After 7 or 8 days after the flow of people, there is no more bleeding. What should be noted?

Patient's question:

After about seven or eight days, the bleeding stopped. It has been 19 days now, and on the 20th day, after moving four boxes of heavy goods, I suddenly got stomach pain. After that, a small amount of blood came out, black in color. It wasn’t there when I went to sleep at night or when I woke up the next morning, but it appeared again at 8 a.m. The blood was small and bright red. What should I do?

Doctor's answer:

Hello; After an artificial abortion, you need to rest for two weeks, keep the external genital area clean, eat less spicy and irritating foods, and consume more nutritious foods. Pay attention to the fact that sexual activity, sitz baths, vaginal irrigation, and medication should be avoided after the abortion before menstruation returns. This is because it is easy to cause retrograde infection at this time, leading to conditions such as endometritis, adnexitis, and pelvic inflammation. It may even result in infertility. The amount of bleeding after an abortion should be less than that of a menstrual period, the bleeding duration should be less than two weeks, and abdominal pain should generally not exceed three days.
If the above standards are exceeded, it should be considered that there may be intrauterine residual tissue, incomplete uterine involution, or uterine cavity infection. It is important to actively seek medical examination and diagnosis at the hospital to receive symptomatic treatment.

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