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Pain in the stomach and lower abdomin
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Gynecology & Pregnancy Care
Question #20015
233 days ago
486

Pain in the stomach and lower abdomin

Simran

Hi I had raised a question earlier as well and have been taking ovarl l from last 2 months and had withdrawal bleeding as well once the pack was over and this month after my withdrawal bleed I had stopped ovarl l and now from last night had 2 frequent bowel movements and there is pain above navel and when I touch the stomach it feels heavy is it something related to pregnancy or is there any ultrasound needed

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Doctors' responses

Your symptoms are most likely stomach-related and temporary, not pregnancy-related. No ultrasound is required at this stage. Observe for a couple of days and test for pregnancy only if your period is delayed.

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Discontinuing Ovarl L after withdrawal bleeding is something you can do without affecting your standard menstrual cycle recovery, provided no more active pills are taken. The pain in the stomach and frequent bowel movements may be due to a few different factors, but pregnancy is unlikely if you’ve used the medications as directed. Hormonal fluctuations can sometimes cause gastrointestinal symptoms like bloating or discomfort. Moreover, bowel habits can be influenced by several factors, like dietary changes, stress, or minor infections. Focus on observing any other symptoms, as well, such as nausea or unexplained fatigue. Pregnancy symptoms commonly don’t occur right after stopping birth control as the medication prevents ovulation effectively. Testing for pregnancy is recommended only if your period is delayed significantly, and you haven’t had regular contraceptive measures. If the stomach pain intensifies, doesn’t improve or you notice more concerning symptoms like fever or severe vomiting, seeking medical evaluation for abdominal issues might be necessary. An ultrasound might not be immediately required unless directed by a healthcare provider based on further assessment. Monitor your symptoms for a few more days, keeping hydrated and sticking to a bland diet might help relieve bowel symptoms. If conditions persist or worsen, it would be prudent to visit a clinician for comprehensive evaluation and advice.

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Hello Simran, thank you for sharing your concern. Your chances of being pregnant seem low. Your issues are probably due to gut issues.

Take this prescription - - Tab. Albendazole 400mg single dose. - Cap. Pantoprazole 40mg before breakfast daily × 5 days. - Maintain good hydration and have a soft bland diet for a few days.

Review if any new symptoms appear or after 5 days.

If you miss your periods, do a Urine Pregnancy Test at home.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Medicine

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Hello dear See I think that can be normal hormonal alterations only. However for exact clarification please get following tests done and share result with gynaecologist for better clarity Serum ferritin Serum prolactin Serum progesterone Pregnancy strip test blood HCG test Urine analysis Urine culture Lft Rft Please donot take any medication without consulting the concerned physician Regards

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4 replies
Simran
Client
233 days ago

I was taking ovar L as prescribed by my gynac and I am concerned that when I have got withdrawal bleeding thrice is there still any chance of pregnancy

Hello dear Thanks for kind response As per my knowledge chances are nil. Regards

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Simran
Client
233 days ago

So the pain that it happening comes and goes and it seems like gastric as well so what should be done

Hello dear Yes as history it seems normal gastric pain only. It should subside with Omeprazole 20 mg empty stomach for 2 days Pantop D 40 mg half hour before meals for 2 days In case there is no improvement in 3-4 days Then in person consultation is mandatory Regards

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Hello Simran Thanks for explaining your situation clearly. Based on what you’ve shared: - You took Ovarl L (a combined oral contraceptive) for 2 months. - You had withdrawal bleeding after finishing the last pack. - You stopped Ovarl L after your withdrawal bleed. - Now you’re having frequent bowel movements, pain above the navel, and heaviness when touching your stomach.

Here’s what’s most likely: Your current symptoms—frequent bowel movements, upper abdominal pain, and heaviness—are not typical signs of early pregnancy. They are more likely related to a digestive issue, such as a mild stomach infection, indigestion, or something you ate. Stopping Ovarl L can sometimes cause mild hormonal changes, but it doesn’t usually cause these stomach symptoms.

Pregnancy is unlikely if: - You had withdrawal bleeding after stopping the pill (which usually means you’re not pregnant). - You haven’t had unprotected sex after stopping Ovarl L.

What you can do: - Monitor your symptoms—most mild stomach upsets improve in a few days. - Stay hydrated and eat light, easily digestible foods. - If you develop severe pain, vomiting, blood in stool, high fever, or your symptoms don’t improve in 2–3 days, see a gynecologist

Ultrasound is not needed right now unless you miss your next period, have a positive pregnancy test, or your stomach pain becomes severe or persistent.

If you’re worried about pregnancy, you can do a home urine pregnancy test after a week of missed period for reassurance.

Thank you

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