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Irregular periods after miscarriage. Now pregnant, experiencing pain in abdomen, pain while urinating. Is it normal?

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General & Family Physician
Practicing since : 2005
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4 months back my wife had a miscarriage around 42nd day and the miscarriage was normal and the doctor gave some tablets for cleaning up and after doing a scan she told everything cleaned up. Then after a week she gave folic acid tablets and multivitamins. Often she felt minor to little severe pain in the abdomen when she stand for a long time or do some hard work after the miscarriage. We told the doctor about this but she did not tell anything about the pains.

Last period was so long around 40 days and we took home tests and all were negative. She was having pains in the abdomen. Prior to miscarriage, her period was almost regular to 28.

Now, after 2 months we were trying. This time her period missed and now its 32nd day. We did few home tests and all came out positive. As of now she does not have any other symptoms of pregnancy. Now, for past two days, she is experiencing the pain in the left abdomen when she stands for some time. We have not yet gone to the doctor. Can you please tell me why this pain is occurring. Is it normal during pregnancy? Occasionally she had a little pain during urination also. But after drinking plenty of water, it subsided. Should we go to the doctor immediately. Also, can you please tell me what are all the activities she should avoid during early pregnancy? She is working in IT industry. Is it fine to continue the work or she might need complete rest?

Posted Sun, 29 Apr 2012 in Early Pregnancy Signs and Symptoms
Answered by Dr. Mitaly 18 minutes later


Thanks for posting your query

It is common after a miscarriage to experience irregular cycles for few months. Periods become regular as hormone levels normalizes. As the scan done after the miscarriage was fine, it is a good thing.

Sometimes systemic infection like Urinary infection, pelvic infection can occur later which present as pelvis pain but that can can be ruled out by pelvic examination and Urine tests.

It is good to know that she has conceived again.

Now, during early pregnancy woman may exhibit slight periodic uterine pain. This occurs as the ligaments and muscles stretch and progesterone hormone starts increasing.

But pain during urination could be indicative of Urine infection and it is also common during pregnancy.

You can consider visiting a Gynecologist for physical examination. Relevant investigation such as Blood and Urine test will confirm the diagnosis. Appropriate antibiotics are entailed.

Meanwhile a few lifestyle modifications are important:

1. Ask her to drink lots of water and fluids like buttermilk, coconut water, juices etc.
2. Avoid any strenuous activity especially during first trimester.
3. Ask her to void bladder frequently and avoid holding urine for long.
4. Have small frequent meals in a day.
5. Have healthy balanced diet.
6. Avoid driving too fast and on bumpy roads.

If she does not have any major issues (low lying placenta) which can be confirmed by examination there is no harm in working unless advised by the Gynecologist.

Hope this answers your query. I will be available for follow up query if any.

Above answer was peer-reviewed by
Follow-up: Irregular periods after miscarriage. Now pregnant, experiencing pain in abdomen, pain while urinating. Is it normal? 22 hours later

Thanks for your guidance. As per your advice, we consulted the gynecologist last night and explained everything. She told, since the pain is not severe there is nothing much to bother about it. It should be due to previous miscarriage and current pregnancy.

Since we got a positive result in the home test, she told we will try to get it success and prescribed Progestrone injection. Also she had prescribed MicroProgrestrone, Ecosprin 75 and Prolific tabs for 10 days. She instructed to take complete rest for 10 days. She also added that she would refer for a scan afterwards and check the status of the growth.

Can you please tell me what foods should she avoid and is there any specific foods should she consume these days?

Answered by Dr. Mitaly 15 minutes later

Thanks for the follow up query.

It is good that she has been advised progesterone injections as they help in pregnancy and stabilize the growing foetus and thus preventing miscarriage.

She should take complete rest as advised.

Regarding the food there is no restriction. She can have anything which she wants to, but should be well balanced diet comprising daily intake of fruits, veggies, pulses, cereals, milk, curd.

Avoid processed food items and junk food intake.

Drink lots of water and keep her well hydrated.

The results of the recent study suggest that normal consumption of ripe papaya during pregnancy may not pose any significant danger. However, the unripe or semi-ripe papaya (which contains high concentration of the latex that produces marked uterine contractions) could be unsafe in pregnancy. So, it is better to avoid Papaya in general in pregnancy.

Wishing her a healthy pregnancy.

Above answer was peer-reviewed by
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