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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Graves Disease, On Treatment For Abnormal Bleeding, Ultrasound Showed Irregular Gestational Sac Within Uterine Body, Tiny Fetal Echo Without Cardiac Activity. Miscarriage?

Im 31st years old & have Grave disease . I just admit into Gyne ward (2nd April 2012) for observation because i have bleeding since 24th March, 2012(fresh blood with no pain at all), until on 29th - 31st March.. I have back pain & pain below my tummy.. There are blood clots also found. The Doctor stil gv me Folic acid & TPU (hyoerthyroid) On 2nd April, i did the ultrasound and it shows irregular gestational sac within uterine body, measure about 7w4d. Gest (lmp) is 10weeks +. there is a tiny fetal echo measure less than 4weeks with no cardiac actvity is seen. Minimal fluid collection in cervix noted. Can you explain me in detail.. Am i miscarriage?
Mon, 9 Jul 2012
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Cardiologist 's  Response
Hello! After a thorough discussion of your problem, I would like to suggest you
1) Although the bleeding is being worse due to grave's disease, It appears that you may have a miscarriage according to the USG findings which suggest signs of non viable fetus.
2) You are advised to remain under observation of the eminent gynecologist & undergo further investigations to rule out associated PID or a malignancy, & are required to have D&C, antibiotics & haematinics.
Thanks & take care of yourselves!
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Graves Disease, On Treatment For Abnormal Bleeding, Ultrasound Showed Irregular Gestational Sac Within Uterine Body, Tiny Fetal Echo Without Cardiac Activity. Miscarriage?

Hello! After a thorough discussion of your problem, I would like to suggest you 1) Although the bleeding is being worse due to grave s disease, It appears that you may have a miscarriage according to the USG findings which suggest signs of non viable fetus. 2) You are advised to remain under observation of the eminent gynecologist & undergo further investigations to rule out associated PID or a malignancy, & are required to have D&C, antibiotics & haematinics. Thanks & take care of yourselves!