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Bleeding in 4 weeks Pregnancy
My wife is 4 weeks pregnant, facing some discharge and bleeding from last 3 days alongwith lower abdomen and back pain.
I have attached her TVS Pregnancy report herewith. Could you please kindly check the report and advice please.
Answers (19)
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It seems normal at this stage
Next Steps
keep regular visits to obstetrician
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Please consult a gynecologist urgently physically.
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- Right Ovarian Corpus Luteal Cyst - it's completely Normal finding and supports pregnancy.
- And Intrauterine Sac Present without Fetal Pole - it's normal since the Gestational Age is ~4 weeks.
(We can see the fetal pole at around 5.5 to 6 weeks )
Next Steps
- Complete Bed rest(Avoid Travelling and heavy work load)
- You should Visit your Gynecologist.
- Repeat TVS after 7 to 10 days for Fetal Pole.
Health Tips
- Warning Sign(In which you should immediately go to the hospital)
(1) Heavy bleeding (Soaking More than 2 pads/hour)
(2) Severe Abdominal Pain
(3) Dizziness, Fainting or Passage of any type of Mass or clot from Vagina.
in the following conditions You should Go to the hospital Immediately.
if you have any Questions or need guidance then you can Chat with me and I can Guide you.
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Bed rest with foot end raised.
Consult superspecialist like gynaecologist.
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Since your wife is 4 weeks pregnant, bleeding is usually common it is called as implantation bleed.
And ultrasound report says early intrauterine pregnancy, closed os; so there is nothing much to worry about.
Let’s wait for a week and repeat scan.
Next Steps
Repeat scan after a week. Confirm fetal pole and cardiac activity in further scan.
Health Tips
If bleeding continues, there is sudden gush of blood or if signs of pregnancy like nausea suddenly disappears then do consult a gynaecologist and do not avoid these symptoms. Till then just take good rest, avoid any strenuous physical activity and have good healthy food.
Continue folic acid tablets.
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I have gone through the report. It shows an early intrauterine pregnancy with a small peri-gestational collection and no fetal pole seen yet, which can be normal at 4 weeks. The right ovarian corpus luteal cyst is also a common finding in early pregnancy.
Next Steps
At this stage:
Continue adequate rest and avoid exertion.
Continue folic acid as prescribed.
Avoid intercourse until cleared by your gynecologist.
Most importantly, please follow up with your gynecologist at the earliest for clinical examination and repeat scan in 1–2 weeks to check for fetal pole and cardiac activity.
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Sir your wife is having complaints of discharge and bleeding along with lower abdomen and back pain.
TVS Scan has been done and the report says gestational sac is present but to confirm pregnancy they have advised to get TVS Scan after 1 week.
Mild spotting or only mild bleeding is okay but since ur wife is having lower abdominal pain and back pain it is necessary to get evaluated by a Gynecologist sir .
Also would like to know the blood group of your wife sir.
Next Steps
Consult a Gynecologist as soon as possible if bleeding and pain present sir.Need to get Tvs or b-hcg test if Gynecologist advises .
TVS Scan as advised 1 week after.
Health Tips
If heavy bleeding with abdomen and back pain go immediately to Emergency dept or Consult a Gynecologist in person as soon as possible
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Most probably it's en ectopic pregnancy.kindly visit gynaecologist ASAP.
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Discharge or minimal bleeding in early pregnancy is common.....most probably it might be implantation bleed .......repeat TVS after 1 week
And confirm fetal pole ...nothing to be done just wait for 1 more week .......
Next Steps
if sever bleeding with pain abd do consult OGcian near by
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Hello, thank you for sharing the details.
Bleeding and discharge along with lower abdominal and back pain at 4 weeks of pregnancy is not normal and needs urgent evaluation. It could be an early pregnancy complication like threatened miscarriage or ectopic pregnancy.
Please visit a gynecologist as soon as possible with the TVS report. They may do repeat scans and blood tests to check the pregnancy.
Meanwhile:
Avoid heavy activity or lifting.
Note the amount and type of bleeding.
Seek immediate help if pain worsens, bleeding is heavy, or she feels dizzy or faint.
Early assessment is important for her safety and the pregnancy.
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Dr. Aeman Gazdhar
General Practitioner
1 yrs exp
Indore
Slight bleeding can be seen during early pregnancy but it needs further observation and tests to be done.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Obstetrician
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