### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am 30 years old. I am pregnant for the 1st time. My pregnancy is in its 14th week. 10 days before I had very nominal bleeding with substances that comes out during period. On that day my doctor advised to be in complete rest and start taking Susten-100 and Duvadilan twice daily. But next morning again I had bleeding, little bit more than previous day. Again I consulted my doctor and he suggested the HUCOG 5000 injection (9th may). After taking that my bleeding stopped completely. After 2 days I again took the same injection, as prescribed by the doctor. Today (18 th May) he has suggested to take the same injection again. But I have started facing another problem, with which I am very much nervous. I am passing small size tissues in the toilet, but there is no bleeding or pain at all. Please advice me what to do. For your kind information, I am taking iron tablets (Folvite), Uvolan SR tablets and Genozyme syrup since my pregnancy was detected. I am also taking Doxinate OD to prevent vomitting.

### output:

Hallow Dear, From your history, it is not clear whether the Progestational (Sustain 100) pills with uterine relaxant (Nevadian) and then HU COG injection was prescribed to you after ultrasonography. Your picture correlated with the history of bleeding is suggesting the possibility of miscarriage. The white tissues you are passing are most likely to be the products of conception. Please get your ultrasonography done which will inform you about the status of the baby. Along with get pregnancy test on urine done. It is more than 10 days that you had bleeding. So if the baby is non-viable, by now the pregnancy test would become negative. If the ultrasonography reveals that the baby is not viable and still some products are in the uterine cavity, you will have to undergo evacuation of the uterus. If the uterus has already passed all the products, you need not take any further action. Now since it is about 15 days or so that you started bleeding, it is better you get following investigations done on your blood to rule out clotting disorder (DIC):1. Clotting Time & Bleeding Time2. Prothrombin Time3. Fibrinogen Degradation Products. 4. Platelet counting case of non-viable baby, please do not waste time lest the risk of complications like infection, DIC, etc.  I hope this helps you. 