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What Causes Back Pain And Mild Abdominal Pain After Abortion?

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Posted on Mon, 4 Aug 2014
Question: I had a miscarriage three days ago. I went to er and passed all parts there. After the dr did a cervical examination where a large piece of the placenta was easily taken out of the cervix opening and the dr. sent it away for testing. He did a cervical examination with his hand to feel for any remaining pieces and than sent me for an ultrasound which he said there was no more tissue left. Is it normal for me to still have back cramping three days later? I have also gone for blood work to check my hormone level and was told to return each week to make sure they are dropping. I have no odor, no fever, and bleeding is mild to moderate.
doctor
Answered by Dr. T Shobha Deepak (3 hours later)
Brief Answer:
Pain is quite common

Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms

Back cramping and mild abdominal pain are quite common after abortion and cervical examination.
If the following criteria are fulfilled there is no cause for concern

1. No fouls smelling discharge
2. Absence of fever
3. No heavy bleeding or presence of cloths
4. Normal ultrasound and no evidence of retained product of concepts

I would require additional information for me to be able to assist you further
1. What hormone test was carried and what was the report ?
2 . Are they suspecting H Mole pregnancy ?


Awaiting your response


Take care

Best regards
Dr T Shobha Deepak
MBBS, MD
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. T Shobha Deepak (11 hours later)
No they did not suspect a molar pregnancy. I had a dating ultrasound at 6 weeks and there was a fetal heartbeat. The test is my HCG and I don't have the report. On Saturday prior to the miscarriage it was still normal. However the baby had stop developing. I am having minor clots though, as if with my regular period. I was informed that as long as the clots are not over a dollar coin size that it is perfectly normal. Is that true. And how long should i expect these bad cramps and bleeding?
so it been a few hours since my last post and i recently just passed a dense rubber piece. Could that been remnants of the remaining miscarriage. Since that passed the cramping has leveled off. The bleeding is still bright red but not extremely heavy. Should I be worried that something like came out four days later? When ultrasound and physical examine showed i was pretty clear? Or is it part of my uterus lining shedding? Still no fever, or odor as we speak.
doctor
Answered by Dr. T Shobha Deepak (16 hours later)
Brief Answer:
It is retained conceptus

Detailed Answer:
Hi

The rubber like piece you passed is definitely retained product of conceptus. As the pain is relieved it's a good sign. Bleeding should settle down in next couple of days.

Take care
Best regards
Dr T Shobha Deepak
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Shobha Deepak (39 hours later)
The cramping is still here and the bleeding has returned. I received my report from hospital and it showed there was no evidence of pregnancy and the doppler showed there was no sign of blood flowing to any parts. Does that mean all parts are cleared out? Also it said that my uterine lining was extremely thick and my hcg had dropped to levels of of non pregnancy. Could hormones cause the cramping and bleeding still or is it the shedding of the very thick uterine wall?
doctor
Answered by Dr. T Shobha Deepak (3 hours later)
Brief Answer:
Hormones do not cause bleeding

Detailed Answer:
Hi
Dear Ms
Hormonal level do not cause any cramping. Thick uterine endometrium shedding is the likely cause for bleeding. Going by the report , it's likely that there are no retained product of conceptus.


Take care

Best regards
Dr T Shobha Deepak
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. Chakravarthy Mazumdar
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Answered by
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Dr. T Shobha Deepak

General & Family Physician

Practicing since :2005

Answered : 1774 Questions

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What Causes Back Pain And Mild Abdominal Pain After Abortion?

Brief Answer: Pain is quite common Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms Back cramping and mild abdominal pain are quite common after abortion and cervical examination. If the following criteria are fulfilled there is no cause for concern 1. No fouls smelling discharge 2. Absence of fever 3. No heavy bleeding or presence of cloths 4. Normal ultrasound and no evidence of retained product of concepts I would require additional information for me to be able to assist you further 1. What hormone test was carried and what was the report ? 2 . Are they suspecting H Mole pregnancy ? Awaiting your response Take care Best regards Dr T Shobha Deepak MBBS, MD