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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Did I Have Severe Cramping And Diarrhoea After Taking Cytotec Tablet?

I took 4 cytotec tablets on Friday night at 9pm. Thereafter i took 4 tablets at 12 am and 4am under my tongue. I had severe cramping and diarrhoea. Very slight bleeding with 1 clot from what I saw. That was at 5pm Saturday. Thereafter no bleeding. Slight blood and a clear substance when I go to the toilet. Is this normal or did the tablet not work? Please advise what i should do. Thank you.
Tue, 11 Feb 2014
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OBGYN 's  Response
Hi,
Thanks for the query.

You have taken too many tablets at short intervals and that has caused the cramping and diarrhea.

It is not clear from your query about the duration of pregnancy. Cytotec works best in early pregnancy and the effect decreases or needs to be combined with other drugs like mifepristone or oxytocin depending upon the duration of pregnancy.

Also you had very less bleeding and only one clot. Just check if you found a fleshy mass during the bleed. If you are having only minimal bleed the process may not have got completed. The best way to check this is get an ultrasound done. If any bits are remaining a dilatation and curettage procedure will be needed and must be done as early as possible.

So I suggest that you get an ultrasound done early and further treatment will depend upon its results.

Hope I was able to help you.
Thanks for using Health Care Magic.
I would be happy to answer any further queries.
Dr. Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Why Did I Have Severe Cramping And Diarrhoea After Taking Cytotec Tablet?

Hi, Thanks for the query. You have taken too many tablets at short intervals and that has caused the cramping and diarrhea. It is not clear from your query about the duration of pregnancy. Cytotec works best in early pregnancy and the effect decreases or needs to be combined with other drugs like mifepristone or oxytocin depending upon the duration of pregnancy. Also you had very less bleeding and only one clot. Just check if you found a fleshy mass during the bleed. If you are having only minimal bleed the process may not have got completed. The best way to check this is get an ultrasound done. If any bits are remaining a dilatation and curettage procedure will be needed and must be done as early as possible. So I suggest that you get an ultrasound done early and further treatment will depend upon its results. Hope I was able to help you. Thanks for using Health Care Magic. I would be happy to answer any further queries. Dr. Madhuri Bagde Consultant Obstetrician and Gynecologist