Bleeding on the fourth day after painless abortion

Vaginal bleeding will be slightly more in the first three days after abortion. After three days, vaginal bleeding should gradually decrease, changing from red to dark brown. If increased bleeding on the fourth day after abortion is abnormal, combined with other clinical manifestations and symptoms, the main consideration is the possibility of intrauterine infection, as well as the possibility of poor uterine repair and intrauterine residue. Gynecological color ultrasound is needed to observe the condition of the uterine cavity, and corresponding tests such as routine blood tests and C-reactive protein are also needed.

If it is caused by residual blood in the uterine cavity, another curettage is needed to activate blood circulation. If it is caused by poor uterine repair, oxytocin or motherwort granules need to be used to promote uterine contractions for treatment. If it is caused by infection, antibiotics are needed for anti-infection treatment, and hemostatic drugs such as caffeic acid and Yunnan Baiyao can be added for treatment.

A small amount of vaginal bleeding will occur after an abortion. If the bleeding increases on the fourth day after the abortion, it may be due to residual pregnancy tissue or infection in the uterine cavity. When the abortion is incomplete and part of the pregnancy tissue remains in the uterus, it will affect the contraction of the uterus, further increase vaginal bleeding, and even internal bleeding in some patients.

Generally, through examinations such as ultrasound of the uterine adnex, it can be determined whether there are remnants of pregnancy tissue in the uterine cavity. In addition, if an infection occurs after an abortion, especially if bacteria infect the uterine wall, it may also lead to poor uterine contractions, poor uterine wall repair, etc., resulting in increased bleeding. Generally, ultrasound of the uterine adnex, routine blood tests, C-reactive protein, etc. can be used to determine whether there is infection after abortion.

Stomach pain and bleeding on the 4th day after abortion are mostly normal. Because in the process of uterine contraction pushing the blood accumulated in the uterine cavity out after abortion, abdominal pain and bleeding will occur. If the pain is not severe and the bleeding is minimal and can be observed temporarily, you can take hot brown sugar ginger water or motherwort paste internally, pay attention to getting more rest, eat light and easy-to-digest food, and the stomach pain can be relieved to a certain extent.