Hi doctor,I had a miscarriage two weeks ago (three months pregnancy) and I went to the hospital. The doctor told me I have to flush everything out, which I did. But since then I have been having light bleeding with pain until last week. I had a heavy one with a thick clot and something else I cannot really describe. I immediately passed that out, the pain stopped and it was like something left me. But I am still having light bleeding. So I went back to the doctor to explain and he prescribed another drug to me, one will make me bleed and the other will stop the bleeding but I am scared. I do not know what to do again. Please help.
Hi. You had a miscarriage and it was managed medically. Post medical induction, you can have bleeding gradually but it can be in episodes and can be extended up to 2 to 3 weeks in form of mild spotting. Stopping of bleeding is not the solution actually. Have one transvaginal scan to check if any retained products are there still inside the uterus or not. If products of conception are still inside, this bleeding is in favor of you. As naturally, the body is responding and emitting out conception products. In the case of retained products inside the vagina, you might need evacuation if you observe heavy bleeding or pain or both. Have a complete check if any health issue you have and try to have regular complete treatment. If the uterus is clean with no products of conception inside, have a complete blood count, thyroid function tests and tablet Postan 500 mg and tablet Tranexamic acid 500 mg 8 hourly for 2 to 5 days as per need to stop bleeding. Have laboratory tests as per given scenario and discuss. In case of heavy bleeding and pain, report to gynecology emergency. As a casual protocol of induced miscarriage. Transvaginal scan immediately. Retained products. If retained products are there on the scan, you may need evacuation. So scan has to be discussed with the specialist to decide. If no products of conception, clear the uterus, then have medications as I advised above. Check on any other health issue and try to have treatment for that as well.