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Abdominal Pain And Early Pregnancy [R/O Sab, Ectopic: Serial Q-Hcg's]

Image showing a cross-section of the uterus, with Fallopian tube, ovaries, cervix, and vagina.

Based on your visit today, we know you are pregnant. But, the exact cause of your abdominal (stomach) pain is not certain. Some pain or bleeding may occur in a NORMAL PREGNANCY. But pain may also be a sign of a MISCARRIAGE or an ECTOPIC PREGNANCY (baby growing in the Fallopian tube instead of the uterus). An ectopic pregnancy is a very serious condition. It can lead to severe internal bleeding and even death.

Therefore, further tests are needed to find out the cause of your symptoms. These may include:

  • ULTRASOUND - A pelvic ultrasound can detect a normal pregnancy as early as 4-5 weeks of age. But, if the ultrasound test does not show the baby inside the uterus, it means that i) you have a normal pregnancy less than 4 weeks old, ii) you are having or recently had a miscarriage or iii) you have an ectopic pregnancy.

  • QUANTITATIVE HCG - a test that measures the amount of pregnancy hormone in your blood. Comparing today's test result to a repeat test in 48 hours shows whether or not you have a normal pregnancy.

  • LAPAROSCOPY - a surgical procedure where a tube with a light is placed inside the abdomen to look directly at the pelvic organs. This is used when it is not safe to wait 48 hours for blood test results.

Important

If you do have an ectopic pregnancy, there is a small chance that the growing fetus can tear the Fallopian tube and cause severe internal bleeding. If this happens, there may be SUDDEN SEVERE LOWER ABDOMINAL PAIN, VAGINAL BLEEDING, WEAKNESS, DIZZINESS and sometimes FAINTING.

If any of these symptoms occur:

  • CALL AN AMBULANCE (call 911) or return immediately to the hospital.

  • DO NOT DRIVE YOURSELF.

  • DO NOT GO TO YOUR DOCTOR'S OFFICE OR TO A CLINIC.

Home Care:

  • Rest until your next exam. Do not perform any strenuous activity.

  • Eat a light diet with foods that are easy to digest.

  • Avoid sexual intercourse until all symptoms have gone away and you are cleared by your doctor.

Follow Up

with your doctor or this facility as advised for repeat blood testing.

[NOTE: If you had an X-ray or ultrasound test, it will be reviewed by a specialist. You will be notified of any new findings that may affect your care.]

Get Prompt Medical Attention

if any of the following occur:

  • Sudden or gradual worsening abdominal pain

  • Fainting, dizziness or weakness when standing

  • Heavy vaginal bleeding (soaking one pad an hour for three hours)

  • Vaginal bleeding for more than 5 days

  • Repeated vomiting or diarrhea

  • Pain that moves to the right lower abdomen (stomach)

  • Blood in vomit or bowel movements (dark red or black color)

  • Fever of 100.4ºF (38ºC) or higher, or as directed by your healthcare provider

 

 
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