Patient's question:
Medical Description: Threatened miscarriage in the 4th week of pregnancy, followed by medication to prevent miscarriage. Bleeding has stopped, and both ultrasound and blood tests are normal. The fetus is normal, but lower abdominal pain persists. The patient has uterine fibroids, cervical cysts, and a herniated disc. Eating causes stomach bloating, leading to chest tightness and pain, as well as difficulty breathing.History of Treatment and Effects: After the threatened miscarriage, the patient took folic acid and vitamin E, as well as iron supplements and hemostatic drugs. Bleeding stopped after taking the iron and hemostatic drugs.
Desired Help: The patient wants to know what to do, why they are experiencing lower abdominal and chest pain, and difficulty breathing.
Doctor's answer:
Hello, threatened miscarriage refers to a small amount of vaginal bleeding after a missed period, followed by mild lower abdominal pain or lower back/coccyx pain. Sometimes, there may be vaginal bleeding without abdominal pain. In this case, you should rest in bed, avoid sexual activity and unnecessary vaginal examinations, receive adequate nutritional support, and maintain emotional stability.You can undergo treatment to preserve the pregnancy. If, after active treatment, a follow-up ultrasound confirms the viability of the embryo, you can continue the pregnancy. If symptoms worsen, and an ultrasound shows poor development of the embryo or fetus, it is important to terminate the pregnancy promptly.
I recommend drinking more water, keeping your abdomen warm, using a warm water bag for abdominal heat therapy, adjusting your clothing promptly to avoid getting cold, and visiting the gynecology department of a hospital for an ultrasound examination to identify the cause and receive appropriate treatment if necessary.