Conversation: The conversation between human and AI assistant.
[|Human|] i am four and a half weeks pregnant i av been having cramps and backache like a period.i started bleeding sunday morning at six started light brown now its red what could this be?iv had a son three years ago with no complications and had a miscarriage few months ag
[|AI|]  Hello dear, I understand your concern. Iam sorry for your condition. In my opinion the pain abdomen along with bleeding during pregnancy needs to be evaluated. The causes of bleeding during pregnancy include thyroid hormone abnormalities, progesterone insufficiency, miscarriage or abnormal pregnancy, bleeding from cervix etc. So all the above causes should be evaluated by physical examination and necessary investigations like ultrasound, thyroid profile etc. So I suggest you to consult doctor and get examined to rule out the cause for bleeding. Avoid physical stress and intercourse. Take good rest. Even cases with bleeding during pregnancy might also continue till term and will have good outcome once the cause is treated. So relax. Hope this helps. Best regards...