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Bleeding after Miscarraige
A miscarriage is the loss of a pregnancy before the twentieth week. A miscarriage is no doubt a devastating event and heart-wrenching especially when you have been preparing yourself to welcome the new addition to the family. Unfortunately, but proven from research, 10%-20% of pregnancies end in miscarriages. While a miscarriage is common, it can be extremely painful and cause of grief for a mother, both physically and emotionally. The process of dealing with it involves a lot of mental and physical courage and well sought medical advice. It is completely normal to experience pain and bleeding after a miscarriage. But as every natural illness that affects the body, miscarriage is also a phenomenon that your body can deal with.
What Does Miscarriage Bleeding Look Like?
Vaginal bleeding is the most common sign of a miscarriage. Very light in colour, almost close to spotting and nothing more at times the bleeding can be much heavier than a normal period. These signs of miscarriage bleeding might last for a few days or even a few weeks. The bleeding could also be characterized by blood clots, either large ones or small ones or even discharge that looks like tissue. Continued bleeding after miscarriage could also be accompanied by cramping. You may experience pain in your abdomen, either light pain or heavy pain, almost alike contractions experience during labour. There have also been women who have had a miscarriage without any signs of it; they come to know about the death of the foetus during a routine ultrasound but have had no signs of bleeding to warn them.
How Long does the Bleeding Last after a Miscarriage?
The uterine mucosa which gets damaged, after a miscarriage, causes bleeding and abdominal pain. This bleeding generally lasts only for about two weeks. The severity of the bleeding could differ in women. It could be barely noticeable or severe, but the symptoms are often similar to those of a menstrual period. It is advisable to use pads to mitigate the risk of infection as tampons are not very hygienic to stem the bleeding. If you use more than one pad in an hour, then you need to immediately seek medical advice. Changing a pad every hour indicates the potential for haemorrhage. Severe bleeding may require surgery or a blood transfusion to stay healthy.
Miscarriage bleeding generally does not last for more than two weeks. Bleeding which lasts for more than two weeks calls for a visit to the doctor. It could mean an incomplete miscarriage that might need your tissue has to be expelled. The doctor will need to determine it is an incomplete miscarriage and suggest a surgical procedure to correct the problem.
Your periods will normally come back to their normal cycle within 3 weeks to 5 weeks after a miscarriage.
What is Abnormal Bleeding after Miscarriage?
Miscarriages bleeding that occurs for more than two weeks after a miscarriage occurs is considered abnormal and needs investigation. An incomplete miscarriage signifies that all of the tissue is not passed completely and requires medical intervention. Most bleeding tapers off, becomes lighter and scant quickly after a miscarriage. If you saturate a pad every hour, then it is a warning sign and should be investigated.
What is Incomplete Miscarriage?
When a baby dies in the uterus, the body does not always expel the foetus or placenta completely. In such a case, the miscarriage is called “incomplete”. The uterus cannot heal if there are some remains which need to be cleared surgically. An incomplete miscarriage presents the following signs and symptoms
Signs of Incomplete Miscarriage Bleeding
Dilated cervix
Heavy bleeding where you soak one pad in an hour
Presence of tissue in the uterus determined via an ultrasound
Severe cramping and pain
Water retention
Flu-like symptoms
The most common sign is heaving bleeding and cramping lasting for weeks which indicates that there is more tissue remaining in the uterus which needs to be expelled. An incomplete miscarriage usually requires surgery or prescribed medications to finish the process.
Complications of Post-Miscarriage Bleeding
There are some complications associated with miscarriage bleeding. Low red blood count, anaemia, is one of the most common complications. In very rare cases, a low blood count could call for blood transfusion. Any infection in the uterus which remains untreated could cause a scarred tissue inside the uterus and fallopian tube, causing interference in future pregnancies. Choriocarcinoma, a rare cause of bleeding after a miscarriage, is cancer that stems from a placental tissue or following a molar pregnancy, in which the placental tissue develops into an abnormal mass. This is generally treated via chemotherapy.
