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My urine pregnancy test is positive with slight bleeding. Is this a matter of concern?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I missed my period then I took a pregnancy test two days before and it is positive. I got two lines, the first line is dark second line is light pink. But today morning I got abdominal pain then light bleeding also. It is anything wrong I am really scared now.

Answered by Dr. Lorena Zijaj

Education:

Faculty of Medicine

Professional Bio:

Dr. Lorena Zijaj is an experienced Obstetrician and Gynecologist specializing in comprehensive women’s healthcare. Her skills include managing routine and high-risk pregnancies, performing gynecological surgeries, and providing care for reproductive health issues such as menstrual disorders, fertility concerns, and menopause management. She is proficient in prenatal and postnatal care, minimally invasive surgical techniques, and patient counseling on family planning and preventive health. Dr. Zijaj is committed to delivering personalized, compassionate care to support the overall well-being of women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I saw that the urinary test pregnancy is positive. (attachment removed to protect patient identity). Congratulations on your pregnancy. It will be better if you have written the first date of your last menstruation. So I can calculate the gestational age. In the first week of pregnancy at 5-6 weeks, woman can experience dark brown spotting, it quite normal due to the implantation of trophoblast. But there are also other causes as hematoma. If the bleeding becomes heavier, red with clots or lasts for several days you should discuss it with a specialist. At 6-7 weeks of gestation, you should consult an obstetric specialist because you should undergo several lab analysis and an ultrasound to ensure an intrauterine pregnancy and to detect the heart activity of the embryo. The first lab examination is IgG, IgM for CMV (cytomegalovirus), rubeola ,toxoplasma, blood and group blood analysis, TSH (thyroid-stimulating hormone), etc. You can start taking Folic acid tablets.

The Probable causes

Trophoblast implantation.

Investigations to be done

Ultrasound. The first lab examination IgG IgM for CMV (cytomegalovirus), rubeolla ,toxoplasma, blood and group blood analysis, TSH (thyroid-stimulating hormone), etc.

Differential diagnosis

Hematoma

Treatment plan

Folic acid.

Patient's Query

Thank you doctor,

My last period was on 08/03/2020.

Answered by Dr. Lorena Zijaj

Education:

Faculty of Medicine

Professional Bio:

Dr. Lorena Zijaj is an experienced Obstetrician and Gynecologist specializing in comprehensive women’s healthcare. Her skills include managing routine and high-risk pregnancies, performing gynecological surgeries, and providing care for reproductive health issues such as menstrual disorders, fertility concerns, and menopause management. She is proficient in prenatal and postnatal care, minimally invasive surgical techniques, and patient counseling on family planning and preventive health. Dr. Zijaj is committed to delivering personalized, compassionate care to support the overall well-being of women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

Based on LMP, you are 5 weeks + 3 days pregnant. It is quite normal to experience these symptoms. I think it is probable of implantation. You have the option to undergone an ultrasound at this gestational age or you can go a week later if the symptoms discontinue.

Patient's Query

Thank you doctor,

I am getting brown bleeding only lightly.

Answered by Dr. Lorena Zijaj

Education:

Faculty of Medicine

Professional Bio:

Dr. Lorena Zijaj is an experienced Obstetrician and Gynecologist specializing in comprehensive women’s healthcare. Her skills include managing routine and high-risk pregnancies, performing gynecological surgeries, and providing care for reproductive health issues such as menstrual disorders, fertility concerns, and menopause management. She is proficient in prenatal and postnatal care, minimally invasive surgical techniques, and patient counseling on family planning and preventive health. Dr. Zijaj is committed to delivering personalized, compassionate care to support the overall well-being of women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I saw the picture (attachment removed to protect patient identity), they are like brown secretions which are normal. You do not have to worry about that. Majority of pregnant women experience these symptoms at first weeks. Obstetric ultrasound will evaluate the well being of pregnancy and it is a guideline to perform one at the maximum 7 weeks.

Patient's Query

Thank you doctor,

I was scared once I saw the bleed.

Answered by Dr. Lorena Zijaj

Education:

Faculty of Medicine

Professional Bio:

Dr. Lorena Zijaj is an experienced Obstetrician and Gynecologist specializing in comprehensive women’s healthcare. Her skills include managing routine and high-risk pregnancies, performing gynecological surgeries, and providing care for reproductive health issues such as menstrual disorders, fertility concerns, and menopause management. She is proficient in prenatal and postnatal care, minimally invasive surgical techniques, and patient counseling on family planning and preventive health. Dr. Zijaj is committed to delivering personalized, compassionate care to support the overall well-being of women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I understand your concern. Enjoy your pregnancy.

Medically reviewed by Dr. Vinodhini J.
Published At April 18, 2020
Reviewed At January 18, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Lorena Zijaj is an experienced Obstetrician and Gynecologist specializing in comprehensive women’s healthcare. Her skills include managing routine and high-risk pregnancies, performing gynecological surgeries, and providing care for reproductive health issues such as menstrual disorders, fertility concerns, and menopause management. She is proficient in prenatal and postnatal care, minimally invasive surgical techniques, and patient counseling on family planning and preventive health. Dr. Zijaj is committed to delivering personalized, compassionate care to support the overall well-being of women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

Faculty of Medicine

Professional Bio:

Dr. Lorena Zijaj is an experienced Obstetrician and Gynecologist specializing in comprehensive women’s healthcare. Her skills include managing routine and high-risk pregnancies, performing gynecological surgeries, and providing care for reproductive health issues such as menstrual disorders, fertility concerns, and menopause management. She is proficient in prenatal and postnatal care, minimally invasive surgical techniques, and patient counseling on family planning and preventive health. Dr. Zijaj is committed to delivering personalized, compassionate care to support the overall well-being of women at every stage of life.

This doctor is not available for online consultations on the platform anymore.

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