[18F] With lower abdominal cramps and light red bleeding after mixed pregnancy test results

Patient Description

An 18-year-old female has been experiencing cramps in her lower abdomen since last night, rated as a 7 or 8 out of 10 in severity. The cramps began after the onset of light red bleeding, which started after taking a negative pregnancy test on Friday. She had previously taken a positive pregnancy test on Tuesday. The bleeding has remained consistent since it began and is accompanied by the presence of clots or tissue. The patient has not experienced dizziness, lightheadedness, nausea, vomiting, severe pain different from her usual menstrual cramps, fever, or chills. She has no history of irregular menstrual cycles or similar symptoms and is not currently taking any medications, supplements, or herbal remedies. She has no pre-existing conditions or chronic illnesses and has not traveled recently.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Early Pregnancy Complications: Given that you had a positive pregnancy test followed by a negative one and are now experiencing light bleeding with clots and cramps, this could indicate a potential early pregnancy complication such as a miscarriage or an ectopic pregnancy.

    • Miscarriage: This is a common occurrence in early pregnancy and can present with bleeding and cramping.
    • Ectopic Pregnancy: This is a less common but serious condition where the fertilized egg implants outside the uterus, often in a fallopian tube. It can cause similar symptoms but usually involves more severe pain.
  • Implantation Bleeding: Although less likely given the presence of clots and the intensity of your cramps, implantation bleeding can sometimes be mistaken for a light period. This usually occurs around the time your period is due and can be accompanied by mild cramping.

  • Hormonal Imbalance: Sometimes, hormonal fluctuations can cause irregular periods, light bleeding, and cramping. This can happen for various reasons, including stress, changes in weight, or underlying medical conditions.

What you can do

  1. Consult a Healthcare Provider: Given the complexity and potential seriousness of your symptoms, it is crucial to consult a healthcare provider as soon as possible. They can perform necessary tests, such as blood tests and ultrasounds, to determine the cause of your symptoms and provide appropriate care.
  2. Monitor Your Symptoms: Keep track of your bleeding, cramps, and any other symptoms. Note the color, amount, and presence of clots in the bleeding. This information will be helpful for your healthcare provider.
  3. Rest and Hydrate: Ensure you get plenty of rest and stay hydrated. This can help manage your symptoms and support your overall well-being.
  4. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your provider. This can be particularly useful in providing detailed information to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe Pain: If your cramps become severe or are different from your usual menstrual cramps.
  • Heavy Bleeding: If the bleeding becomes heavy, soaking through pads or tampons quickly.
  • Dizziness or Fainting: If you feel dizzy, lightheaded, or faint.
  • Fever or Chills: If you develop a fever or chills, which could indicate an infection.
  • Shoulder Pain: If you experience shoulder pain, which can be a sign of an ectopic pregnancy.

Remember, while I can provide information and suggestions, I am not a substitute for a healthcare provider. Please seek care from a real health professional to receive a formal diagnosis and appropriate treatment.

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4 mo ago

People Also Ask


What are the common symptoms of a miscarriage?

Common symptoms of a miscarriage include vaginal bleeding, which can be light or heavy, and cramping in the lower abdomen. Some women may also pass tissue or clots. It's important to consult a healthcare provider for a proper diagnosis.


How can I differentiate between implantation bleeding and a miscarriage?

Implantation bleeding is usually lighter and shorter than a period, often occurring around the time a period is due, and is accompanied by mild cramping. A miscarriage typically involves heavier bleeding, more severe cramps, and the passage of clots or tissue. A healthcare provider can help determine the cause of bleeding.


What are the signs of an ectopic pregnancy?

Signs of an ectopic pregnancy include sharp or stabbing pain in the abdomen or pelvis, vaginal bleeding, dizziness, fainting, and shoulder pain. It is a medical emergency and requires immediate attention.


When should I seek immediate medical attention for abdominal cramps and bleeding?

You should seek immediate medical attention if you experience severe pain, heavy bleeding that soaks through pads or tampons quickly, dizziness, fainting, fever, chills, or shoulder pain, as these could indicate a serious condition.


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