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Blood in vomiting,abdominal pain,history of miscarriages - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   my girlfriend is approx. 5-6 wks pregnant and has had brown spots in her vomit as well as abdominal pain. she has had 2 miscarriages in her past and had structural damage to her organs (her uterus is tilted)...are these signs of miscarriage?
Doctor :   Hi
Doctor :   let me read your query
User :   ok
Doctor :   miscarriage presents as bleeding Per vagina and severe crampy pain in the belly
Doctor :   presence of dark altered vomitus or dark stools indicate bleeding in the stomach due to ulcers etc,
Doctor :   just brown spots , do not mean anything
User :   so the vomit color has nothing to do with it? she said she hasnt bled at all but described the abdominal pain as "cramps mixed with hunger"...
Doctor :   vomiting & pain in the abdomen , could be due to morning sickness and gerd
User :   ya she said the morning sickness is pretty severe but usually ends by around noon
Doctor :   pregnancy can increase the hunger and present as she is right now
Doctor :   thats seems to be fine
User :   ok
Doctor :   the initial weeks of pregnancy, will have severe morning sickness due to hormones
Doctor :   but thats nothing to worry
Doctor :   u can take some prevacid to help the acidity
User :   and regarding her past...she had the 2 miscarriages (1 was stillbirth at the end of 2nd trimester, 2nd was around 9 or 10 wks) those increase her chances of having another miscarriage?
User :   along with the structural damage playing a factor
Doctor :   unless you know what caused those miscarriages, she is predisposed to high risk of miscarriages
Doctor :   Can u explain the structural damage u refer to?
User :   well the still birth was due to a car accident and caused the structural damages....apparently her uterus (i hope thats right) is tilted due to the blunt trauma in the car accident
User :   she has been told it is highly unlikely she will be able to have children
Doctor :   it depends now as the condition might have improved with healing
User :   ok
Doctor :   if the ultrasound indicates everything is normal, and adeqiate rest is provided the pregnancy can be safe
User :   ok
Doctor :   strict bed rest and relaxation can help her in that case
User :   ok
Doctor :   consult your gynae, and get necessary tests done to prevent a miscarriage
User :   ya we go on 12/13...they can further answer these questions right?
Doctor :   ultrasound, tests to rule out lupus (SLE) WILL also help
Doctor :   yes they will
User :   alright sounds good ya i believe she is going to have all the tests done on monday
Doctor :   ok, that will help

User : will they be able to tell if the structural damage has healed or not?
Doctor :   the ultrasound will help to know that
User :   ok and thats different from a sonogram right?
Doctor :   ultrasound and sonogram are the same

User :   oh ok got it
User :   with her being a high risk of miscarriage would u know like percentage wise what her chances are?
Doctor :   she might have a 30% chance of miscarriage, depending on her status now
Doctor :   but this cannot be told with certainty, as more info with regard to sonogram fndings need to be known
Doctor :   the cause of the 2nd miscarriage will also have to be known

Doctor :   Have u followed my advice ?
Doctor :   Are u there ?
User :   yes give me one sec
Doctor :   ok
Doctor :   IT Seems you have moved out of the chat session, please log back in if you have any other medical query

Doctor :   bye for now
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