No tests needed right now.
Hi and welcome back,
There is no need to get an HCG or progesterone
test. I meant that you may need HCG injections and progesterone injections if the naval pain increased or you had bleeding. So do not worry so much about these if there is no bleeding or pain. Also you are taking 400 mg progesterone. If you are taking it orally, it can also cause nausea and vomiting, though loose motions are rare.
For women in my clinic, if patients are not tolerating oral progesterone I give them soft gelatin capsules
of micronised progesterone that can be inserted vaginally and are more effective that oral tablets.
Since you have already done your ultrasound
, there is no chance of ectopic, so it is ruled out. This means that the pain may be due to gastro enteritis
[stomach infection] which is most likely or due to threatened abortion
. You are already taking progesterone, so if it is threatened abortion with twins, the only other treatment is bed rest and injection HCG may help till 10 weeks.
As of now, I suggest that you follow the soft diet
and probiotics [yogurt and sporolac]. If the cramps and loose motions decrease then no further treatment is needed. If at any point you feel that the frequency of motions is increasing or pain is increasing or you have fever, visit the emergency room or your obstetrician and then you may need drugs like metronidazole
The obstetrician will be able to assess your condition and determine the need for drugs as I prefer not to give drugs until absolutely necessary in the first trimester as most drugs are category B [meaning animal studies are available and do not show harm to baby but there is no human data about their effects on baby] or category C [meaning animal studies show that they produce bad effects on baby while human studies are not available]. So it is a very small risk but I do not want to subject my patients to such effects unless the demand is really acute.
Hope this was helpful.
Please feel free to ask any further queries.