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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Lower Back Pressure During Pregnancy. Ectopic Pregnancy?

My beta- hCG is 424 and they told me I am 4-5 weeks pregnant. This was on this past Wednesday. The reason I went in was because of a lot of right sided then bi lateral abdominal pain followed by bi lateral low back pressure that woke me up at night. This concerned me so I went in and they told me I was pregnant. I am going in tomorrow for another ultrasound to rule our ectopic pregnancy . It was not painful the episodes I had it was pressure like intense menstrual cramps . When can an ectopic pregnancy be seen or an intrauterine pregnancy? I have not had this pain since.
Thu, 15 Nov 2012
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OBGYN,  's  Response
HELLO THERE.

THANKS FOR WRITING.

A PREGNANCY CAN BE VISUALIZED ON ULTRASOUND BY 5 WEEKS ON A TRANSABDOMINAL ULTRASOUND.

A TRANSVAGINAL ULTRASOUND LOCALIZES A PREGNANCY EVEN EARLIER AT 4 WEEKS.

IF NO PREGNANCY IS VISUALIZED IN UTERUS ON ULTRASOUND WITH BETA HCG LEVELS OF MORE THAN 1500 THEN ALSO IT INDICATES ECTOPIC PREGNANCY.

YOUR BETA HCG LEVEL IS 424 SO YOU CAN STILL WAIT IF YOUR PREGNANCY IS NOT VISUALIZED ON THIS ULTRASOUND.
HOWEVER YOU SHOULD NOT DELAY IN GETTING AN ULTRASOUND CONSIDERING THE SEVERITY OF PAIN YOU HAVE.
NON GYNECOLOGICAL CAUSES CAN ALSO LEAD TO ABDOMINAL PAIN AND BACK ACHE SO I SUGGEST YOU GET A COMPLETE ABDOMINAL ULTRASOUND (PELVIS + UPPER ABDOMEN).

TAKE CARE.
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Abdominal Pain, Lower Back Pressure During Pregnancy. Ectopic Pregnancy?

HELLO THERE. THANKS FOR WRITING. A PREGNANCY CAN BE VISUALIZED ON ULTRASOUND BY 5 WEEKS ON A TRANSABDOMINAL ULTRASOUND. A TRANSVAGINAL ULTRASOUND LOCALIZES A PREGNANCY EVEN EARLIER AT 4 WEEKS. IF NO PREGNANCY IS VISUALIZED IN UTERUS ON ULTRASOUND WITH BETA HCG LEVELS OF MORE THAN 1500 THEN ALSO IT INDICATES ECTOPIC PREGNANCY. YOUR BETA HCG LEVEL IS 424 SO YOU CAN STILL WAIT IF YOUR PREGNANCY IS NOT VISUALIZED ON THIS ULTRASOUND. HOWEVER YOU SHOULD NOT DELAY IN GETTING AN ULTRASOUND CONSIDERING THE SEVERITY OF PAIN YOU HAVE. NON GYNECOLOGICAL CAUSES CAN ALSO LEAD TO ABDOMINAL PAIN AND BACK ACHE SO I SUGGEST YOU GET A COMPLETE ABDOMINAL ULTRASOUND (PELVIS + UPPER ABDOMEN). TAKE CARE.