HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Swelling In Face, Feet And Abdomen After Administering Mifepristone?

default
Posted on Sat, 28 Mar 2015
Question: Quite recently I did an abortion and was administered mifepristone which was inserted inside the vagina. The result was negative and I was asked to insert another four (that means 8 mifepristone) in all and the bleeding was not much afterwards. nowi am experiencing kidney malfunctioning my face is swollen my feet are swollen, and under my belly is swollen during the day but when I woke up in the morning it is ok. but by nighttime it is swollen. there is also protein in my urine. what should I do

why am I experiencing swellings on my feet and face. there is no pain however in the kidney. just the swellings on my belly (well the lower part)
doctor
Answered by Dr. Srilatha Myaka (37 minutes later)
Brief Answer:
need more information

Detailed Answer:
Hello dear,welcome to healthcare magic.I understand your concern.
In my opinion the swelling of face and legs might not be due to mifepristone.This type of symptoms might be seen in anaemia also.
I knew from the history that you are on delix.
I want to know :-
1)when and why the delix was started?
2)Since how many days you are on lasix?
3)At how many weeks the abortion was done?
4)Any blood investigations done?
5)Was the bleeding heavy at the time of abortion?
Kindly let me know the above things.
Looking forward to hear from you.
Best regards...Dr srilatha
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
default
Follow up: Dr. Srilatha Myaka (15 hours later)
1. When the swelling started. I developed hypertension. So delix was administered
2. I wasn't urinating faster so Lasix was prescribed. I have been on it now for 8 days.
3. the pregnancy was 5 weeks old when aborted.
4. Blood investigation was done to investigate on the status of my heart, liver and kidney. the biopsy report came out that all is well. The kidney is fine except that I am having protein in my urine.
5. No the bleeding was not heavy. In fact with the first dose of mifepristone there was no bleeding. it was when the dose was repeated that I got some bleeding.
doctor
Answered by Dr. Srilatha Myaka (3 hours later)
Brief Answer:
Hypoproteinaemia might be the cause

Detailed Answer:
Hello dear,thank you for the information you sent me.I understand your concern.
In my opinion lasix is prescribed to decrease the load on kidneys.
Usually swelling of legs might be seen after abortion in a few people due to
blood loss .
Swelling of legs and face might also be due to low protein level in the body.This might be due to loss of protein in urine.
So both anaemia with hypoproteinaemia might be the cause.
As you said the biopsy of kidney is done and it is normal renal pathologies like minimal change disease(MCD) ,glomerulonephritis(GN) is ruled out.
MCD presents with proteinuria and swelling of face and legs.GN presents with hypertension,blood in urine and mild proteinuria.
This might not be related to mifepristone given during the abortion.
And there is no chance for any heart problem as it is also investigated and found normal.
So I suggest you to get Hb and serum proteins to rule out anaemia and hypoproteinaemia.Also take the opinion of nephrologist regarding the loss of protein in urine inspite of being normal renal biopsy.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr srilatha

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
default
Follow up: Dr. Srilatha Myaka (24 hours later)
Howcan i get serum protein. I bought Feroglobin from a chemist which i am using.
doctor
Answered by Dr. Srilatha Myaka (34 minutes later)
Brief Answer:
serum protein is investigation

Detailed Answer:
Hello dear,I got your query.I understand your concern.
In my opinion feroglobin is an iron supplement and it is good that you are on it.
I suggest you to get the blood investigations like Hb and serum protein done.
Low Hb leads to anaemia.
Serum proteins gives us the amount of protein present in the body.
In Hypoproteinaemia ie.,low protein and anaemia the swelling of legs and body might be seen.
Take high protein diet after taking opinion from the nephrologist because high proteins
cause load on kidneys.
Hope this satisfies your query.
Feel free to discuss furthur.
Best regards...Dr srilatha
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
Dr.
Dr. Srilatha Myaka

OBGYN

Practicing since :2007

Answered : 2422 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Swelling In Face, Feet And Abdomen After Administering Mifepristone?

Brief Answer: need more information Detailed Answer: Hello dear,welcome to healthcare magic.I understand your concern. In my opinion the swelling of face and legs might not be due to mifepristone.This type of symptoms might be seen in anaemia also. I knew from the history that you are on delix. I want to know :- 1)when and why the delix was started? 2)Since how many days you are on lasix? 3)At how many weeks the abortion was done? 4)Any blood investigations done? 5)Was the bleeding heavy at the time of abortion? Kindly let me know the above things. Looking forward to hear from you. Best regards...Dr srilatha