Post-Abortion Symptoms: Bloating, Weakness, and What to Expect - Obstetrics and Gynecology

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Bloating and weakness after an abortion?


Hello, Dr.
Lu! Last Saturday, I underwent a surgical procedure to remove retained chorionic tissue due to an incomplete miscarriage.
Since the surgery, I have been resting at home, but now, over a week later, I am still experiencing the following symptoms: (1) abdominal distension without pain when pressure is applied to the uterus, (2) occasional dull pain in the right ovary, (3) persistent weakness and fatigue, feeling very lethargic, and (4) occasional headaches.
I stopped bleeding two days ago.
What could be going on? Are these symptoms normal? What should I do? Thank you, doctor!

AAAAA, 30~39 year old female. Ask Date: 2015/11/18

Dr. Lü Lizheng reply Obstetrics and Gynecology


Please seek medical examination to confirm that everything is normal.
Sincerely, Dr.
Lu Li-Cheng, Taoyuan Hospital.

Reply Date: 2015/11/18

More Info


After experiencing a miscarriage and undergoing a surgical procedure to remove retained tissue, it is not uncommon to have lingering symptoms such as bloating, weakness, and occasional pain. Let’s break down your symptoms and discuss what you might expect during your recovery.

1. Bloating and Abdominal Pressure: It is quite common to experience bloating after a surgical procedure, especially one involving the uterus. This can be due to a variety of factors, including gas buildup in the intestines, hormonal changes, or even the physical trauma of the surgery itself. If you are not experiencing significant pain when pressing down on your abdomen, this is generally a good sign. However, if the bloating persists or worsens, it would be wise to consult your healthcare provider.

2. Ovarian Discomfort: Occasional dull pain in the area of the right ovary can also occur post-surgery. This could be related to the healing process, as the ovaries and uterus are closely situated, and any surgical manipulation can lead to temporary discomfort. If the pain becomes sharp or is accompanied by other symptoms such as fever, heavy bleeding, or significant changes in your discharge, you should seek medical attention.

3. Fatigue and Weakness: Feeling weak and fatigued after a miscarriage and surgical procedure is very common. Your body has gone through a significant physical and emotional event, and it requires time to heal. Ensure you are getting adequate rest, nutrition, and hydration. If your weakness persists, it may be worth discussing with your doctor, as they might want to check for anemia or other underlying issues.

4. Headaches: Post-operative headaches can be attributed to several factors, including dehydration, stress, hormonal fluctuations, or even tension. Make sure you are drinking plenty of fluids and managing stress levels. If headaches are frequent or severe, it’s advisable to consult a healthcare professional.


What Should You Do?
- Rest and Recovery: Continue to prioritize rest. Your body needs time to heal after the procedure.

- Monitor Symptoms: Keep track of your symptoms. If you notice any significant changes, such as increased pain, fever, or unusual discharge, contact your healthcare provider.

- Follow-Up Appointment: If you haven’t already, schedule a follow-up appointment with your doctor. They can assess your recovery and ensure that everything is healing properly.

- Nutrition: Focus on a balanced diet rich in vitamins and minerals to support your recovery. Foods high in iron (like leafy greens, beans, and lean meats) can help if you are feeling weak.

- Hydration: Drink plenty of water to stay hydrated, which can also help alleviate headaches and bloating.


Conclusion
While some discomfort and symptoms are normal after a miscarriage and surgical procedure, it is essential to listen to your body and seek medical advice if you have concerns. Healing takes time, and it’s important to be gentle with yourself during this period. If you have any doubts or if your symptoms worsen, do not hesitate to reach out to your healthcare provider for further evaluation and support.

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