What to do about abdominal pain in pregnant women. What causes stomach pain during pregnancy?

during pregnancy - a very common complaint. Every person experiences certain unpleasant sensations in the abdominal area more than once throughout their life. But during pregnancy, when the stomach is the object of close attention and constant care, any trouble in this area is perceived with particular concern.

Stitching pain in the lower abdomen can be a symptom of a variety of diseases, and for correct diagnosis it is necessary to clarify its characteristics. The pain can be acute, occurring suddenly, or constant, chronic. There is a distinction between cramping pain, when attacks of pain either increase or decrease, and constant pain. The nature of the pain is stabbing, cutting, aching, pressing, etc. The localization (location) of abdominal pain is very important. Pain in the upper abdomen is characteristic of diseases of the biliary system, stomach, duodenum, pancreas, and may be associated with heart or lung disease.

Pain in the navel area most often indicates a disease of the small intestine.

: pregnancy is at risk!

In some cases sharp pain in the abdomen is a symptom of serious diseases that require seeking qualified medical help. Often, pain in the lower abdomen during pregnancy is a symptom of a threatened miscarriage. At the initial stage preceding a miscarriage, pregnant woman may be bothered by nagging pain in the lower abdomen, similar in nature to pain during menstruation. Usually these pains are localized in the center, just above the womb, and are often accompanied by pain in the sacral area, mucous discharge from the genital tract, and frequent urination. Often such manifestations are provoked by physical or emotional stress and can stop on their own at rest.

If the necessary measures have not been taken at this stage, spontaneous abortion may occur. Wherein sharp pain in the lower abdomen may change in nature and become cramp-like, recurring with a certain frequency. In the second half of pregnancy, pain is accompanied by tension in the uterus, the abdomen becomes hard and “petrified.” In the future, bloody discharge may occur. Such symptoms require immediate medical attention.

For diagnostics stabbing pain in the lower abdomen Ultrasound is used, during which it is possible to detect increased tone of the uterus, detachment of the ovum, placenta, which confirms the diagnosis. In addition, during ultrasound it is possible to determine the conditions of the fetus, which is decisive for the choice of treatment tactics. In the later stages, CTG (cardiotocography) is used for diagnosis, which makes it possible to determine both the condition of the fetus and the presence of cramping contractions of the uterus.

During pregnancy prerequisites are created for the development of diseases of the abdominal organs, which also manifest themselves as abdominal pain. Firstly, hormonal changes in a pregnant woman’s body cause a decrease in peristalsis (motor activity) of the intestines, gall bladder, bile ducts and pancreatic ducts, and stagnation of the contents of these organs, in turn, promotes the growth of pathogenic bacteria. In addition, during pregnancy there is a decrease in immune defense and a change in blood circulation in the small vessels of internal organs. All this contributes to the development of the inflammatory process in the digestive tract.

Pregnant women also have some characteristic features. Due to the growth of the uterus and relaxation of the muscles of the anterior abdominal wall, internal organs are displaced, so the localization of pain may change compared to the typical manifestations of this disease.

Secondly, due to the displacement of the internal organs, the greater omentum, designed to limit the inflammatory process in the abdominal cavity, is pushed aside by the uterus and has poor contact with the internal organs. Due to this, the resulting inflammatory process can quickly spread to nearby organs and the peritoneum with the development of peritonitis - inflammation of the peritoneum (a thin film covering all organs and walls of the abdominal cavity), which is especially significant in the third trimester. Therefore, during pregnancy, timely seeking medical help becomes especially important.

Acute appendicitis. The most common pathology requiring emergency surgery during pregnancy is acute appendicitis. Most often, this disease occurs in the second trimester.

The disease begins suddenly sharp pain in the abdomen, which acquires a constant aching character and then moves to where the appendix (vermiform appendix) is currently located. Outside of pregnancy, it is located in the lower right third of the abdomen, but with increasing pregnancy it moves higher. The pain may be accompanied by nausea and vomiting. In some cases, body temperature may increase. Characteristically, the pain intensifies when lying on the right side, due to the pressure of the pregnant uterus on the inflamed area. With a significant deterioration in the general condition, increased heart rate, the appearance of shortness of breath, an increase in body temperature, and bloating, the development of peritonitis can be assumed.

