What causes brown vaginal spotting during 4 weeks of pregnancy?
Patient: Hi. I m about 4 weeks pregnant and I began spotting this morning a dark brown with occasional gummy/stretchy tissue of the same color. I have not experienced cramping. I have had two previous miscarriages this past year that both were accompanied by strong cramping and heavy, syrupy bleeding. I m wondering if it is possible that I could still be pregnant even with the above symptoms? Doctor: Hallow Dear, I am indeed sorry to note that you are having brown bleeding in the early pregnancy. Usually brown bleeding, which is old bleeding, denotes the risk to the baby. Most of the time, such bleeding starts after the baby has become non-viable (missed abortion). Ultrasonography will give you  information about the status and integrity of the pregnancy. If the pregnancy is no more viable, you will have to undergo the termination of pregnancy. Ignoring may lead to clotting disorders (DIC) or infection.Please report to your Obstetrician about this brown bleeding. I hope this gives you the required message. Dr. Nishikant Shrotri