Treatment for Abnormal Bleeding after a Miscarriage
Treatments differ according to the type of miscarriage. In some cases, doctors suggest medications be administered orally or vaginally to help the miscarriage progress naturally. This will help the placental tissue pass faster within a couple of weeks. If a doctor diagnoses a piece of leftover tissue from the miscarriage in the uterus, he or she might perform a dilation and curettage, commonly referred to as D&C. The procedure is conducted under general anaesthesia, where the uterus is scraped of any tissue remains.
When to Call the Doctor?
Miscarriage bleeding can vary significantly from one woman to another for no particular reason. It is absolutely common and normal to bleed for a week or two after a miscarriage. Most cases, bleeding is accompanied by cramping. However, if you seem to bleed heavier than what you are comfortable with, you must get in touch with your doctor. If bleeding persists even after two weeks, then medical intervention must be sought as it could be mean an incomplete miscarriage where the tissue has not been expelled completely.
Management of Bleeding After Miscarriage
Once you have suffered a miscarriage, the bleeding will take a while to stop completely. It is best not to insert anything into your vagina, and sanitary pads are the best and most hygienic options to stem the flow of blood. Complete rest and lots of sleep are advised, and you could take over-the-counter painkillers to manage pain. The body must clear all the contents of the uterus, and any left-over pregnancy tissue could lead to an infection. You must rush to your doctor if you experience the following symptoms:
Bleeding that lasts longer than two weeks
Severe cramping and pain
Heavy bleeding than normal
Fever or flu-like symptoms
Foul smelling or unusual vaginal discharge
Managing Life Once the Bleeding Stops
A miscarriage is not just painful for the body but to the mind too. It will take you a while to recover from the loss. But it is not impossible to move forward, and there are ways to help you overcome the setback.
Physical Recovery:
There is no doubt that the uterus is under stress after a miscarriage. In the case of an incomplete miscarriage, the uterus has to undergo a surgical procedure, and it will take some time to heal. The primary step to recovery after any miscarriage is adequate rest. Many women heal faster and can conceive in a month after suffering a miscarriage. But in some cases, it could take a year. Let your body heal completely before you plan your next pregnancy.
2. Emotional Recovery:
The psychological impact of a miscarriage is undoubtedly far more than the physical impact. The period of bleeding after a miscarriage can drain you emotionally as you are constantly coming to terms with the loss. You are likely to feel a sense of guilt, frustration, anger or grief. The hormonal changes that the body is experiencing only aggravate the situation. Many women suffer from depression too. Try to seek help from your partner or husband and stay in constant touch with your loved ones. Try to join a support group or consult a counsellor if you feel depressed and unable to deal with the situation alone.
Miscarriages are not rare. It affects a majority of pregnant women and does cause some devastating effects on the mind. Take your time to deal with the loss and be a constant support to your partner while seeking his help too. It is not impossible to conceive after a miscarriage. Take your time to recover and start trying to get pregnant again, once you are ready physically and emotionally. Read more
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4 Foods To Encourage Weight Loss in Toddlers
A weight loss diet for overweight kids should not put pressure on your little one. It should be incorporated in normal food. Yes, you always introduce healthy food options to make it a smooth process. Don't cut back on calories drastically. It could affect your child's health!
Your child doesn't need to go on a diet to lose weight. Rather, all you really need to do is concentrate on feeding your baby certain foods that'll aid in weight loss. Here is a compilation of foods that'll for sure cut your baby's flab.
How to Lose Weight for Overweight Toddlers
1. Fruits
It comes as no surprise that vegetable and fruits are good for your kid. However, avoid corn and potatoes. Tropical fruits like bananas and pineapples (super rich in sugar) also contribute to weight gain. Try apples, grapes, oranges, kiwi and berries. Start your kid’s day with eggs. They are a great source of protein and will keep your little one full and will help him lose weight. Once you're conscious of your child's weight, overweight children and weight loss will cease to be a nagging issue.
2. Avocados
There's no harm in letting your little one eat fats—as long as they are not harmful. A light avocado snack with a healthy dip could be perfect for your little one. Avocados contain oleic acid, which will fill your child and prevent him from being hungry all the time. Make sure you give him only a quarter or a half an avocado. The creamy fruit is beneficial because it's filled with fiber and protein.