Cholecystitis. In second place among surgical pathologies during pregnancy Cholecystitis is an inflammation of the gallbladder. Cholecystitis usually manifests itself as pain and a feeling of heaviness in the right hypochondrium. The pain can be dull, aching (with chronic cholecystitis) or sharp, cramping (with acute cholecystitis). The pain may be accompanied by a feeling of bitterness in the mouth, nausea, vomiting, belching, heartburn, and bloating. The occurrence of an attack is usually provoked by errors in the diet - eating fatty, fried foods - or, especially in the presence of gallstones, shaking while driving. During pregnancy Pain may appear or intensify during fetal movement.

Pancreatitis. This disease is an inflammation of the pancreas. Its development is favored by impaired bile outflow, non-compliance with diet, in particular, rich meat and fatty foods, alcohol consumption, hereditary predisposition, and stress. Acute pancreatitis manifests itself sharp pain in the abdomen in particular, acute pain in the upper abdomen (episgastric region, right or left hypochondrium), often of a girdling nature. Vomiting, stool disturbances, and decreased blood pressure are often observed.

To clarify the diagnosis, a medical examination, ultrasound of the abdominal organs, blood and urine tests are performed. If necessary, additional examinations may be carried out depending on the symptoms of the disease. In the vast majority of cases, acute appendicitis and cholecystitis are treated surgically. The operation can be performed at any stage of pregnancy. It is possible to use a gentle laparoscopic surgical technique, when instruments are inserted into the abdominal cavity through small punctures and the necessary manipulations are performed.

If there are stones in the gall bladder and a chronic inflammatory process, treatment is carried out in it aimed at preventing exacerbations of the process, and the operation is performed after delivery. Treatment of chronic inflammatory process of the abdominal organs during pregnancy is usually carried out conservatively, preferably in an inpatient setting. In addition to treatment, it is necessary to follow a diet prescribed by a doctor taking into account the disease.


Food toxicoinfections. Often sharp pain in the abdomen are caused by food poisoning, commonly referred to as “poisoning.” The cause of this disease is microorganisms that enter the gastrointestinal tract with water, food or through dirty hands. Manifestations of the disease are quite typical. Pain appears in the abdominal area, mainly in the navel area, pulling or cramping, often accompanied by frequent loose stools, nausea, and sometimes vomiting. An increase in body temperature is possible.

Diagnosis of the disease is carried out on the basis of a doctor’s examination, ultrasound data; in some cases, examination of feces and vomit may be required to clarify the cause of the disease. If the general condition does not suffer significantly, there are no signs of dehydration - such as severe weakness, pallor, cold sweat, decreased blood pressure and increased heart rate - treatment can be carried out without hospitalization.

The main therapeutic measures are diet, replenishment of normal fluid volume and removal of toxins from the gastrointestinal tract. At home, it is recommended to drink plenty of fluids: regular drinking water, mineral water at room temperature without gas, strong tea; in some cases, a doctor may prescribe medicinal teas that have an astringent effect.

In the acute period of the disease, with sharp pain in the abdomen A gentle diet is recommended: boiled, pureed food that does not irritate the mucous membrane of the stomach and intestines. Fatty, fried, smoked, salty foods rich in fiber are excluded (vegetables and fruits in any form; after the symptoms disappear, boiled and baked fruits and vegetables are allowed), black bread , bran. We recommend boiled porridges and slimy soups made from rice, oatmeal, millet, well-cooked pasta, dried white bread, fermented milk products (kefir, cottage cheese), boiled lean minced meat and fish. As the condition improves, the diet becomes less strict.

Cystitis. Another reason sharp pain in the lower abdomen During pregnancy, there may be cystitis - inflammation of the bladder. Cystitis, especially chronic cystitis, is characterized by nagging pain and a feeling of heaviness over the pubis, which intensifies when the bladder is full and reaches its greatest intensity at the end of urination. Acute cutting pain is combined with frequent urination, urine excretion in small portions, and blood may appear at the end of urination. Diagnosis of the disease is carried out on the basis of complaints, data from a doctor’s examination and tests.

