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ow - Karen's Musings
Random Rambling
estherchaya
estherchaya
ow
So I think emotionally I'm holding myself together pretty darned well, thankyouverymuch.

But physically? OW OW OW OW OW OW OW. I feel like maybe I shouldn't still be cramping this much. This is totally ridiculous. I'm almost back to the fetal position I was in on Monday. More troublesome is that I haven't really been keeping much (any?) food down. I've had MAYBE the equivalent of two meals since Sunday.

I would like for this to stop now, thank you.

Tags: ,
Current Mood: annoyed annoyed

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Comments
eyelid From: eyelid Date: October 13th, 2006 06:42 pm (UTC) (Link)
It is weird considering how the tissue should have been removed in the D&C. Normally cramping occurs when tissue is being pushed past the cervix.
estherchaya From: estherchaya Date: October 13th, 2006 07:04 pm (UTC) (Link)
I know it's weird, though the doctor's office doesn't sound too alarmed. "But if it gets worse or doesn't get better, you should call back." Okay, except the reason I called was BECAUSE it was getting worse and not better. My doctor, unfortunately, wasn't in the Silver Spring office today, so I was speaking to a nurse/message relayer who was speaking on behalf of a doctor who doesn't know me and questions were being relayed back and forth. So I just don't know what to think.
eyelid From: eyelid Date: October 13th, 2006 07:10 pm (UTC) (Link)
FWIW, normally cramping isn't a sign of anything going wrong. Cramping just means your uterus is contracting and/or your cervix is dilating. It usually would happen because your uterus is trying to push something out through your cervix. The fact that this hurts is a serious design flaw on G-d's part IMO.

The risks w/a D&C are mainly infection, perforation, and hemorrhage. I assume your doctor didn't perforate anything. You'd know if you were hemorrhaging because you'd be gushing blood (are you?) W/infection you'd have swelling, tenderness, and/or fever (got any of those?). I don't know of any D&C complications that are indicated by cramping.

Of course that doesn't make it hurt any less. People on abortioninfo have indicated that hot water bottles/heating pads can help. Nothing but drugs has ever worked for me w/cramping.
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eyelid From: eyelid Date: October 13th, 2006 07:54 pm (UTC) (Link)
I guess it could be, but I never had that sort of cramping after I gave birth when my uterus was shrinking back down, and you'd think that was much more of a change. It's not something we commonly see on abortioninfo either (and a lot of the women there have D&Cs, though obviously elective).
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eyelid From: eyelid Date: October 13th, 2006 08:54 pm (UTC) (Link)
On the other hand, the shrinking down after birth is one the body expects and plans for. I'm no doctor but I've heard of a certain amount of discomfort after a D&C and those friends weren't quite as far along as Karen.

I know a lot about D&Cs. I founded abortioninfo 3 years ago. I've heard from and talked with hundreds of women who have had D&Cs. There are over 70 archived stories on our community, and we haven't been archiving from the beginning. I know exactly what happens in a D&C, I know the risks, and I know the range of reactions. I know that the instruments used in a D&C are a speculum, a dilator (or more than one), a cannula attached to a vacuum machine, and a curette.

I also know a lot about miscarriage. Personally, I have experienced a first-trimester medication abortion (like a miscarriage), a first-trimester miscarriage, and a full-term pregnancy. I also chart.

I know whereof I speak, when I speak about the female reproductive system.

And here's what I'm saying. Sure, possibly this cramping is K's uterus shrinking down. But normally a woman's uterus doesn't go crazy with cramps when it's shrinking down. There's no medical reason why shrinking from a miscarriage or D&C should hurt while shrinking from a pregnancy would not.

But that doesn't mean this cramping is the sign of a problem. Cramping is normal in general, women get cramping. Some women have excruciating cramping with every single period. Women are all different. There's a lot of variations in how our reproductive systems react to things. Cramping is not, to my knowledge, a sign of the normal risks of D&C. I may be wrong. But from what I know about D&Cs the dangers are bleeding, perforation, and infection, none of which are particularly indicated by cramping.

My guesses as to what is going on:

1. there is some tissue left in K's uterus that they didn't get out during the D&C. That tissue is now trying to pass, putting her in a minor form of labor with similar pain. That's no big deal (although it hurts like hell).

2. K's uterus is just unhappy in general and is freaking out a bit. It's confused. It will get over this eventually.

3. K's body is for some reason producing a prostaglandin, maybe due with the sudden loss of pregnancy. she is therefore undergoing a minor form of labor. Again, not dangerous, just painful.

4. K was put on a medication that is a prostaglandin. (I've known some women who were given prostaglandins after/during a D&C).

That's not to say that K shouldn't seek medical attention if she feels worried. It's always best to check. Myself, I'm thinking K might want to go to the ER just for pain relievers or a muscle relaxant or something if this keeps up.
estherchaya From: estherchaya Date: October 16th, 2006 01:26 am (UTC) (Link)
I wasn't worried about the cramping, so much. I mean, it hurts like hell and I would like it to stop now, but I didn't think it was a sign of anything horrible. What was worrying me was my inability to keep food down for an entire week, and by Friday I couldn't even keep fluids down.

Anyway, I spent ten hours in the ER Friday night because I started throwing up water even, and a friend of mine who is a physician told me if I didn't go to the ER, she was going to take me herself. So that's what I did.

As for other symptoms, I had a mild fever, and some tenderness, but no other sign of infection. I was bleeding heavily, but not hemorrahging. It does hurt like hell, but it honestly was the dehydration that was worrying me.

eyelid From: eyelid Date: October 16th, 2006 01:11 pm (UTC) (Link)
Gotcha. Dehydration is definitely a concern and of course easily fixed with an IV. Did they tell you what was wrong?
queen_elisheva From: queen_elisheva Date: October 16th, 2006 12:36 am (UTC) (Link)
i've been there... it takes time. i was sick for about two weeks. take it easy, k?
mindycl From: mindycl Date: October 16th, 2006 03:01 am (UTC) (Link)
i'm sorry it hurts :(. But you were pretty far along, so itll take your body awhile to get back to nromal - your uterus is still shrinking probably.
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