Question 1

I'm really worried because I did a medical abortion back in December last year when I was 4 weeks pregnant. I went through all the bleeding and even passed tissues and clots. Afterward, I got my periods in February and March, and my home pregnancy tests are negative. But I've noticed my stomach is growing, and I can't figure out why this is happening. I don't have any complications or pregnancy symptoms, but ultrasound isn't an option for me right now due to some family issues. What could be causing this?

Accepted Answer

Possible Causes of Spleen Enlargement*

1. *Fatty liver*: Although your fatty liver is grade 1, it might be contributing to the spleen enlargement.
2. *Portal hypertension*: Elevated bilirubin (1.6) and liver enzymes (SGOTSGPT) could indicate portal hypertension, which can cause spleen enlargement.
3. *Other potential causes*: Although your tests were mostly normal, other possible causes of spleen enlargement include lymphoma, leukemia, or a spleen disorder.

*Recommendations*

1. *Follow-up ultrasound*: Schedule a follow-up ultrasound in 2-3 months to monitor the spleen size.
2. *Liver health*: Continue with udiliv 300 and vitamin E to support liver health.
3. *Weight management*: Maintain your weight loss efforts, as excess weight can exacerbate fatty liver and spleen enlargement.
4. *Consult a gastroenterologist*: Seek a consultation with a gastroenterologist to further investigate the cause of spleen enlargement and fatty liver.

Question 2

I'm sexually active and I've got a Mirena, but I'm worried because I've noticed these large, sometimes hard bumps on the inside of my thighs. Plus, there's this thick bump, like extra skin, under my clitoral hood, and I just found it while I was wiping. It doesn't have a head, and it hurts if I rub over it too hard. Should I be concerned about these bumps? What's going on with my skin down there?

Accepted Answer

The bumps on the inside of your thighs could be due to various reasons such as folliculitis, skin tags, or even genital warts. The thick bump under your clitoral hood may be a cyst or a blocked gland. For the bumps on the inside of your thighs, you can try using an over-the-counter topical antibiotic ointment like Neosporin to prevent infection. If they persist or worsen, you may need to see a doctor for further evaluation and treatment. As for the thick bump under your clitoral hood, it is important not to try to pop or squeeze it. You can try warm compresses to help reduce any discomfort. If it does not improve or if it becomes more painful, you should see a doctor for a proper evaluation.

Question 3

I'm a 30-year-old married person and I recently found out there's free fluid in the pod. I'm not sure what that means for me. Could it indicate that I'm pregnant, or is it something else I should be aware of?

Accepted Answer

The presence of free fluid in the pod can be a sign of ovulation or early pregnancy. It is not a definitive indicator of pregnancy on its own. Further evaluation and monitoring may be needed to determine the exact cause.

More Obstetrics & Gynaecology Health Queries

I'm a 30-year-old married person and I recently found out there's free fluid in the pod. I'm not sure what that means for me. Could it indicate that I'm pregnant, or is it something else I should be aware of?

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