How long do you have diarrhea after a medical abortion?

October 12, 2025 •

2 min read

Diarrhea is a common side effect of the misoprostol tablet used in medical abortions and typically resolves within 24 hours of taking the medication. Knowing what to expect regarding how long do you have diarrhea after a medical abortion can help you manage your recovery with confidence.

Quick Summary

Diarrhea following a medical abortion is a normal, short-term side effect of the misoprostol medication, typically subsiding within 24 hours. Management involves staying hydrated and eating bland foods. Symptoms persisting longer than 24 hours or accompanied by fever or severe pain should be discussed with a healthcare provider.

Key Points

Diarrhea is a common side effect of the misoprostol medication used in medical abortions.
The typical duration is less than 24 hours, with most symptoms starting and subsiding within one day of taking misoprostol.
Stay hydrated and eat bland foods like rice and bananas to help manage symptoms and prevent dehydration.
Contact a healthcare provider if diarrhea lasts more than 24 hours or is accompanied by other severe symptoms like a high fever or increasing pain.
Use over-the-counter anti-diarrheal medication only after consulting a doctor, as they can advise on the appropriate dosage.
Persistent or worsening gastrointestinal issues could indicate a complication like an infection and require medical evaluation.

Understanding Diarrhea During a Medical Abortion

A medical abortion involves taking two medications: mifepristone and misoprostol. Mifepristone stops pregnancy growth, followed by misoprostol 24 to 48 hours later to induce cramping and bleeding. Misoprostol is the primary cause of gastrointestinal issues like diarrhea, as it stimulates both uterine and intestinal contractions. This reaction is normal and indicates the medication is working.

The Typical Timeline for Diarrhea

Diarrhea after a medical abortion is usually temporary, starting within hours of taking misoprostol and typically resolving within 24 hours. Some individuals might experience symptoms for a few days.

Managing Diarrhea and Other Side Effects

Managing diarrhea at home focuses on hydration and diet.

Tips for at-home care

Stay hydrated: Drink plenty of water, juice, broth, and electrolyte drinks.
Eat bland foods: The BRAT diet (bananas, rice, applesauce, toast) is recommended. Avoid fatty, spicy, or dairy items.
Use over-the-counter medication with caution: Consult your healthcare provider before taking anti-diarrheals like Imodium.
Rest: Allow your body to recover.

When to Contact a Healthcare Provider

While mild, short-term diarrhea is normal, persistent or severe symptoms can signal complications.

Typical Side Effects vs. Warning Signs


Typical Side Effects	Warning Signs
Diarrhea lasting less than 24 hours after misoprostol.	Diarrhea lasting over 24 hours after misoprostol.
Chills or mild fever resolving within 8 hours.	Fever of 100.4°F (38°C) or higher lasting over 24 hours.
Cramping and bleeding like a heavy period.	Severe, worsening abdominal or back pain.
Nausea and vomiting resolving within hours.	Nausea or vomiting lasting over 24 hours.
Mild fatigue.	Foul-smelling vaginal discharge.
Light bleeding or spotting for weeks.	Soaking more than two maxi pads per hour for two hours.

Contact your healthcare provider immediately if you experience warning signs, as they could indicate infection or incomplete abortion. More aftercare information is available on the Planned Parenthood website.

Conclusion

Diarrhea is a common effect of the misoprostol used in medical abortion, typically subsiding within 24 hours. Staying hydrated, eating bland foods, and resting are key management strategies. It is important to monitor your symptoms and contact a healthcare provider if diarrhea is prolonged or accompanied by signs of complication like fever or severe pain. Seeking medical advice for any concerns ensures a safe recovery.

Frequently Asked Questions

Yes, diarrhea is a normal and common side effect after taking misoprostol, the second medication in a medical abortion. It is a sign that the medication is working.

Diarrhea is caused by the misoprostol medication. Besides causing uterine contractions, misoprostol can also stimulate the intestines, leading to gastrointestinal upset.

Diarrhea typically starts within a few hours of taking the misoprostol tablets, often at the same time as the cramping and bleeding begin.

To manage symptoms, focus on staying well-hydrated with water and electrolyte drinks. Eating bland foods, like those in the BRAT diet (bananas, rice, applesauce, toast), can also help settle your stomach.

You should contact a doctor if diarrhea persists for more than 24 hours after taking misoprostol. You should also seek medical attention if you experience severe abdominal pain, a high fever, or foul-smelling discharge.

You should consult with your healthcare provider before taking any over-the-counter medication, including anti-diarrheals like Imodium, during your recovery.

While temporary diarrhea is a normal side effect, persistent or worsening diarrhea, especially when accompanied by a high fever or increased pain, can be a sign of infection. It is important to call your healthcare provider if these symptoms occur.