Patient's question:
The patient occasionally experiences pain in the lower abdomen, and their menstruation has not arrived for nearly 20 days, but there is no sign of bleeding.Doctor's answer:
1. Abdominal pain: Lower abdominal dull pain, with a sense of needing to defecate, sometimes severe pain, accompanied by profuse cold sweat. During rupture, the patient suddenly feels sharp, tearing-like pain in one side of the lower abdomen, often accompanied by nausea and vomiting.2. Amenorrhea: Before tubal pregnancy miscarriage or rupture, symptoms and signs are not obvious, except for short-term amenorrhea and early pregnancy manifestations, sometimes recurring one-sided lower abdominal fullness and pain. Careful examination may reveal normal fallopian tubes or swelling.
3. Vaginal bleeding is often a very small amount of bleeding.
4. Syncope and shock: Due to acute bleeding in the abdomen, it may lead to increased blood volume and severe abdominal pain. Mild cases often cause syncope, while severe cases may result in shock.
5. Other symptoms: Nausea, vomiting, and frequent urination may occur. Ectopic pregnancy symptoms are often atypical.