At 43 days of pregnancy, the ultrasound shows abnormalities. What should I do?

Patient's question:

I am 43 days pregnant. Last night, I noticed a small amount of blood discharged outside. I went to the hospital for a color Doppler ultrasound, which showed the following: One gestational sac was observed in the uterine cavity, measuring 121110mm. A small amount of embryonic tissue was seen inside, but no obvious primitive cardiac was detected. The ultrasound report suggested: intrauterine pregnancy, with a recommendation for a follow-up examination.
The doctor prescribed: 4 boxes of Kangfeng oral liquid, asking me to come back for a check-up after one week.
Expert consultation: Is it a small number of days without a heartbeat or is there no hope at all? Additional question: I haven’t experienced morning sickness either. When does morning sickness usually start? Thank you.

Doctor's answer:

Hello: Morning sickness varies from person to person. For women of childbearing age who have a monthly menstrual cycle, symptoms such as loss of appetite, aversion to cold, fatigue, nausea, and vomiting may appear about 40 days after menstruation, which are referred to as morning sickness. Mild cases may only cause discomfort and affect eating, while severe cases may lead to not being able to take in any food, jaundice, abnormal liver function, liver damage, and severe conditions such as low potassium and low sodium levels. When experiencing morning sickness, do not panic or fear. It is important to understand that this is a common issue. Pay attention to adjusting your diet, such as eating light porridge, milk, and other easily digestible foods, and try eating small meals more frequently. If dietary adjustments do not improve the condition, you should see a doctor for a ketone test in the urine. If the urine ketone test is positive, it indicates that due to morning sickness and poor eating habits, the body has been adversely affected and should receive further treatment, such as intravenous fluids and electrolyte supplementation, until the urine ketone test returns to normal. Severe morning sickness may require hospitalization. Vitamin B6 has a certain therapeutic effect on nausea and vomiting. Mild morning sickness can be treated with oral medication, while severe cases where the person cannot eat may require intramuscular or intravenous administration. Medication should generally be taken under the guidance of a doctor.

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