3. Broccoli & Leafy Greens
Most kids stay away from broccoli. Therefore, you'll need to find a way to make the veggie palatable. This veggie is known for cancer-preventing powers and is full of fiber and low on calories. Just make sure to serve your little one small portions of broccoli every alternate day and watch the pound melt away. Leafy greens include spinach, kale, collards, and a few others. Green vegetables are low in carbohydrates and calories and loaded with fibers. They also contain vitamins, minerals and antioxidants. Need we say more?
4. Grapefruit
One fruit that deserves mention for its weight loss properties is grapefruit. Sweet and yum, you can cut grapefruit into pieces and serve your child as an afternoon snack to keep him feeling healthy and fit. Grapefruits also help reduce insulin resistance, a metabolic abnormality that causes a number of chronic diseases. Giving your little one a few pieces of grapefruit before his meal will keep him full and satisfied.
Remember, you just need to improve your child's diet without enforcing it. Small changes in food habits will help your toddler lose the extra weight. Don't restrict him from eating his favourite food. Just smartly cut down on it. Of course, a cheat meal here and there will do no harm. After all, it's all about eating in small portions. Also, try to keep the servings creative and interesting to attract the attention of your child. Read more
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How to balance between your spouse and baby after having a baby
Being a mother is a full time job, and it does take most of your time and energy. And when you are a working mother, you'll find yourself almost everyday juggling between personal and professional life. Work life balance becomes very crucial. For a woman, lot of things changes when she becomes a mother. But the one relation which gets affected the most is the relation of a husband and wife. We become so much occupied in our babies, we often forget about our spouses. The first year after the baby is born it becomes very hard to keep up with our significant other. Our baby is our priority, but we should not neglect relation with our spouses as well. But than, How do we keep up with our significant other!?
Communicate-No matter what, communication is a must. Talk with each other. About anything, from how your day was to how are you feeling. Do tell your partner about what you are going through. Woman goes through a lot of physical, emotional and hormonal changes post delivery. It is very important to support her. The same time even for a husband it is a whole new environment with new responsibilities. So it is really important to have the communication live between the two.
Have some quality time- Try to spend some time together, involving just the two. Ask for help to take care of baby for a while, go out, watch a movie or go for a date or just lie down in a couch doing nothing. Be it anything, but important thing is to spend some time together. Find what works best for you.
Keep the spark Alive- Physical relation takes a backseat in post-partum period. So it is important to spice things up a bit once a while.
Having a baby is a big responsibility but it should not be your only responsibility. It is a tiring job. Having your partner with you will surely make it a bit more easier. Don't neglect your spouse. With time you can find a balance between the both. Read more
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RICER: First-Aid Technique for Toddler Injuries
Sprains, strains and fractures are common injuries that most active toddlers face, once in a while. They usually happen when young kids fall or bump into something, or while playing and doing other physical activities. That is why parents should be aware of the first aid technique called RICER (Rest, Ice, Compression, Elevation, Referral) to offer immediate aid to the child.
When a toddler gets injured, there are chances of internal bleeding or swelling in the affected area. If the injury swells up too much, it can prove to be harmful. In such situations, RICER needs to be used within 48 hours of the mishap, whether it is a sprain, strain or a fracture. It can limit the swelling and make the kid recover quickly.
Overcoming The Fear of Injuries in Toddlers
Parents must understand that the fear of sprains, strains and fractures should not make them stop their children from playing. These injuries are a normal part of the growing up process. Trying to prevent your child from being active, would simply make him lethargic and would hinder his holistic growth and development.
As parents, you must provide your child with the basic needs of exercise and physical activities. However, as a precautionary measure, you must learn the basic steps of first-aid to lessen the toddler’s pain, in case of an emergency. RICER is one such technique, that can help reduce the pain and associated suffering immediately after an injury.
What is RICER?
