20 days after abortion, there is a small amount of blood and back pain

If there is still bleeding 20 days after medical abortion, you should consider whether it is cervical inflammation. If so, you should actively seek treatment. Do not take other medicines during this period, otherwise it will cause drug incompatibility and even affect life safety. If the amount of bleeding exceeds the amount of menstrual bleeding, then I must consult a doctor in time. This is likely to be an abnormal phenomenon and I must go to the hospital for examination and treatment in time.

1. If you find yourself experiencing such a phenomenon after medical abortion, then you should consider it as an abnormal phenomenon. In this case, you must first determine whether the bleeding comes from the uterine cavity or the cervix. Therefore, after such a phenomenon occurs, you must choose to go to the hospital in time to continue your cervical examination.

2. Do not use a large amount of cleaning fluid. If women frequently flush their vagina, especially with a vaginal wash, the number of lactobacilli will decrease, which will disrupt the microecological balance in the vagina and cause dysbacteriosis. Because the female vagina has a self-cleaning function, the female vaginal epithelial cells are rich in glycogen. The vagina of normal women is parasitic with a kind of bacteria called vaginal lactobacillus, which can break down these glycogen into monosaccharides and then into lactic acid, making the vaginal environment acidic and maintaining the pH value at 4~5. Those pathogens that grow well in alkaline environments will be inhibited, which is the self-cleaning function of the vagina.

3. Do not use sanitary pads for a long time. Long-term use of sanitary pads, which are not breathable, often keeps the vulva in a moist state due to excessive vaginal discharge, which has a certain irritation to the local skin. It destroys the balance of the vagina and easily causes infection.

4. Pay attention to hygiene and change underwear frequently. Women should change their underwear once a day, pay attention to personal hygiene, and it is best to put the changed underwear in the sun to cool.

What precautions should be taken after medical abortion?

1. After taking the medicine for medical abortion, if there is vaginal bleeding, continue to take the medicine and do not stop taking it. Use a spittoon for urination and defecation, and pay attention to whether there is any tissue discharged. If you have any, you need to see a doctor for examination. If vaginal bleeding is more than twice the amount of menstrual flow, you should seek medical attention immediately and be closely observed, and the obstetrician and gynecologist will handle it as appropriate.

2. Some pregnant women experience mild nausea, vomiting, dizziness, fatigue, lower abdominal pain and other discomforts after taking medication for medical abortion. Some may also develop a rash, but generally no treatment is required.

3. At 8 a.m. on the fourth day, take 0.6 g (3 tablets) of rice extract orally with warm water (not exceeding 30°C) on an empty stomach or 2 hours after eating. Rest in bed for 2 hours and be observed in the outpatient clinic for 6 hours. Pay attention to whether there is any discharge of pregnancy products, bleeding and its side effects after taking the medicine.

4. No sexual intercourse within one month.

5. When taking medical abortion medication, you cannot take salicylates, indomethacin and other analgesics at the same time.

6. If no tissue is discharged after 6 hours of medication, you can go home without any abnormalities or special circumstances. If there is heavy bleeding, see a doctor at any time after medical abortion, and bring the discharged tissue to the hospital for doctor's identification or send for medical examination.