So the reason sharp pain in the abdomen There can be a variety of diseases, so if such symptoms occur, you should consult a doctor. Only a doctor can correctly assess all your symptoms. If you experience pain that you have never had to deal with before, it is better to call an ambulance team. Additional tests and specialist consultations may be required to establish a final diagnosis.


: treatment during pregnancy

Whenever sharp pain in the abdomen Before consulting a doctor, it is allowed to use antispasmodics - drugs that relax the smooth muscles of internal organs. It is possible to use NO-SHPA in tablets or CANDLES WITH PAPAVERINE. At the same time, it is recommended to relax and rest. If the pain does not stop within an hour, you can repeat taking the drug. But if the pain increases or is not relieved for a long time by taking antispasmodics, or other symptoms are added to it, you should immediately consult a doctor. It is not recommended to self-medicate, use painkillers and anti-inflammatory drugs; these medications change the clinical manifestations of the disease, mask it, creating the appearance of improvement. In addition, when you consult a doctor, some characteristic symptoms of the disease may be absent due to the use of painkillers. And even more so, you should not take antibacterial drugs on your own: many of them can harm your baby, and in addition, they will change the manifestations of the disease and distort the picture of laboratory tests.

Pregnancy: abdominal pain

The most common cause of pulling pain in the lower abdomen V I trimester of pregnancy are physiological changes that occur in the body of a pregnant woman. Under the influence of pregnancy hormones, the tissues that form the supporting apparatus of the uterus soften, as well as their stretching and displacement due to the growth of the uterus. Some women do not notice this, in others all these processes make themselves felt by minor nagging pain in the lower abdomen, tingling, which are usually localized on both sides of the midline. These pains are never cramping and do not recur with clear frequency. They are usually not associated with physical activity or stress. It has been noticed that often similar stomach ache concern women who had painful menstruation before pregnancy.

In the second half of pregnancy, pulling pain in the lower abdomen are caused by stretching of the abdominal muscles, displacement of internal organs, especially the intestines, caused by a significant increase in the size of the uterus. In addition, intestinal motility is reduced under the influence of pregnancy hormones, and food moves through the intestines more slowly. In this regard, overstretching of certain sections of the intestine is possible, which can also manifest itself as pulling or stabbing pain in the left lower abdomen. The above phenomena do not require emergency medical intervention. With the help of simple measures it is possible to reduce these unpleasant manifestations to a minimum.

It is recommended to eat right during pregnancy. Since the intestines work more slowly under the influence of hormones, it should not be overloaded. You need to eat 4-5 times a day in small portions. Long breaks between meals and overeating should not be allowed. Compression of the intestines by the enlarged uterus further complicates the movement of food masses, and distension of the intestines will inevitably lead to the appearance of abdominal pain. In addition, when food remains in the intestines for a long time, fermentation processes intensify and flatulence may develop, increasing discomfort in the abdominal area.

To improve peristalsis, you need to include foods containing fiber in your diet every day, primarily raw fruits and vegetables; you can use heat-treated fruits and vegetables. If any foods cause you increased gas (most often these include legumes, cabbage, onions, garlic, radishes, radishes, as well as apple and grape juices), you should refrain from consuming them. We also recommend prunes and dried apricots, which contain large amounts of organic acids and thereby facilitate intestinal motility.

It is advisable to limit the consumption of refined foods, fatty and sweet foods, fast food: these foods can negatively affect intestinal function.

It is necessary to drink enough liquid, because... its deficiency leads to dysfunction of the digestive tract and urinary system.

Along with the diet, physical activity is very important: swimming, therapeutic exercises aimed at strengthening the muscles of the abdomen, back, thighs and buttocks. Such exercises have a beneficial effect not only on the functioning of the intestines, but also on the condition of the entire body.

Every expectant mother, knowing about her situation, treats her body with caution so as not to accidentally harm her baby. Understanding the full responsibility of her position, at the first sign of possible danger she immediately begins to sound the alarm!

Abdominal pain during pregnancy is regarded by the expectant mother as a possible threat to the fetus. However, abdominal pain during pregnancy is not always a sign of a miscarriage or some kind of trouble.

If you experience stomach pain during pregnancy, there is no need to worry. First you need to determine what this pain is associated with.

Why does my stomach hurt a lot during pregnancy?

