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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dull Pain In My Lower Left Abdominal Area?

Should I worry about dull pain in my lower left abdomen? I had a medical abortion 6 days ago but today a pain came on like a cramp except slightly higher and has persisted for the last 11 hours but dulled. I have a appointment in 2 days for a check up buy is this something I should be worried about and call or go see a doctor earlier?
Thu, 2 Jan 2020
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General & Family Physician 's  Response
Hello,

Thank you for your question.Medication abortion side effects of an uncomplicated medication abortion often include gastrointestinal discomfort (nausea, vomiting, diarrhea), thermoregulatory effects such as fever and chills, headache, and dizziness. Vaginal bleeding and pelvic cramping are part of the abortion process, theses symptoms increases with increasing duration of gestation.

Abdominal pain and cramps are experienced by nearly all women undergoing medication abortion, and patients should be counseled about what to expect as part of the decision-making process betweeen medication and surgical aspiration abortion option. Increasing patient age and higher gravity and parity correlate with less pain, while dysmenorrhea and increased gestational age correlate with increased pain with medication abortion. The pain is usually self limited and typically is most severe from shortly after misoprostol is taken until the expulsion of the pregnancy.

Many women require one or more medications for pain relief. Typically, nonsteroidal anti-inflammatory drug (NSAIDs) are sufficient, But some women experience a degree of pain that is relieved only with opoids. We advice patients to premedicate with an NSAID. If a patient calls with significant, persistent pain that unrelieved with usual measures with medicine or with pain that increases in severity after the bleeding has begun to subside, medical evaluation is required to asses for ectopic pregnancy, infection, ot other causes.

Hope I have answered your query. Let me know if I can assist you further.

Best regards,
Dr. Heang Chan Raksmey, General and Family Physician.
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General & Family Physician Dr. Saddiq Ulabidin's  Response
Hi,

Based on the history you have shared, it can be post-surgical or abortion infection like due to retained products of contraception etc or may lead to pelvic inflammatory disease or even any spread to peritoneum so should be assessed by a gynecologist or a surgeon.

Fresh Ultrasound and blood counts for any signs of raised white cells etc and inflammatory markers should be done.

Meanwhile, OTC analgesics like acetaminophen or Ibuprofen alongwith anti spasmodic like drotavarine may be helpful for symptomatic relief.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Saddiq Ulabidin, General & Family Physician
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What Causes Dull Pain In My Lower Left Abdominal Area?

Hello, Thank you for your question.Medication abortion side effects of an uncomplicated medication abortion often include gastrointestinal discomfort (nausea, vomiting, diarrhea), thermoregulatory effects such as fever and chills, headache, and dizziness. Vaginal bleeding and pelvic cramping are part of the abortion process, theses symptoms increases with increasing duration of gestation. Abdominal pain and cramps are experienced by nearly all women undergoing medication abortion, and patients should be counseled about what to expect as part of the decision-making process betweeen medication and surgical aspiration abortion option. Increasing patient age and higher gravity and parity correlate with less pain, while dysmenorrhea and increased gestational age correlate with increased pain with medication abortion. The pain is usually self limited and typically is most severe from shortly after misoprostol is taken until the expulsion of the pregnancy. Many women require one or more medications for pain relief. Typically, nonsteroidal anti-inflammatory drug (NSAIDs) are sufficient, But some women experience a degree of pain that is relieved only with opoids. We advice patients to premedicate with an NSAID. If a patient calls with significant, persistent pain that unrelieved with usual measures with medicine or with pain that increases in severity after the bleeding has begun to subside, medical evaluation is required to asses for ectopic pregnancy, infection, ot other causes. Hope I have answered your query. Let me know if I can assist you further. Best regards, Dr. Heang Chan Raksmey, General and Family Physician.