What are the reasons 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 bleeding now looks like diluted blood water. Additionally, I have a faint sense of heaviness in my lower abdomen, which 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 have incomplete medication-induced abortion. It is recommended that you go to the hospital for an ultrasound to identify the cause before treatment. Your current bleeding still shows incomplete evacuation, 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 medication, follow-up should be conducted 8~15 days later to determine the effectiveness of the abortion. If necessary, an ultrasound can be performed to measure HCG. If it is confirmed that the abortion has failed or is incomplete, a negative pressure aspiration procedure or a D&C (dilation and curettage) should be performed to terminate the pregnancy.

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