Most often, abdominal pain can be caused by poor diet. This can lead to spasms of the digestive system and result in aching pain in the lower abdomen.

It is also not uncommon for nagging pain in the lower abdomen during pregnancy to be caused by a sprain of the ligaments and muscles that support the uterus. As the uterus enlarges, pressure on the ligaments increases, so if you move sharply, sneeze or cough, you can feel the ligaments being stretched. So if you have pain in your lower abdomen during pregnancy, it's most likely a sprain, which is not particularly dangerous, just be careful in the future.

If you have pain in your upper abdomen during pregnancy, this could also be due to an enlarged uterus. An enlarged uterus can press against chest organs such as the liver and gallbladder. As a result, the process of bile secretion may be disrupted, which may be accompanied by pain in the upper abdomen during pregnancy.

Does your stomach hurt during pregnancy?

An absolutely healthy pregnant woman may also experience abdominal pain. It often happens that women have abdominal pain on the right side during pregnancy. This is often due to the location of the fetus in the uterus. The pain may increase with fetal movements, and be accompanied by a lack of appetite and a feeling of heaviness. Pressure in this area of ​​the abdomen can also lead to heartburn, a bitter taste in the mouth, and bloating.

Abdominal pain during ectopic pregnancy

An ectopic pregnancy is the process of development of a fertilized egg not in the uterine cavity, but in the fallopian tube. An ectopic pregnancy can be easily determined using an ultrasound, as well as by its first signs: dizziness and sharp abdominal pain (provided that the pregnancy test is positive). The enlarging egg ruptures the tissue of the fallopian tube, causing pain and bleeding.

This usually happens in the fifth to seventh week of pregnancy. In this case, only surgical intervention can help.

Abdominal pain associated with miscarriage

If there is a threat of miscarriage, a prolonged aching pain in the abdomen is felt, radiating to the lower back. Typically, such pain is accompanied by bloody discharge from the genitals.

Women with a threat of miscarriage are immediately taken to the hospital, where hormonal levels, the condition of the fetus, and the presence of infections that can cause pregnancy disorder. After determining the cause of the pregnancy disorder, special treatment is prescribed.

Abdominal pain due to premature placental abruption during pregnancy

Sometimes abdominal pain during pregnancy can occur in case of premature placental abruption. The placenta separates from the wall of the uterus before the baby is born.

The cause of premature placental abruption can be abdominal trauma, physical stress, hypertension, toxicosis in the second half of pregnancy, etc.

With premature placental abruption, blood vessels rupture, accompanied by severe pain in the abdominal area and bleeding into the uterine cavity. If such symptoms appear, it is necessary to call an ambulance, because the way out of this situation is a quick delivery and stopping the bleeding in the expectant mother.

Abdominal pain during pregnancy due to digestive organs

The increasing size of the uterus can put pressure on the digestive organs that are in close proximity to it, which can lead to unpleasant sensations.

Also, with changes in hormonal levels, a woman’s food preferences may change, as a result of which a pregnant woman may consume foods that can cause various metabolic disorders. For example, frequent consumption of spicy and sour foods can lead to irritation of the stomach walls; consumption of sweet foods can cause fermentation in the intestines and dysbiosis. Dysbacteriosis can also cause bloating during pregnancy. Switching to healthy foods can help solve this problem, but do not neglect to consult a doctor who will prescribe special medications.

Abdominal pain during pregnancy due to muscle and ligament sprains

During pregnancy, the growing uterus can cause the ligaments that support it to stretch. The process of spraining the ligaments is accompanied by short-term sharp pain in the lower abdomen, which can intensify with heavy lifting, coughing, and sudden movements. Pain can also occur from overstraining the abdominal muscles.

During pregnancy, abdominal pain of this nature does not require special treatment; it is enough to rest for a while and allow the body to recover. Such pain poses more of a psychological danger than a physical one. The expectant mother may not know about the origin of the pain and become very worried about it, which can lead to stress or mental illness. And a pregnant woman does not need unnecessary worries.

Abdominal pain during pregnancy associated with surgical diseases

A pregnant woman, like any person, may have appendicitis, acute cholecystitis, etc. In this case, only surgery can help.

