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Help. Miscarriage for sure yet HCG levels are going back up

I'm a 30 year old pretty healthy female. I don't drink or do drugs. I do have ulcerative colitis..

OK. On the 9th of this month I started bleeding pretty heavy. According to my LMP I was about 8 weeks pregnant. I went to ER and my HCG levels were at 6400. And there was a yolk sac and fetus measured in at 5 weeks. So they said it was too soon to see heart beat. I knew something was wrong then BC I had positive pregnancy tests 5 weeks prior to this....

OK so I had my HCG levels checked on the 12th.
They were at 5000. And ultrasound for sure showed no heartbeat. Miscarriage was confirmed

Had to go back to ER on the 17th due to severe pain and bleeding. Ultra sound showed no yolk sack this time. Just products of conception. And my HCG LEVEL WAS 2000... They gave me the mitro whatever pill (4 in my cheeks) to speed things up. They gave me the choice of a d & c or the pill...

HAD HCG RECHECKED ON THE 21ST AND THEY WERE 1099....

TODAY, THE 23RD, I started almost passing out every time I stand up. Boyfriend made me go back to the er. Ultrasound showed complex material left in there. Fluid and solid mass. They suspect it was a blood clot. BUT MY HCG LEVEL WAS 1600 TODAY!!!!

I know I'm not pregnant so why oh why are my HCC levels now going back up. They sent me home from the er and tell me things are fine. Fine? No. I'm almost passing out, and have been bleeding since the 9th... And these are no cramps. It is severe pain!!! Please give me some insight as to why they are going back up..
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Avatar universal
Oh gosh - I'm sorry this is so complicated. Miscarriages are difficult on their own without the complications! I would definitely consult your OB, not just the ER. I know they can wait quite a while to let a miscarriage pass on its own, and I think hcg can vary a bit if the tissues are slow to break down, but at some point it really will be advantageous to have the d&c if the miscarriage does not complete on its own. I had a later miscarriage and had a d&c with it, and it was really fairly simple, at least physically speaking. Best of luck to you. I hope everything goes as smoothly as possible from here on out!
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Avatar universal
You said the ultrasound showed a solid mass, but they "think" it was a blood clot if I were you I definitely would want to make sure they knew what they were talking about.  Please keep me informed as to what is happening with you. If you're HCG levels don't go down, make them pursue it further.
There is a very rare disease that can happen called gestational trophoblastic disease, like I said it is very rare but very serious.  My sister had it they couldn't understand why her HCG number wouldn't return to 0 but was elevating. The fetus/tumor had dislodged and they couldn't get a handle on the disease.
I am not trying to scare you and I am so sorry if I am but I just wanted to keep you informed. It took them months before they figured out what was wrong with her.
I hope its just that you might need more time or a d and c to help your body along.  I will hope and pray that everything works out for you.
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