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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea, Abdominal Pain And Heavy Vaginal Bleeding?

Hello, my cycle was about 3wks late. I did have nausea and fatigue especially after I had eaten for some reason. I also had very light cramps. I started to have very strong cramps about 3days before I started bleeding and pain in my lower back , hip and abdomen (all on the right side). I did feel very dizzy right before the bleeding began and now I am having rapid and heavy bleeding and pain on my right side of my lower pelvic area. Am I having an ectopic pregnancy or a miscarriage??
Tue, 10 May 2016
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General & Family Physician,  's  Response
Hello,
Thank you for your query.

Based on your query, I would suspect primarily ectopic and second a miscarriage.

I would -
- get a brief medical history,
-do an urgent ultrasound sound/CT scan.
- hospitalize you
-run basic, relevant blood tests (complete blood count, blood group /Rh, beta Hcg levels and estrogen levels).
- give you intravenous transfusions is required.

Based on the findings, I would arrive at a further course of action.
You may require a surgery (if it is a ruptured ectopic) or a D&C- dilatation & curettage if it is miscarriage and bleeding is severe)

I recommend you go to the ER right away.
Don't drive or eat anything. Don't go alone.

Hope you feel better.
Please let me know if there is anything else I can help you with
Wish you good health
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What Causes Nausea, Abdominal Pain And Heavy Vaginal Bleeding?

Hello, Thank you for your query. Based on your query, I would suspect primarily ectopic and second a miscarriage. I would - - get a brief medical history, -do an urgent ultrasound sound/CT scan. - hospitalize you -run basic, relevant blood tests (complete blood count, blood group /Rh, beta Hcg levels and estrogen levels). - give you intravenous transfusions is required. Based on the findings, I would arrive at a further course of action. You may require a surgery (if it is a ruptured ectopic) or a D&C- dilatation & curettage if it is miscarriage and bleeding is severe) I recommend you go to the ER right away. Don t drive or eat anything. Don t go alone. Hope you feel better. Please let me know if there is anything else I can help you with Wish you good health