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अगर मैं 18 हफ्ते की गर्भवती हूँ और दवा लेने के बाद भारी रक्तस्राव और ऐंठन हो रही है तो मुझे क्या करना चाहिए?
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Gynecology & Pregnancy Care
Question #30484
82 days ago
269

अगर मैं 18 हफ्ते की गर्भवती हूँ और दवा लेने के बाद भारी रक्तस्राव और ऐंठन हो रही है तो मुझे क्या करना चाहिए?

Client_ba5d80

मैं 18 साल की हूँ और मैं 2 महीने की गर्भवती हूँ। मैंने मैनकाइंड ब्रांड की दवा ली, जिससे ब्लीडिंग शुरू हो गई और यह 10 दिन तक चली। फिर 18 दिन बाद ब्लीडिंग फिर से शुरू हुई। पहले 4 दिन यह सामान्य थी, लेकिन उसके बाद भारी ब्लीडिंग, क्रैम्प्स और क्लॉट्स शुरू हो गए।

When did the bleeding first start?:

- 18 days ago

How would you describe the severity of the bleeding?:

- Heavy bleeding

Have you experienced any other symptoms besides bleeding and cramps?:

- No other symptoms

Have you had any previous pregnancies or complications?:

- No previous pregnancies

What medication did you take from Mankind?:

- Other (please specify)

How would you rate your overall health during this pregnancy?:

- Poor

Have you contacted a healthcare provider about this bleeding?:

- No, I haven't contacted anyone
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Doctors' responses

Hello dear See as per history it seems hormonal alterations or physiological variation Iam suggesting some tests for confirmation of exact diagnosis. Please share the result with gynaecologist in person for better clarity and for safety please donot take any medication without consulting the concerned physician Serum ferritin Serum tsh Serum prolactin Serum progesterone Rft Lft CBC Urine analysis Pelvic USG Serum estrogen Serum progesterone Transpendoidal USG Hopefully you recover soon Regards

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Your history suggests that you may have had a medication-induced abortion at around 2 months of pregnancy, followed by persistent and now heavy bleeding with cramps and blood clots. While some bleeding is expected after taking abortion medication, heavy bleeding that continues or returns after several weeks can indicate retained pregnancy tissue, incomplete abortion, infection, or other complications that require prompt medical evaluation. Because you are experiencing heavy bleeding and clots and have not yet seen a healthcare provider, you should contact a gynecologist or visit a hospital as soon as possible for an examination and likely an ultrasound. Seek urgent medical care immediately if you are soaking more than 2 pads per hour, feeling dizzy or faint, having severe abdominal pain, fever, foul-smelling discharge, or increasing weakness, as these may be signs of a serious complication requiring treatment.

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Hello

The pattern you describe—bleeding after taking abortion medication, bleeding stopping, then restarting with heavy bleeding, cramps, and clots nearly three weeks later—is not something that should be ignored. It may occur when the pregnancy has not completely passed, when retained tissue remains in the uterus, or due to other complications related to the pregnancy. An ultrasound is needed to determine the cause and whether any further treatment is required.

Because your bleeding is now heavy and associated with cramping, you should be evaluated by a gynecologist or at a hospital as soon as possible. Heavy bleeding can sometimes lead to significant blood loss and anemia. Seek emergency care immediately if you are soaking two or more pads per hour for two consecutive hours, passing very large clots, feeling dizzy or faint, having severe abdominal pain, fever, chills, or difficulty breathing.

Until you are seen, drink plenty of fluids, rest, and monitor the amount of bleeding. Prompt medical assessment is important to ensure that the pregnancy has completely passed and that there are no complications requiring treatment.

Take care Feel free to talk again

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Hello Heavy bleeding with cramps and clots after taking abortion medication can be normal during the abortion process, but the timing you describe raises concern because:

* You were about 2 months (around 8 weeks) pregnant. * Bleeding lasted about 10 days after taking the pills. * Then bleeding started again about 18 days later. * Now you have heavy bleeding, cramps, and clots.

This could be:

* Remaining pregnancy tissue being passed (incomplete abortion). * A normal return of bleeding after the abortion. * Less commonly, an infection or another complication.

You should seek medical evaluation as soon as possible, especially if:

* You are soaking 2 or more large pads per hour for 2 consecutive hours. * You feel dizzy, faint, weak, or have a racing heartbeat. * You have severe abdominal pain that is not improving. * You have a fever (38°C/100.4°F or higher). * You have foul-smelling vaginal discharge.

A doctor will usually recommend an ultrasound to check whether the abortion is complete.

Can you tell me:

1. Exactly which tablets you took (if you remember the names)? 2. How many weeks pregnant were you when you took them? 3. How many pads are you soaking per hour right now? 4. Do you have fever, dizziness, or severe pain?

Based on your answers, I can help you understand how urgent this situation is.

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Hello, Heavy bleeding with cramps and blood clots after taking medication to terminate a pregnancy is not something that should be managed online alone. Based on your description, it is possible that you may be having an incomplete abortion (some pregnancy tissue remaining inside the uterus), ongoing miscarriage, or significant bleeding related to the medication. At approximately 2 months of pregnancy, heavy bleeding with clots and cramping can sometimes occur after abortion medications, but persistent or recurrent heavy bleeding requires urgent medical assessment.

You should seek immediate evaluation at a hospital or by a gynecologist today, especially if: • You are soaking 2 or more sanitary pads per hour. • You feel dizzy, faint, weak, or short of breath. • You have severe abdominal pain. • You develop fever or foul-smelling vaginal discharge. • The bleeding continues to be heavy.

The doctor will likely perform: • A physical examination. • Pregnancy ultrasound to check whether the uterus is empty. • Blood tests including hemoglobin and, if needed, pregnancy hormone levels.

Final Prescription/Advice: • Go to the nearest hospital or gynecology emergency department as soon as possible for assessment. • Use sanitary pads (not tampons) to monitor the amount of bleeding. • Maintain adequate fluid intake. • Tab Paracetamol 650 mg orally after food for pain, if needed. • Do not take any further abortion medication or other medicines unless advised by a doctor after examination. • Seek emergency care immediately if bleeding is very heavy, you feel faint, or severe pain develops.

Feel free to reach out again.

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

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If you’re experiencing heavy bleeding and cramps during pregnancy, it’s critical to seek immediate medical attention. This is especially important because you’ve mentioned taking medication that prompted the bleeding, and the persistence or worsening of your symptoms like cramps and clots suggest potential complications. Heavy bleeding during early pregnancy can sometimes indicate a miscarriage or other issues such as an ectopic pregnancy or certain infections, all of which require prompt evaluation by a healthcare professional. Your doctor may conduct an ultrasound or other tests to assess the status of your pregnancy and determine the cause of bleeding. It’s important not to take any further medication or attempt home remedies until you’ve been evaluated by a healthcare provider; this is to prevent interference with necessary treatment. Ensure you inform them about the details of any medication you’ve taken, like the specific brand and dosage of the medicine from Mankind, as this information can be crucial for diagnosis and management. Bleeding in early pregnancy isn’t always indicative of a serious problem, but given your symptoms, it’s crucial to rule out serious conditions. If getting to your doctor isn’t immediately possible, consider going to the nearest emergency room or urgent care center. In the meantime, rest as much as possible and avoid activities that might exacerbate the bleeding. Stay hydrated and, if you can, have a friend or family member assist you until you’ve had a thorough medical assessment.

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