Virtually any woman during pregnancy at least once observed pulling, or tingling pain in the lower abdomen or a feeling of discomfort. And this is understandable: with the birth of a new life, our body begins to rebuild (stretching of muscle fibers, swelling and stretching of ligaments, “divergence” of the pelvic organs). A woman experiences such pain in the first few months of pregnancy. However, they most often occur in women who have dysmenorrhea before pregnancy (painful menstruation).
However, pain in the lower abdomen during the period of childbearing is not always the result of changes in the body. The appearance of any pain in the abdomen should alert the pregnant woman, since it can serve as a possible threat to the fetus (miscarriage). But it is not worthwhile to sound the alarm in advance; it is necessary to determine the nature of the pain, its intensity and what it is connected with. Therefore, it is important to visit the doctor’s appointment even with the slightest discomfort in the abdomen.
Why does a stomach ache during pregnancy?
Improper nutrition.So, it is clear that pain in the lower abdomen during pregnancy can occur even in an absolutely healthy woman. What are the main causes of pain? Very often, an unhealthy diet can provoke spasms of the digestive system organs, which end with pain in the lower abdomen, which is aching in nature. Pregnancy is one of the causes of hormonal adjustment in the body. Against this background, a woman’s tastes are also changing. While carrying a child, a woman can consume products that cause various metabolic disturbances. For example, the abuse of pregnant with spicy and acidic foods can cause irritation of the stomach walls, frequent consumption of sweets can provoke fermentation processes in the intestines and the appearance of dysbacteriosis. The latter, in turn, can cause bloating. In this case, you should consult with your doctor, who will prescribe a special treatment, and of course, you must switch to a healthy diet.
Stretching muscles and ligaments.Quite often, nagging pain in the lower abdomen in a pregnant woman is the result of sprains and muscles that support the uterus. As the fetus grows, the uterus also increases in size, as a result of which the pressure on the ligaments increases, and as a result, pains in the lower abdomen increase. That is why with sudden movements, sneezing or coughing, you can feel a sprain, manifested in the form of sharp pains in the lower abdomen. They can also be observed due to overstretching of the abdominal abdominal muscles. In this case, pain in the lower abdomen does not pose a danger to the fetus. Such pains during the carrying of the child do not require any treatment, it is enough just to have a good rest. Cramping pain in the lower abdomen and pelvic region, accompanying sprains, doctors recommend to remove using a warm bath, sitting in which you should relax well.
Enlarged uterus.If a pregnant woman experiences pain in the upper abdomen, this can be caused by an enlarged uterus, which begins to tighten the organs of the chest cavity (liver and gall bladder, digestive organs). The result of this can be a violation of the process of bile secretion, which may be accompanied by pain at the top of the abdomen.
Often during pregnancy a woman feels pain in the abdomen on the right. As a rule, this is due to the position of the fetus in the uterus. Soreness may increase with movement of the fetus. Usually this process is accompanied by loss of appetite and the appearance of a feeling of heaviness. Pressure on this area of the abdomen can also cause heartburn, bitterness in the mouth, as well as bloating.
Ectopic pregnancy.Abdominal pain can occur against the background of ectopic pregnancy, in which the fertilized egg is fixed and develops not in the uterus, but in the fallopian tube (probably due to adhesions). Identify in an ectopic pregnancy, if you are sure about your pregnancy, very simply by the accompanying symptoms: fainting, dizziness, nausea, sharp pain in the abdomen, bloody discharge. A woman is usually referred to an ultrasound scan to reduce the risk of tubal rupture and to maintain fertility. Ovum, increasing in size, breaks the walls of the fallopian tube, which is accompanied by unbearable pain and internal bleeding. As a rule, it occurs on the fifth-seventh week of pregnancy. In this case, surgical intervention is required.
The threat of termination of pregnancy.Lower abdominal pain in a pregnant woman can also occur when a threatened abortion occurs. Cramping pain gives the lower back and is long and aching in nature. In addition, as a rule, this pain is combined with secretions from the genitals that have a different consistency and color (from brown to bright red). A woman with such pain is immediately sent to the hospital, where they study hormones, determine the condition of the fetus, and also make tests for the presence of infections that can trigger a miscarriage. After the cause of the violation of the course of pregnancy is identified, the specialist prescribes an appropriate treatment.
If there are similar pains and associated symptoms, you should immediately call a doctor. Most likely, in order to preserve the pregnancy, the woman will be determined for some time in the hospital.
Premature detachment of the placenta.Premature detachment of the placenta from the uterine wall can also cause sharp pains in the lower abdomen. This phenomenon can be caused by several causes: toxicosis of the second half of pregnancy, abdominal trauma, hypertension, physical overload and
Surgical diseases.Surgical diseases in a woman in the period of carrying a child can also cause pain. Often acute stabbing pain is a sign of acute appendicitis. If in the right upper quadrant of a pregnant woman there are cramping stitching pains, there is a possibility that this is inflammation of the gallbladder or cholecystitis. In the period of childbearing, inflammation of the pancreas or pancreatitis may also occur, which is also manifested by severe pain in the upper abdomen. Women in the position often appear pains of a pulling nature, which become intensely pricking in nature as the bladder is filled. In this unbearable pain appear at the time of urination. Similar symptoms indicate cystitis or inflammation of the bladder. Quite often, these symptoms are signs of the presence of infectious diseases that are sexually transmitted.
Stitching pains can occur with hypertonia of the uterus. With a slight nature of the pain enough to lie down in a calm state for an hour. With intense pain, accompanied by vaginal discharge, you should immediately seek medical help.
Stitching pains can be observed during pregnancy and in the intestine due to reduced motility of the gastrointestinal tract. This leads to stagnation of feces, flatulence, constipation, resulting in pain.
While waiting for the baby, some women have stitching pains in the tailbone. At the same time, they may have a localized character, they may give up in the thigh, lower abdomen, and also in the perineum. Many reasons can cause them: these are psychoemotional stresses, and hormonal changes, and even the threat of termination of pregnancy.
It is necessary to tell separately about the pathological phenomenon – isthmic-cervical insufficiency. A similar pathology occurs against the background of injury to the isthmus and cervix due to abortion, childbirth (large fetus), and the use of obstetric forceps. Because of this, the cervix is unable to hold the gestational egg, which descends. This process is accompanied by severe stitching pains in the vagina. This can provoke a miscarriage. As a rule, it occurs on the sixteenth week of pregnancy.
Hiatal hernia.A hiatus hernia or hiatus hernia can also be a source of pain. With this anatomical anomaly, part of the stomach enters the chest cavity through a natural or pathological opening in the diaphragm. A similar phenomenon is observed quite often in people who have problems with weight. In addition, hiatal hernia may occur due to frequent coughing, smoking, and stress. The main symptoms of this anomaly are: acid reflux (the liquid contents of the stomach are thrown into the esophagus), chest pain and in the upper part of the stomach.
Exercise, split meals, avoiding alcohol, caffeine and chocolate can help reduce the symptoms of this anomaly. In particularly difficult cases of this disease, urgent surgical intervention is required.
A pregnant woman is responsible for the life inside her, so she must be very careful and trembling about her body. Therefore, at the first signs of discomfort or the appearance of pain, a woman should call a doctor who will determine the cause of the pain and, if necessary, prescribe treatment.