Is it a miscarriage or an ectopic pregnancy? Urgent, urgent, urgent!

Patient's question:

Last menstrual period was on February 11th. On March 22nd, I had abdominal pain and bleeding and went to the hospital for a thorough examination. The positive hCG was 120, confirming pregnancy, but the gestational sac was not visible. The doctor said it couldn't be ruled out as an ectopic pregnancy. On the 29th, two things fell out—one in the toilet and the other was sent for examination. It was confirmed to be endometrial tissue. On April 2nd, another examination still showed no gestational sac, and hCG was 95. The doctor prescribed antibiotics and asked me to return for another examination on the 13th. Currently, I have no abdominal pain, but the bleeding is not significant—just a little. It has been 12 days since the discharge. Could it be due to catching a cold? Sometimes when I touch cold water, my lower back hurts. Why has the bleeding persisted for so long? Could it still be an ectopic pregnancy? Is it a miscarriage, or still an ectopic pregnancy? Urgent, urgent, urgent?

Doctor's answer:

To determine whether it is a miscarriage or an ectopic pregnancy, an ultrasound examination can be performed. If an abnormal gestational sac is visible within the uterus, it indicates a miscarriage. If not, it is recommended to undergo a posterior fornix puncture. If clotted blood is extracted, it should be an ectopic pregnancy. In addition to timely treatment for ectopic pregnancy, patients should maintain a positive attitude in facing the disease. Only in this way can the patient's immunity and the belief to combat the disease be reduced. At the same time, it is important to pay attention to dietary care, primarily focusing on light foods and avoiding stimulating and cold foods, as it is believed that this can help drive away the ectopic pregnancy.

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