If you experience any pain in the abdomen, you should go to the gynecologist,

so that he can determine the cause of the pain, reassure the woman and, if necessary, refer her to the hospital for treatment in order to prevent possible complications.

Absolutely all women who are expecting a child periodically feel pain in the lower abdomen. They can appear both in the first trimester and throughout pregnancy.

If we talk about the first trimester, then the occurrence of severe abdominal pain indicates a rapidly growing uterus, which, due to its physiological size, begins to gradually displace internal organs (in particular, the abdominal organs). That is, when a woman complains of pain during pregnancy, this is referred pain from the uterus. Of course, diseases and exacerbations of the gastrointestinal tract cannot be completely excluded, because, according to medical statistics, these pathologies occur in pregnant women in 50% of clinical cases.

According to statistics provided by gynecologists, abdominal pain is common to every second woman.

Why does your stomach hurt during pregnancy?

Abdominal pain during pregnancy can indeed be triggered by completely different factors, pathologies and diseases. The most common factor, of course, is the physiologically growing uterus.

Due to the fact that the uterus grows with the growth of the fetus, this process affects the flow of food into the esophagus (reflux phenomenon).

Also, abdominal pain can be caused by:

  • Psycho-emotional stress, constant stress, depression;
  • When pregnant women, taking advantage of the situation, constantly overeat;
  • Working pregnant women who suffer from periodic hunger pangs. At a minimum, to avoid stomach pain, you should carry small snacks with you;
  • Heartburn;
  • Abnormal bowel movements, frequent constipation or, on the contrary, diarrhea;
  • in the first trimester of pregnancy.

Important! Despite the good news about pregnancy, a woman can expect worries, worries and stress in the first trimester. Therefore, abdominal pain can be a completely reasonable phenomenon. The main thing is not to give in to emotions and try to be in a calm, balanced state.

In the first trimester of pregnancy, a woman’s body is weakened, immunity is reduced, therefore, there is a high risk of the body being damaged by infections, bacteria, and fungal diseases.

Be prepared for the fact that during pregnancy there is an exacerbation of chronic diseases of the gastrointestinal tract, inflammation of the duodenum, gastritis, increased stomach acidity, liver diseases (inflammatory or infectious lesions of organs), pathologies of the pancreas, disorders of the gallbladder .

Allergies during pregnancy can also cause abdominal pain. During this important period for every woman, all the woman’s senses and her reaction to the environment are heightened. It is not surprising that even some favorite foods that a woman tolerated absolutely normally before pregnancy began to cause vomiting and nausea during this period.

Gastritis as a cause of abdominal pain during pregnancy

During pregnancy, exacerbation of gastritis may begin. Moreover, there are several main forms of gastritis:

  • Gastritis that occurs due to damage to the gastrointestinal tract by bacteria;
  • Gastritis caused by nervousness;
  • Fungal infection of the body and as a result of disruption of the gastrointestinal tract;
  • Education ;
  • Improper eating in pregnant women;
  • Pathological indigestion in the gastrointestinal tract;
  • Diarrhea and constipation;
  • Severe physical fatigue;
  • Abdominal muscle tension;
  • Infections;
  • Abdominal injury, blows to the abdomen.

Symptoms of infectious or bacterial damage to the body by infections are:

  • Severe pain in the abdominal area;
  • Vomit;
  • Nausea;
  • Severe cramps in the abdominal area;
  • Diarrhea.

Painful symptoms can persist for several days in a row and torment a pregnant woman. If you are absolutely sure that you have experienced food poisoning, then you should consult a doctor for advice in an emergency. To remove toxins from the body as quickly as possible without harming the child, drink a large amount of warm boiled water and take charcoal tablets.

Often, abdominal pain can be caused not by gastrointestinal diseases at all, but by inflammatory infectious processes in the form of sore throat, as well as damage to the upper respiratory tract. Again, you won’t be able to diagnose it yourself, so seek medical help. Remember that by being negligent about your health, you can harm not only yourself, but also your unborn child.

Severe stomach pain

Severe abdominal pain is mainly characterized by very strong tension in the abdominal area and lower abdomen. Often, such symptoms may remind a pregnant woman of the symptoms and signs of appendicitis, but this is not so.

