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Acute lower abdominal pain ,history of miscarriage recenlty - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2582 Questions
User :   i miscarried in late october and just started my period today. the problem is i am havng severe cramps, nausea and back pain almost to the point of maybe going to the e.r. Is this normal?
Doctor :   Hi
Doctor :   No
User :   hello
Doctor :   It is not normal
User :   what could be he problem?
Doctor :   Did you go to Gynecologist after miscarrigae?
User :   no
Doctor :   The problem could be incomplete abortion.
Doctor :   How do you verify that?
Doctor :   May be some tissue left left inside.
User :   would that require a d&c?
Doctor :   You need Vaginal examination and Beta HCG titers to make sure the pregnancy is completely aborted
Doctor :   D&C depends on vaginal examination and titers
Doctor :   Ofcourse Ultrasound will detect any tissue left in the uterus
Doctor :   Get 3 things donr
Doctor :   1. Ultrasound pelvis
Doctor :   2. Beta HCG titers
Doctor :   3. Pelvic examination
Doctor :   *Get 3 things done
User :   i have taken several pregnancy tests after the miscarriage and they have all been neg
Doctor :   Ok that is good
Doctor :   so u don't need HCG titers
Doctor :   bue get the 1 and 3
Doctor :   *but
User :   i am worried because i amuninsred
Doctor :   Do you get these symptoms in usual periods
Doctor :   Visit ER
Doctor :   complianingof acute lower abdominal pain and nausea
User :   yes, and almost doubled over in pain, like it was wen i iscarried
Doctor :   At least Gynec exam is sufficient
Doctor :   For time being, to stop pain, you can take Ibuprofen 600mg 6 hrly
User :   o.k. does it normally take about 6 weeks to have a period after amiscarriage?
Doctor :   It is possible
Doctor :   symptoms decides management
Doctor :   if you had no symptoms you do not have needed examination
User :   o.k. if it is still bad tommorrow i will go to the e.r.
Doctor :   ok
Doctor :   is the bleeding heavy or normal?
Doctor :   Did you notice any tissue?
User :   surprisingly lighter than normal
Doctor :   OK
User :   no
Doctor :   because of the acute pain I am concerned about the possibility of incomplete abortion
Doctor :   DO you fever?
Doctor :   DO you have fever?
User :   I have been warm all day
Doctor :   Check oral temp.
User :   o.k. looks like i willbe gong to the e.r.
Doctor :   OK
User :   thanks for yur help
Doctor :   You welcome
Doctor :   Thank you for consulting us.
User :   your welcome
Doctor :   Bye
User :   bye
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