Conversation: The conversation between human and AI assistant.
[|Human|] I had 800mcg misoprostal PV yesterday, severe cramping and a slight increase in PV loss but no tissue.  I have previously had 2 Caesarean sections, does this mean the miso is not working or could it still take time?  I have a blighted ovum but am 13 weeks by dates
[|AI|]  Hi, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options.1) First do not panic. 2) The cramping is due to severe muscular contractions of the uterus. It is bound to happen when you take 800 mcg of Bisoprolol .3) You can repeat the dose of Bisoprolol for one time. Please avoid taking preparations containing paracetamol or govern type medicines. 4) if you do not experience passage of clots, please do USG test.  If pregnancy products are not completely expelled out of uterus then you need to undergo surgical evacuation.  Also, please have appropriate antibiotics cover. I hope this answer helps you Thank Chat Doctor.