RICER stands for Rest, Ice, Compression, Elevation, and Referral and is an effective first-aid practice to manage pain in toddlers after an injury. Here is how it works:
1. Rest
If a toddler gets injured, the first step is to stop him from taking part in any further painful activities. If the affected body part is stressed, moved or used excessively, it can increase the bleeding or swelling. It can also slow down the healing process, or make the condition worse. Let the kid take adequate rest for at least 24 to 72 hours. If you suspect a fracture, support the arm in a sling or use crutches for foot injury.
2. Ice
After your child is laid down in the resting position, bring an ice-pack and apply it gently on the affected area. This will slowly reduce the swelling, and it will also soothe the pain. Apply the ice-pack for 15 minutes at every 2 hours throughout the day. The following day, apply ice every 15 minutes at an interval of 4 hours. Do not apply the ice directly on the affected body part, make sure to cover it in a cloth.
3. Compression
Bandage the injured area firmly, but not so tight that it will obstruct the flow of blood. Start from the area just below the injured part and then slowly move upwards. Each of the layers should be half overlapped. Finish the bandage at about one hand distance from the injured area. Keep checking after a few hours.
4. Elevation
The injured area needs to be kept straight up or elevated above the hip level. This would limit the blood flow and reduce the swelling. Keep the child’s legs elevated on a chair, stool or a pillow.
5. Referral
Get the injury checked up by a doctor as he will be able to assume the seriousness of the wound and recommend what is to be done next. He could ask to get some x-rays, CT scans or ultrasounds done, and then plan the treatment according to the result.
Sprains, Strains and Fracture
Sometimes, you need to consult a doctor immediately after an injury, such as a fracture. The signs of a broken bone include a cracking sound at the time of injury, extreme pain while moving the affected limb, numbness in the affected area, swelling and fever. RICER treatment would be of no use in case of a fracture. Only a doctor’s intervention, following by plastering of the affected area would aid in the healing and rejoining of the bone.
On the other hand, sprains can be treated with RICER easily. They usually occur because of over stretching, and affect areas like ligaments, joints and soft tissues. The signs of sprain include swelling, pain in movement, and stiffness of the affected part.
One more aspect that needs to be kept in mind is that for the first 48 hours after the injury, don’t use any sort of heat compression or give the child hot rubs for treatment. Avoid intense or even moderate activities for that matter, to prevent the condition from getting worse. If his condition doesn’t improve, consulting a doctor should be your priority. Read more
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Know What it Takes to Survive Adultery in Marriage
Dealing with adultery can be difficult. When trust is broken, it takes a lot of hard work to gain it back. The philandering spouse should be willing to end the affair and work on making the marriage work. Being honest is essential for the re-building process.
Infidelity can be a hard thing to digest. It doesn't just shake up your faith in the relationship, but also makes you question a sea of things. Your children too can bear the brunt of this turmoil. However, you can tide over this sore spot with a little faith, a lot of patience, and the will to bury the hatchet. Here are some ways to overcome adultery the smart mature way, so your family remains tight and you are one with your husband again.
Overcoming Adultery: The Path to Take
1. Ask to Stop the Affair
You need to ask your husband to end the affair before reconciliation can take place. He should be willing to sever all ties with his lover and focus attention on working on your marriage. When he reveals all his secrets, you will be better equipped to find a way to forgive him. When you are honest, it paves the way for a healthy re-building process. Let him know that only when he can be trusted will the relationship heal. Let your children understand this cooling off period, before they assume and harbour negative emotions against either of you.
2. Build Transparency
While the details of your husband's affair will not be pleasant to hear and assimilate, they must be laid out bare if amends are to be made. When coping with adultery, don't be afraid to ask questions about the illicit affair. Try to have these discussions when the kids have been put to sleep. While you may think sharing the sordid details could be emotionally draining, it will instead be cathartic. Besides, you will be appreciative of your husband's honesty and his willingness to speak out. This feeling of transparency will help build trust in your partner and also mend the relationship.
