How to distinguish between threatened miscarriage and ectopic pregnancy

Patient's question:

Hello, after I got pregnant, I now have brown discharge indicating a miscarriage. The doctor said this is a sign of threatened miscarriage. How can I distinguish between threatened miscarriage and ectopic pregnancy?

Doctor's answer:

Hello dear, you are now confirmed to be pregnant, and the embryo is growing. Currently, the detailed ultrasound examination has not detected a gestational sac, which may be related to the short time since conception or poor embryo development. It is recommended to closely monitor the ultrasound and blood HCG tests. Avoid strenuous exercise during the day. If you experience severe abdominal pain again, you should go to the hospital immediately.
The patient can use the above methods as supplementary treatment while receiving conventional medical treatment. It is essential to avoid extreme hunger or fullness in daily diet and never overeat or binge on food.

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