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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant. Brown Spotting, Abdominal Cramps. On Duphaston. Normal?

good mrng mam...i m 5 week pregnant,and usg reports- gestational sac present with 5weeks 3 days..,no fetal pole or yolk sac seen..slight seperation of sac noted anteriorly.no clot seen.. and i hv brown spotting since 4 days..no abdomonal cramp ...my dr.started me sustain inj. weekly and tab .duphastone b.d 10 mg...is every thing normal?????
Thu, 8 Aug 2013
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Ophthalmologist 's  Response
Hi..
Thanks for query..
Spotting sometimes in the first trimester can occur normally also but should not be taken lightly..
As you are already on hormonal supplements, absolute bed rest is advised..
Have proper food and ultrasound scan can be repeated after 1-2 wks..
If you have any signs of pain or increased bleeding, consult the doctor immediately..
Take care..
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OB & GYN Specialist Dr. Richa Agarwal's  Response
Hi,
Thanks for writing to us.
I am sorry to say but you are going in stage of abortion. At 5 weeks foetal pole and yolk sac should be visible but in your case both are not visible.
You should wait for another two week for repeat ultrasonography to see the foetal pole and yolk sac.
Take folic acid, continue with susten injection, take proper rest and tablet.
Good luck.
Regards
Dr. Richa
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Pregnant. Brown Spotting, Abdominal Cramps. On Duphaston. Normal?

Hi.. Thanks for query.. Spotting sometimes in the first trimester can occur normally also but should not be taken lightly.. As you are already on hormonal supplements, absolute bed rest is advised.. Have proper food and ultrasound scan can be repeated after 1-2 wks.. If you have any signs of pain or increased bleeding, consult the doctor immediately.. Take care..