3. In for the Long Haul
If you want to fix things and heal after you've suffered adultery in a marriage, you will have to be patient. You should be able to allow your partner to answer questions and clear doubts six months down the line, if that's what he wants. Don't push. Let him know that if, like you, he too wants to save the marriage, you wouldn't mind waiting for him to open up. Keep in mind – the healing process will not be an overnight success. It will take months, maybe years of work for a relationship to finally feel right again. While you wait through the period, behave normally with your partner in front of the kids. Don't let your issues ruin what you share or do as parents.
4. Balanced Approach
Ensure that you keep your emotions in check. While it's natural to feel rage and a multitude of other emotions, try to keep your head together if you want your partner to open up to you. Your erratic behaviour may make him want to run away from a confrontation or even a talk. Also, you don't want your children to see you in that state. It could scar them emotionally for life and they may never look at you the same way again. If you control your emotions, your partner will be more willing and comfortable disclosing the details of the affair. This will help you get a sense of closure and make healing possible.
5. When You Think it Fit, Forgive
Forgiveness doesn't come cheap and neither should it when its infidelity you're dealing with. It needs to be earned. When you feel right about moving on and forgiving, only then should you do it. However, maintain a cordial relationship with your spouse in front of the children during the reconciliation process. Try to take a family vacation to rediscover and relive the joy that your family once knew. However, never pressure yourself to forgive. Dealing with adultery is never easy and you shouldn't be scared to accept this. Only when you're ready to let go of the negativity and the pain can forgiveness be your next logical step. So, take your time!
Life after adultery is difficult. While some couples resort to drastic measures, some endeavour to sort things out. The latter, which is also the preferred option, requires patience, trust, and effort. Think of your children as one of the main motivating factors to help you work on your relationship. Your little ones deserve a united family, not a broken home. Read more
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Dr Ghouse has added a new answer
Trying To Conceive
10 hours ago
Q. #AskTheExpert hello dr.
baby planning kar rhi kuch tips btayiye conceive ho jaye
Dr Ghouse
Paediatrician
10 hours ago
A. it's a natural process ok. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Dr Laxmi Chavan-Sawant has added a new answer
Guardian of 0 children
9 hours ago
Q. when baby is kick? I'm 13 weeks pregnant
Dr Laxmi Chavan-Sawant
Ayurvedic Gynaecologist
9 hours ago
A. during first pregnancy you may feel the baby movements after 24 to 25 weeks of pregnancy and till then only mild flatters may be felt but which you may not be feeling if you are doing some work
Dr Ghouse has added a new answer
Expecting Mom due in 2 months
8 hours ago
Q. I’m in my 31 week 1 day of pregnancy. What will be my delivery date??
As I have low lying placenta with grade 1 maturity.
Dr Ghouse
Paediatrician
8 hours ago
A. you had to correlate is ultrasound examination. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Rashmi has added a new answer
Expecting Mom due in 2 months
8 hours ago
Q. My hemoglobin is 6.4 from 28 weeks of pregnancy. Now I’m 31 weeks pregnant. What should I do?
Rashmi
Mom of a 9 yr 7 m old girl
8 hours ago
A. Haven’t when you having some kind of iron supplement because they’re very good during the time of pregnancy if you are not having one you need to start with and whatever tabs you take you should just take it with any good juice specially pomegranate juice that’s going to help in doubling the impact of the medicine that you’re taking secondly try and include more of Iron which diet like spinach broccoli beetroot pomegranate black rice sweet potato these things are exceptionally healthy for you to consume
Rashmi has added a new answer
Expecting Mom due in 2 months
7 hours ago
Q. This is my cbc report
Rashmi
Mom of a 9 yr 7 m old girl
7 hours ago
A. No there is nothing visible on my wall so I can really really cannot help you can you please repose the question once again providing all the necessary details as once I’m certain what are you talking about what’s mentioned in the report according to that I can provide you proper help on your question
Dr Sameer awadhiya has added a new answer
Guardian of 0 children
5 hours ago
Q. #asktheexpert
now I'm 24 weeks. Sometimes I'm feeling pain in my thigh.
Dr Sameer awadhiya
Paediatrician
5 hours ago
A. For thegh query asked needs consultation with doctor for proper guidance so it is better that the doctor will guide you the correct way .
Onlfine consultation can also be taken and the expert will give you the proper answer .
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