Conversation: The conversation between human and AI assistant.
[|Human|] hello I am 28 years old and pregnant for the sixth time (one abortion 3 years ago, and 4 living children). I am experiencing cramping in the lower abdomen and lower back and even bleeding with passing of clots. What should I do. I have been to the hospital twice for this issue. The first time I was told baby was not doing good and to come back when I came back they said everything was good. I did not experience back pain the first time but now I am.
[|AI|]  Hello dear, I understand your concern. In my opinion the pain abdomen with bleeding with or without backache first gives a suspicion of miscarriage. But as the ultrasound is normal it doesn't go in favor of miscarriage. So need not worry because there might be some other cause for bleeding like:-1)Hormonal abnormalities like thyroid abnormalities, progesterone insufficiency.2)Bleeding from cervix etc. So the above causes should be ruled out by getting done thyroid profile and other necessary investigations if needed. Avoid physical stress and intercourse. Take prenatal and progesterone hormone supplements.Don't worry as many cases which present with bleeding in pregnancy continue till term and also have good outcome. So relax. Take iron rich diet and supplements to combat anemia caused due to bleeding. Hope this helps. Best regards...