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What Causes Heavy Menstrual Bleeding, Back Pain And Fever After Taking Misoprostol?
Question: Hi, I took mifepristone on 15th Feb night and misoprostol 4 tab vaginally on 16th...heavy bleeding started on 16th lasted till 17th with low fever and back pain. Now bleeding was decreased on 18th. 19th again bleeding started heavily(using 4 -5 napkins in a day) and bleedind is till continued with fever and back pain. By when bleeding will stop. Please suggest
Brief Answer:
Fine unless you are soaking 2 maxi pads in 2 hours.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
While undergoing a medical abortion, one should constantly be under medical supervision.
Let me explain why this is important.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan.
This has two purposes.
IT dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time.
Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous.
AFter confirming the pregnancy, tablets are taken by prescription.
GEnerally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally.
Bleeding with cramps starts in a few hours, and lasts heavily for a few days.
Spotting might continue for 15 days or more.
It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.
Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc.
Hence it is a must to keep a doctor in the loop throughout.
In your case, bleeding is normal.
Heavy bleeding might last upto 4 - 5 days, particularly if pregnancy is advanced.
How many weeks pregnant were you ?
If you soak more than 2 maxi pads in 2 hours, you should seek medical attention, otherwise it is normal.
Please ensure a repeat scan after 15 days to confirm that abortion is complete.
Also, do not forget to take iron and vitamin supplements for 3 months after the abortion is complete.
All the best
Please feel free to discuss further.
Fine unless you are soaking 2 maxi pads in 2 hours.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
While undergoing a medical abortion, one should constantly be under medical supervision.
Let me explain why this is important.
Firstly, the pregnancy should be confirmed by a doctor , preferably with an ultrasound scan.
So it is not just enough to have a positive home pregnancy test, but it is vital to consult a gynecologist and have a pelvic ultrasound scan.
This has two purposes.
IT dates the pregnancy accurately, because these abortion pills work only within a narrow frame of time.
Secondly, it confirms that the pregnancy is inside the uterus, rarely, there is a condition called ectopic pregnancy ( pregnancy outside the uterus ) which is very dangerous.
AFter confirming the pregnancy, tablets are taken by prescription.
GEnerally 1 tablet of Mifepristone is taken orally, 48 hours later 4 more tablets of Misoprostol are taken orally or inserted vaginally.
Bleeding with cramps starts in a few hours, and lasts heavily for a few days.
Spotting might continue for 15 days or more.
It is compulsory to have a follow up scan after 15 days to establish that the uterus is empty and the abortion is now complete.
Pills are more than 96 % effective in early pregnancy, however rarely there maybe complications such as - heavy bleeding, infection, failure of pills leading to surgical abortion , fainting etc.
Hence it is a must to keep a doctor in the loop throughout.
In your case, bleeding is normal.
Heavy bleeding might last upto 4 - 5 days, particularly if pregnancy is advanced.
How many weeks pregnant were you ?
If you soak more than 2 maxi pads in 2 hours, you should seek medical attention, otherwise it is normal.
Please ensure a repeat scan after 15 days to confirm that abortion is complete.
Also, do not forget to take iron and vitamin supplements for 3 months after the abortion is complete.
All the best
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
my mc date was 02 XXXXXXX I would like to ask which pain killer i can have,what all i can eat and what should i avoid eating?
I am taking meftal pas as if now. i am using 5 to 6 pads a day.
my mc date was 02 XXXXXXX I would like to ask which pain killer i can have,what all i can eat and what should i avoid eating?
I am taking meftal pas as if now. i am using 5 to 6 pads a day.
Brief Answer:
As suggested.
Detailed Answer:
According to the last menstrual period, you should be around 7 weeks now.
So yes, quite some amount of bleeding can be expected.
You can take Meftal spas and use a hot water bottle.
Eat simple, home made, hot food.
Take a lot of water.
Take pudina, saunf, coriander - it will ease the pain.
Please feel free to write in directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
As suggested.
Detailed Answer:
According to the last menstrual period, you should be around 7 weeks now.
So yes, quite some amount of bleeding can be expected.
You can take Meftal spas and use a hot water bottle.
Eat simple, home made, hot food.
Take a lot of water.
Take pudina, saunf, coriander - it will ease the pain.
Please feel free to write in directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Bleeding is low today, but i have a continues fever, headache from 19, backpain and today i puked.
Brief Answer:
Dont worry, it is normal.
Detailed Answer:
All those are normal side effects.
Do not worry.
Dont worry, it is normal.
Detailed Answer:
All those are normal side effects.
Do not worry.
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. Raju A.T
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