Pain abdomen in early pregnancy- What wil be the line of management?

A 19 years primi gravid mother with 8 weeks of INTRAUTERINE gestation presented in our emergency OPD with complaint of pain abdomen since 24 hours back. On examination- Conscious, disoriented,no pallor detected. B.P - not recordable, Heart rate-120 bpm. Per abdomen - rebound tenderness detected. Per vaginally- uterus- 8 wks size, b/l fornix- no abnormal mass felt, POD- clear. No cervical motion tenderness noted. Os- closed, cervix tubular, no bleeding. USG- revealed Intrauterine pregnancy with single gestational sac. No features of acute appendicitis. What will be the line of management?



Vitals should be stabilized,blood to be sent for cross match, iv fluids and antibiotics to be started, ryles tube for gastric content (rule out poisoning) ask medical and surgical history, drug history, family history, h/o abdominal trauma, h/o intake of unknown drug? Rule out poisoning ,h/o blood transfusion Adv ,sepsis screen, bld gp, cbc, crp, Rbs, lft, Rft, lipase amylase, coagulation profile, sickle cell screen,widal, peripheral smear ,urine routine, culture, ecg, tvs (for hetrotopic pregnancy), CT scan w/a DD rupture ectopic,torsion and rupture of ovarian cyst,volvulus, appendicitis, acute pylelonephritis, renal colic, gastric duodenal ulcer, perforation, acute pancreatitis, intestinal perforation, rupture aortic aneurysm, mesentric venous thrombosis Diabetic ketoacidosis, sickle cell crisis Look for signs of sepsis, h/o fever,covid infection. Till diagnosis is made, supportive and symptomatic treatment, laprotomy is last resort if you suspect haemoperitoneum or perforation .

Its an ovulation pain. Usually one-sided, lower stomach pain associated with normal ovulation. Mittelschmerz occurs about 14 days before the next menstrual period. In most cases, mittelschmerz doesn't require medical attention. For minor mittelschmerz discomfort, over-the-counter pain relievers and home remedies are often effective. If your mittelschmerz pain is troublesome, your doctor may prescribe an oral contraceptive to stop ovulation and prevent midcycle pain.

But she is pregnant Dr 8 wks.

. Mild stomach pain in early pregnancy (during the first 12 weeks) is usually caused by your womb expanding, the ligaments stretching as your bump grows, hormones constipation or trapped wind.

Dear Dr ,sorry for such a lengthy answer

abdomen pain may be causing to threatened abortion may be due GIT problems vitamins tablets preferred