What is the reason for the wrong color of blood after medication abortion?

Patient's question:

I have been on medication abortion for 10 days now. The blood I am currently bleeding is like diluted blood water, and I also have a faint sense of heaviness in my lower abdomen. The pain becomes more noticeable when I apply pressure with my hand. What could be the cause of this, and how should I handle it?

Doctor's answer:

Hello, you may not have completely miscarried with medication. It is recommended that you go to the hospital for an ultrasound to identify the cause before treatment. Your current bleeding still has a lingering and incomplete nature, suggesting the possibility of residual tissue. You should now go to the gynecology department of the hospital for an ultrasound examination to check the specific condition of your endometrium.
After taking medication, follow-up should be conducted 8~15 days later to determine the effectiveness of the miscarriage. If necessary, an ultrasound examination can be performed to measure HCG. If it is confirmed that the miscarriage has failed or is incomplete, a negative pressure aspiration procedure or a uterine curettage should be performed to terminate the pregnancy.

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