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Gynecology & Pregnancy Care
Question #20015
97 days ago
252

Pain in the stomach and lower abdomin - #20015

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

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
96 days ago
5

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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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
95 days ago
5

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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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
97 days ago
5

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
97 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

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
97 days ago
5

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

2297 answered questions
62% best answers
Simran
Client
97 days ago

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

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
97 days ago
5

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

2297 answered questions
62% best answers
Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
96 days ago
5

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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