Re: Pain in Early Pregnancy
From: Amit (anonymous@obgyn.net)
Wed, 15 Dec 1999 15:15:03 -0600
Olivia,
Get B-HCG titre and a TVS (tr.vag.sonography), you will know if it's
intrauterine or extruterine pregnancy, offcoarse get the BHCG titre repeated
if the titre level is low and positive and no intrauterine sac is seen. One
can better diagnose with TVS, even other uterine pathology, if any.
If pain continues there is no harm getting a Diag. laparoscopy done to check
for any other peritoneal/pelvic conditions causing pain.
Dr.Amit Sengupta, MD,Ph.D
>
>>----- Original Message -----
>From: Olivia <anonymous@obgyn.net>
>Sent: Tuesday, December 14, 1999 9:23 AM
>Subject: Pain in Early Pregnancy
>
> I posted a couple of days ago about an obscure pain in my right side. I
> saw my OB on Monday and he suggested that it would be very unlikely to
> be an ectopic because I have no history of PID and the picture just
> doesn't fit. He examined my abdomen and there didn't appear to be any
> undue tenderness or guarding. He suspects the pain is bowel related but
> is keeping the possibility of ectopic in mind. I wonder just what level
> of pain would be expected in an ectopic and if it would have increased
> by now. Looking back on a journal I kept during my other pregnancies I
> find that at 5 weeks gestation in my third pregnancy there was panic
> about a right sided pain and an ultrasound and bloods discounted a ny
> possibility of ectopic or appendicitis. I do have an irritable bowel
> and hope that this is the problem. I have now increased my fibre intake
> and will see if that improves things. At what stage should I panic and
> request further investigations?? I had a fibroid degenerate in my fourth
> pregnancy at 19-20 weeks and that was very uncomfortable.
> At what stage would an ultrasound be helpful and discount the
> possibility of problems stemming from this discomfort.
> Please any advice.
> Thank you very much
> Olivia
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