Post-Abortion Recovery: Pain and Complications After Surgery

Post-abortion issues 3-4 weeks after the procedure?

I am pregnant for the first time.
I had surgery to terminate the pregnancy at 3-4 weeks.
I was under general anesthesia.
After the surgery that day, I felt nauseous, very dizzy, and uncomfortable.
The doctor prescribed medication after the procedure, but now I experience pain when swallowing.
The pain extends from my throat to my stomach; it only hurts when food passes through my throat and stomach.
If I don't eat, I don't feel any pain.
Normally, I don't have pain, and I don't know what to do.
Today, during my follow-up appointment, the doctor said my uterus was 7 cm and has now increased to 7.9 cm, and I need to continue taking medication to reduce it back to 7 cm.
I am unsure whether the doctor performed a dilation and curettage (D&C) or suction aspiration procedure.
However, I remember that a friend of mine had an abortion at a different hospital, and after her suction procedure under general anesthesia, she felt fine and didn't need medication.
I wonder if it's related to the doctor's skill.
Why do I feel so exhausted and still in pain?

A Xuan, 20~29 year old female. Ask Date: 2008/05/07

Dr. Chen Changfu reply Obstetrics and Gynecology

Your symptoms of stomach pain resemble gastritis and are unrelated to the abortion procedure.
It is possible that the stress from the surgical anesthesia experience has led to a stress-related gastrointestinal ulcer.
I recommend consulting a gastroenterologist for examination and treatment.
After anesthesia from the abortion procedure, patients may exhibit varying reactions; some may experience significant dizziness and fatigue post-surgery, which can result in a slightly slower recovery and is not related to the abortion itself.
After the abortion procedure, the physician may administer uterotonics to help reduce the amount of uterine bleeding.

Reply Date: 2008/05/07

More Info

Post-abortion recovery can vary significantly from person to person, and it is not uncommon to experience discomfort and complications following the procedure. Based on your description, it sounds like you are dealing with several issues that may be related to your recent abortion.

Firstly, the nausea and dizziness you experienced immediately after the surgery could be attributed to the effects of general anesthesia. It is not unusual for patients to feel groggy or nauseous after undergoing anesthesia, and these symptoms typically resolve within a few hours to a day. However, if these symptoms persist or worsen, it is important to consult your healthcare provider.

Regarding the pain you are experiencing when swallowing, it is possible that this could be related to irritation or inflammation in your throat or esophagus, especially if you experienced nausea and vomiting after the procedure. Sometimes, the act of vomiting can cause irritation to the lining of the throat, leading to discomfort when swallowing. If the pain persists, it would be wise to discuss this with your doctor, as they may want to evaluate you for any potential complications, such as esophagitis or other gastrointestinal issues.

As for the size of your uterus, it is normal for the uterus to take some time to return to its pre-pregnancy size after an abortion. The fact that your doctor noted a slight increase in size from 7 cm to 7.9 cm suggests that your body is still in the process of healing. Your doctor may have performed either a dilation and curettage (D&C) or suction aspiration, both of which are common methods for completing an abortion. The choice of procedure can depend on various factors, including how far along you were in your pregnancy and the specific circumstances of your case.

It is important to follow your doctor's recommendations regarding medication and follow-up appointments. The medication prescribed is likely intended to help your uterus contract and return to its normal size, as well as to prevent infection. If you have concerns about the effectiveness of the treatment or the recovery process, do not hesitate to reach out to your healthcare provider for clarification and support.

Comparing your experience to that of your friend who had an abortion at a different facility may not provide a complete picture, as individual responses to anesthesia, the procedure itself, and post-operative care can vary widely. Factors such as the specific technique used, the skill of the healthcare provider, and your own health status can all influence your recovery experience.

In summary, while some discomfort and complications can be expected after an abortion, it is crucial to communicate openly with your healthcare provider about any persistent or severe symptoms. They can help determine whether what you are experiencing is within the normal range of recovery or if further evaluation and treatment are necessary. Remember, your health and well-being are the top priority, and seeking medical advice is always a good step if you have concerns.

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