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Having Nausea, Dizziness, Vomiting, Bleeding And Abdominal Pain. Took Mifeperistone. How To Control The Pain?

Posted on Thu, 27 Jun 2013

Question: Dear DR.

Please kindly seggest me for my wife. she has took today morning before breakfast mifepristone and after 5 hours took misoprostol( 3x200=600) and she has dizziness,nuesea,vomiting just one hour before started too abdominal pain also started bleeding thats ok. but she feel sever pain also she cried that she has more pain. please suggest us to control the pain and nee to release compleately. and i am waiting

Answered by Dr. Chakravarthy Mazumdar (1 hour later)

Hi,

Thanks for writing back.

The pain she has is due to spasmic contraction of the uterine musculature initiated by forceful detachment of the endometrium and the conception due to the medical termination of pregnancy.

A better remedy would be the combination of drotaverin+mefinamic acid, she can also take Hyoscine butylbromide based brands.

With pain so severe I do not think the oral antispasmodics will help. She will need intravenous/intramuscular shots of the above medications in injection form.

Do rush to the ER for better and safe management. The condition she is in, should be monitored strictly as there could be vital complications.

Regards,

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Chakravarthy Mazumdar (13 minutes later)

Dear Dr,

Thank you for your question, we are in dubai here no availability of drotaverin but available only mebeverin 135mg, but now she took only mefenamic acid after dinner (one hr b4) and sleeping. please advice clearly what we have to do in simple english and i did not understand this(Do rush to the ER for better and safe manageme). please.

Answered by Dr. Chakravarthy Mazumdar (3 hours later)

Hi,

Thanks for writing back.

I am sorry if I have confused you.

If the pain persists, let her take Mefanamic acid and Dicyclomine combination tablet. If this combination is also not available then she can take Hyoscine butylbromide.

I also mentioned, injections are effective than oral tablets in such severe pain so do go to the emergency room (ER)/ casualty in an hospital for better and safer management. This condition is serious and can cause complications so hospital is the better place for treatment..

Hope I was clear this time.

Wish you good luck.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Aparna Kohli