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Problems about gestational sac - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
Doctor :   Hi,
User :   hi
User :   I went for dating scan of my wife
Doctor :   ok,
User :   may i discuss the report
Doctor :   yes please
User :   anteverted gravid uterus with a single intrauterine gestational sac is seen
Doctor :   ok,
User :   what does this mean?
Doctor :   it means the uterus is in normal positional axis and there is pregnancy sac
User :   what is sac?
Doctor :   sac is the pregnancy sac which hold the embryo
User :   CRL measures 0.46 cm
Doctor :   CRL means CROWN RUMP length its the length of the embryo
User :   A single yolk sac is seen. it measures 0.33 cm
Doctor :   ylk sac is a partition inside the pregnancy sac which contains yolk ( nutritious material ) which nourishes the growing embryo
User :   Is 0.33cm fine?
Doctor :   May i know her last menstrual period date ?
User :   first day of her last period was 5th Oct 2010
Doctor :   ok, its about 7 or 8th week , the size of yolk sac is normal
User :   Chorionic tissue is well differentiated. No subchorionic hemorrhage is seen.
Doctor :   its a layer in the pregnancy sac,
Doctor :   and its normal
User :   cervical os and canal are closed
Doctor :   Cervical canal and os refer to the opening of the cervix the lower part of the uterus
Doctor :   the outlet of the uterus
User :   is this fine to be seen closed?
Doctor :   yes,

User :   no adnexial mass lesion is seen
Doctor :   no adnexa refers to the ovaries , no tumors
Doctor :   no extra abnormal growths
User :   Cul de sac is unremarkable
Doctor :   the pelvis is normal
User :   what is cul de sac?
Doctor :   its a synonym
female genital organs and the inner pelvic organs are normal
User :   Finally it is written
User :   LMP 05/10/2010 gest Age 7 weeks 3 days EDD.12/07/2011
User :   USG Avg. Gest. Age 6 weeks 1 day EDD 21/07/2011
User :   what is the difference between the 2?
Doctor :   the first one is the gestation age based on the date of the last period, the second one is the age based on the scan findings
User :   which one is generally more accurate?
Doctor :   both should be equal, but a lag of a week or two is expected from the scan
Doctor :   the average of both is considered the exact age
User :   Doc this is not the first time I am chatting with you and hence please allow me to acknowledge you have been extremely helpful
Doctor :   Thanks for consulting me ,
Doctor :   kindly provide the feedback
User :   Another thing
Doctor :   yes , please
User :   Certainly I will do that
User :   People are saying pineapple shud be avoided.Is it so?
Doctor :   yes,
User :   Reason?
User :   Actually she had in the meanwhile
Doctor :   its just a myth, but medically the citric acid in the pine apple and the thorns present in it can cause gastric disturbances
Doctor :   no, worries, its not dangerous, but better to avoid
User :   May i request you to suggest a proper diet for her
User :   I dont want to take a chance
Doctor :   yes,
Doctor :   Its very simple
Doctor :   dont give her foods like papaya, chickoo, til
Doctor :   let her eat dry fruits more more
Doctor :   give her regular fruit juices, sugar added
Doctor :   non veg is not restricted
Doctor :   limit banana as there is risk of loose stools wit it
Doctor :   give stomach full of food, preferably more in the breakfast
Doctor :   iron containing foods like drums stick , ragi are recommended
User :   We are mainly non veg
User :   is chicken, mutton, fish fine?
Doctor :   thats good, chicken will help
User :   what about mutton and fish?
Doctor :   fish too good for baby growth but take care of thorns
User :   mutton?
Doctor :   mutton ,better less
User :   What about vegetables? If you can list down few?
Doctor :   also food containing calcium like Dairy foods, such as milk, hard cheese and yoghurt, and calcium fortified soy milk are excellent sources of calcium.
Doctor :   green vegetables such as broccoli, cabbage and spinach are must
Doctor :   rest you can select on the taste and wish
User :   Is it recommended to avoid chinese?
Doctor :   Foods naturally rich in folate include green leafy vegetables such as broccoli, spinach and salad greens, chick peas, nuts
User :   and outside food?
Doctor :   better as they are spicy, but depends on comfort. no strict restriction
Doctor :   i do not think the outside food is as safe as food in home , risk of infection
User :   She is asking for mughlai every now and then but i am getting jittery coz it is very spicy.
Doctor :   no , problem
User :   That means can she have?
Doctor :   yes, but not often
User :   Is coffee to be avoided?
Doctor :   coffee is bad for anybody
User :   ok.
User :   Can you list down what fruits are must and what shud be the frequency of intake?
Doctor :   yes,
Doctor :   avoid papaya and chickoo
Doctor :   and pineapple
User :   am asking the other way round
Doctor :   rest she can have , but only ripe fruits
User :   ok gr8. Tks a lot.
Doctor :   Is there anything else i can help you with ?
User :   Nothing else as of now.
User :   bye.
Doctor :   Bye take care
Doctor :   kindly provide your feedback
User :   Tks. you too.
User :   surely.
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