Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. Basically due to heaviness in the stomach, your doctor would have suspected preterm labour. However, that is not an indication for admission to a hospital. Am sure there are some other factors. Did he mention anything on internal examination - such as looseness of the cervix or dilatation of the cervix. Also, an ultrasound scan should be done for women who complain of such pain and if the cervical length and dilatation is alright, there is no immediate need of admission. Betnesol should be taken in case preterm delivery occurs, to increase chances of survival of the baby. There are no major side effects of the steroid, as your wife is not diabetic, and the benefits to the baby are more than the side effects. No, given the history and precautions advised to you, it is not advisable to travel right now. Is there any emergency ? How does she plan to travel - by what mode of conveyance ? Also, can you upload the doctor's diagnosis, clinical findings, sheet on which the findings are detailed or a scan - any workup that will let me know why the doctor insisted on admission. Regarding precautions , ask her to rest as much as possible, getting up only to use the washroom and for a bath. Avoid working or standing for prolonged periods. Do not lift heavy weight. Avoid sexual intercourse. Avoid stress or tension of any kind. All the best Please write back with more details. Take care.

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Brief Answer: AS BELOW Detailed Answer: Hi The anomaly scan is normal. However, if the doctor feels that there is a risk for preterm labour, it is best to heed your doctor. Gastritis does lead to heaviness in the stomach, that is true. But only internal check up which has been done by your doctor will tell if the uterus is softening before time. You did not tell me how is she planning her travel ? If she experiences any pain or discomfort while travelling, or over there, there would be undue stress. It is best to do as the doctor says. Then, once she is better, then travelling can be considered. She can elevate her feet if that makes her feel better. Regarding gastritis, let her have simple, home cooked food. Eat multiple small meals instead of 2 -3 big ones. Have dinner early, 3 - 4 hours before sleeping, and a glass of chilled milk at bedtime. Avoid spices, chillies, oily food. All the best. Please feel free to discuss further.

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Brief Answer: AS BELOW Detailed Answer: Train is relatively safer, however 24 hours is a very long time. However, boarding and getting off trains at busy junctions should be carefully done. Avoid unnecessary strain, lifting weights etc. Given status of Indian train toilets, maintain extra hygienic precautions. Carry fresh, home made food if possible, and avoid eating unpackaged open food items. Please ask for a lower XXXXXXX Please extend your legs on the seat or keep it in elevated posture so that you will not have swelling on the leg. Also, keep moving within the compartment so that you can relax a bit. Also, please remember to keep your medicines handy and contact telephone numbers of your doctor, hospitals en route etc so that in case of emergency you can reach them fast. Reconfirm the departure time for the train before you leave home. Reach the station well in advance of the departure time and platform. This way you don't have to rush through a crowd to find your compartment. This will also help you find some space for your luggage to be stowed away under your seat where it will be easier reach it. Try not to get down at stations unless you are sure there is going to be a long halt. Do not try to board a running train. Make sure your mobile is fully charged and your SIM works during the journey. You may want to carry a spare battery for your mobile in case it loses charge through your journey. Wear comfortable and sturdy footwear like sneakers or flats which make it easier to maintain your balance in a moving train. Watch out for stray shoes, spilt water and food, and pieces of luggage when you're walking. Loose cotton clothing is best while travelling though you may need to carry a light shawl if the air-conditioning gets too cold for comfort. Overnight journeys in the air conditioned classes usually come equipped with blankets and pillows, but if you are not comfortable using them you can carry your own bedding instead. Carry enough bottled water so that you don't need to get off the train to buy water. Also, the vendors who sell water on the train may carry cheaper brands which may not comply with the hygiene and safety standards. As I said, travel only after your doctor declares there is no risk in doing so. Take care.

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Brief Answer: AS BELOW Detailed Answer: Yes I have gone through the documents. Your wife had preterm contractions and with injectable treatment, they have subsided. It is good that you heeded medical advice. The doctor has called you for a review after 3 days, please go for that and take the medications as prescribed. On your next visit, if your doctor detects no more risk of preterm labour, then you can ask her about permission to travel. Keep in mind the points detailed above during train travel. Make sure she consults a good obstetrician there every week. Take care.

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