another scan on the 22nd of the same month. After the transvaginal scan, I had spotting and light bleeding till now. I used a pad, but nothing was filled. Only when I pass stool, I see the bleeding and discharge. Kindly help me by clarifying my doubt.
Hello,
Welcome to icliniq.com.
Before we can proceed, is it possible to share the transvaginal scan report. This will help me assess the situation better. Also, are you on any medication, and can you please attach the prescription.
Patient's Query
Thank you doctor,
I do not have the scan report. My doctor just saw and told me that baby is just started growing in the uterus and prescribed a Folic acid tablet.
Hello,
Welcome back to icliniq.com.
I have gone through your prescription (attachment removed to protect the patient's identity). Your doctor has prescribed tablets Ecosprin (Aspirin), Folic acid, and Doxinate (Doxylamine). Folic acid and Ecosprin will help protect your pregnancy. Usually, six weeks is too early to see a fetal heartbeat, and only a gestational sac will be seen. Hence your doctor has asked to repeat the scan after two weeks, by which the baby or fetus should be visible. In many pregnancies, mild spotting is very common and considered normal. The Ecosprin tablet will help control the spotting. So be stress-free and continue your medication till your next visit. You also start tablet Susten 200 mg (Progesterone) one at night after consulting your gynecologist.
Patient's Query
Thank you doctor,
I will let you know the reports of my next scan. Thank you so much.
Hello,
Welcome back to icliniq.com.
Your welcome. I am always happy to help you.
Patient's Query
Hi doctor,
Now I am nine weeks and six days pregnant. I had a transvaginal scan on April 22nd, and my baby was fine with a 110 heartbeat rate. For the past three days, I have had light brown, sometimes pinkish spotting now and then. I don't have pain or noticeable cramps as such. Is it a concern? Should I visit the hospital immediately? My 3rd-month scan is scheduled for 31st May. Kindly advise. I have attached my reports for reference.
Thank you.
Hi,
Welcome back to iCliniq.com
Mild spotting or bleeding without pain is normal up to 12 weeks of gestation. It is called implantation bleed and occurs when embryo burrows into the endometrium (this is normal ) or the bleed could be a small bleed present behind the developing placenta. If the bleeding remains minimal or without pain, immediate intervention is not required. Also are u taking the Progesterone supplementation? Kindly let me know.
Regards.
Patient's Query
Hi doctor,
I called my doctor and spoke to her yesterday. She also told me not to worry, and when I asked her about Progesterone tablets, she said that they wouldn't suggest or practice giving them in their hospital. But I am worried now. Today at about 2 pm, I had a string-like blood discharge, and that string has small, in a sense, very tiny blood clots. And at times, I feel my vagina is very dry. I am attaching my blood test reports. I kindly request you to have a look at it and suggest medicines. As my thyroid level is high, I take Troxin 50 mg, Folvite MB Folic Acid, and Ecosprin 75 mg. Please advise me what I should do?
Thank you.
Hello,
Welcome back icliniq.com.
I went through your reports. All your blood reports are acceptable except for your thyroid levels - for which you are taking medication (Thyroxin); also, your rubella antigen is positive - this is a virus that can cause abortions and sometimes anomalies in the baby. I think you should visit a different doctor. I think you should be started on Progesterone. Also, I would like you to do some research on Progesterone supplementation in pregnancy online and also regarding Ecosprin (because usually it is given only after 12 weeks of pregnancy ). I hope this helps.
Thank you.
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Obstetrics and Gynecology
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