instruction: hello doctor my wife has a history of two earlier miscarriages which occurred during the first trimester in the first month we consulted a local gynecologist and the problem turned up to be high toxoplasmic infection reading was egg 82 she received rovamycin forte for three months along with other supplements like folinext and ecospirin for six months now my wife is pregnant again we visited the doctor and she advised to perform toxoplasma egg which again came back positive with egg 78 her first day of the last menses was 27th feburary she has been receiving rovamycin forte once again and duphaston folxt ecospirin and doxinate but now the problem is she is unwell and been vomiting nearly every day during evening hours there is a little brown discharge seen in this situation I am very much concerned about what will happen next will it be a miscarriage for the third time please help
output: hello we consider toxoplasmosis when i'm are positive it meas the person has an active infection when egg are positive it means you are protected from future infection your wife is in her first week of pregnancy so spotting is a common finding due to implantation vomiting is also common until 12 weeks she does not have to worry about it she can try small frequent meals baked bread etc I recommend an ultrasound at five or six weeks to evaluate the well being of pregnancy the symptoms that you prescribe does not mean that it will be a future miscarriage it is common in every pregnancy if this pregnancy terminate spontaneously then after that you have to perform several examinations but I recommend you to be positive ultrasound scan