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Does Misoprostol Cause Excessive Vaginal Bleeding And Abdominal Cramping?

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Posted on Tue, 22 Dec 2015
Question: I had a early surgical abortion 5.5 weeks ago, at 5.5 weeks along. The procedure was mostly successful in that I was no longer pregnant. 3 weeks later I was still passing tissue, and the doctor confirmed there was still a small amount of tissue left so I was given misoprostol, this was 10 days ago. After the misoprostol I had some cramping and bleeding and passed tissue, It has slowed down a lot now, but still passed a bit of tissue today when I thought it was all nearly over. Is this normal? I have no pain or fever.
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Answered by Dr. Muhammad Hanif (40 minutes later)
Brief Answer:
Yes this is very common to pass retained products of conception!

Detailed Answer:
Thanks for consulting me at virtual clinic. Your trust in HCM means a lot to me as a Physician.
I have completely reviewed your health query, and can well realize all those concerns. Being your physician, I will take care all of them today and will give extend my expertise to solve the problems.

It is a typical case of retained products of conception that you are passing out time and again. Yes this is normal in the sense that you didn't get fever and there is no pain. It was definitely problematic if you had fever and pain.

Actually when we go for a surgical abortion, we have to keep a very gentle and less scratching of the uterine wall from inside to remove the fetus. It is to avoid rupture of the uterus that may lead to hemorrhage and major complication like infection of the peritoneal cavity of abdomen. So in doing that much gentle, many times there remains some products of the fetal or maternal tissues of conception behind in the uterus.

To remove those tissues via uterine contractions your Physician prescribed you with Misoprostol. Now the medicine is working fine and you will soon be free of the debris/retained products.

Precaution:-
If you feel fever and pains or there is heavy bleeding, consult your OBGYN right away for proper evaluation and management.

Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time).


Regards!
DR. HANIF
USA
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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Does Misoprostol Cause Excessive Vaginal Bleeding And Abdominal Cramping?

Brief Answer: Yes this is very common to pass retained products of conception! Detailed Answer: Thanks for consulting me at virtual clinic. Your trust in HCM means a lot to me as a Physician. I have completely reviewed your health query, and can well realize all those concerns. Being your physician, I will take care all of them today and will give extend my expertise to solve the problems. It is a typical case of retained products of conception that you are passing out time and again. Yes this is normal in the sense that you didn't get fever and there is no pain. It was definitely problematic if you had fever and pain. Actually when we go for a surgical abortion, we have to keep a very gentle and less scratching of the uterine wall from inside to remove the fetus. It is to avoid rupture of the uterus that may lead to hemorrhage and major complication like infection of the peritoneal cavity of abdomen. So in doing that much gentle, many times there remains some products of the fetal or maternal tissues of conception behind in the uterus. To remove those tissues via uterine contractions your Physician prescribed you with Misoprostol. Now the medicine is working fine and you will soon be free of the debris/retained products. Precaution:- If you feel fever and pains or there is heavy bleeding, consult your OBGYN right away for proper evaluation and management. Hope I answered all of your queries. Let me know if you have further clinical concerns or doubts. I will be more than happy to get back to you with my expert opinion. Please don't forget to give Five Star rating to help me assist patients in a better way; and, please don't forget to 'Close This Discussion'. For any disease you have, a timely follow-up is very necessary regarding the treatment efficacy and to see if there is a need to change the treatment options. So keep a follow up to see how you doing (Always write down my name in start of your questions at this forum & I will be with you in no time). Regards! DR. HANIF USA