Patient's question:
Lower abdominal pain on the left, middle, and right sides. The menstrual period was supposed to come on the 13th of this month, but it didn't. On the morning of the 18th, lower abdominal pain started. It felt like gas moving up and down inside the abdomen, along with some nausea. At times, the pain became severe, and it started bleeding like a menstrual period, but the blood was dark and had clots. After passing a large amount, the pain subsided. There was some pain throughout the day. Previously, the menstrual period was very regular, and the symptoms were not too similar to those of menstruation. Urine test was negative, but there are signs of inflammation.Could you please help me check this? First follow-up question: Could it be a miscarriage?
Doctor's answer:
Hello, if your menstrual blood is black, from a Traditional Chinese Medicine perspective, it is due to blood stasis. If you are unmarried and only experience pain during these days each month, you can take Angelica Sinensis tablets or White Chicken and Phoenix Pill. The White Chicken and Phoenix Pill can be taken two days before your period. If you are married, in addition to the pain during these days each month, you occasionally experience mild lower abdominal and lumbosacral pain, then you should go to the hospital for a check-up, have an ultrasound or transvaginal ultrasound, to see if there are any other inflammatory conditions. Timely diagnosis and treatment are the best methods. Do not avoid it and do not buy medicine from a pharmacy yourself, as this will delay treatment and may have the opposite effect. Additionally, during your menstrual period, pay attention to rest and avoid overexertion.