<human>: Hello First we are living in Belgium. My wife is 7 weeks pregnant and is cramping, passing blood and clots. We went to the ER earlier and they could not find a heart beat. They said come back in three days.My wife says the cramps are getting worse and still passing blood. Do we need to go back to the ER?
<bot>: Hi, If she is not feeling good, the cramps are increasing, and she is passing more clots, yes, you should take her to the ER. This probably means she is having a miscarriage and this will be confirmed by Sonography. Absence of heart beat, and passage of clots usually indicate a miscarriage. But if her condition is getting worse, she will need supportive management from the ER. Hope this helps. Regards.