If a pregnant woman has very severe abdominal pain, then the doctor should check whether there are any disturbances in the functioning of the genitourinary system, diseases of the pelvic organs, as well as the kidneys and ureter. It should not be ruled out that an infection could have penetrated into the organs of the genitourinary system, which resulted in pain in the abdominal area.

If you drank a small amount of milk and your stomach immediately began to hurt, then this indicates lactose intolerance. This means that your consumption of dairy products should be limited at this stage - your body reacts very poorly to them. By gradually eliminating certain foods from your diet, you will create the most optimal menu for yourself.

Symptoms of abdominal pain during pregnancy

Abdominal pain during pregnancy looks like this:

  • Pain is felt in the spaces between the ribs;
  • There is a feeling of increased discomfort;
  • A woman may confuse abdominal pain with intestinal pain;
  • Sometimes the pain can be very strong, like a dagger;
  • Vomit;
  • Nausea;
  • Diarrhea and constipation;
  • Flatulence;
  • The presence of blood in the stool;
  • Weakness in the body;
  • Bad feeling;
  • Depression.

During pain in the abdominal area, it is not recommended to take any independent action! Moreover, it is prohibited to take painkillers and other medications without appropriate consultation with a doctor and tests performed to establish a diagnosis.

Pregnancy is a special time in the life of every woman. Every day is filled with exciting moments that will be remembered for a lifetime. And any pain is perceived in panic because of the fear of losing the baby.

It is worth understanding in which cases abdominal pain is a signal of a serious disorder in the body, and in which cases it is a variant of the physiological norm.

Why does my stomach hurt during pregnancy?

Why a pregnant woman’s stomach hurts or feels tight, gynecologists explain as follows:

  1. Natural pain associated with changes in a woman’s body.
  2. Obstetric, resulting from placental abruption, ectopic or frozen pregnancy.
  3. Non-obstetric pain is pain due to diseases of the stomach or intestines.

In the first trimester

The first trimester is characterized by great changes and adaptation of the body to a new regime. The fertilized egg is perceived by the uterus as a foreign body, and it may try to push it out.

Characteristic signs of this phenomenon:

  • increased tone of the uterus, which is expressed by the hardness of the abdomen;
  • pain in the lower abdomen, in the navel area;
  • bloody issues.

The cause of painful manifestations at 1, 2, 3 months is a hormonal imbalance, expressed in increased levels of prolactin.

In the second trimester

The period of the second trimester is safer for a pregnant woman. The body has already rebuilt itself and become accustomed to the fetus. As the uterus grows, it puts pressure on the ligaments and muscles, thereby causing aching pain in the lower abdomen or on one side of the torso during sudden movements. This symptom in the second trimester usually occurs as a result of nervous stress or physical overload. Painful sensations also develop due to dysfunction of the stomach and intestines. Poor nutrition causes spasms of the digestive organs.

In the third trimester

The reasons why the stomach may hurt in the third semester of pregnancy are mainly related to the activity of the fetus. The already practically developed child moves, pushes off with his legs and arms, causing discomfort to the mother. But, as a rule, symptoms appear only when the baby moves. Prolonged and sharp pain indicates more serious pathologies - in particular, placental abruption, a very dangerous phenomenon for a woman’s condition.

If such signs appear, you should visit a gynecologist. Only a doctor can reassure a woman, or confirm her fears and prescribe treatment. In some cases, the woman is placed on preservation and prescribed complete bed rest.

Abdominal pain as a symptom of serious illnesses

While carrying a child, as at any other time, a woman is susceptible to diseases, the symptoms of which are pain in the upper, lower abdomen, above the navel, on the right or left.

Appendicitis

Inflammation of the appendix, which is what the appendix is ​​called, requires surgical intervention. It is difficult for a pregnant woman, especially in the later stages, to recognize this disease, since she experiences discomfort regularly. Therefore, it is very easy to confuse the signs of appendicitis with the characteristic sensations during pregnancy.

Oddly enough, pregnancy is a provoking factor for the development of appendicitis. The fact is that inflammation of the appendix occurs due to a disruption in its blood supply. The enlarged uterus puts pressure on the appendix, causing blood to flow into it slowly.

Signs of appendicitis during pregnancy:

  • sharp pain in the upper abdomen, gradually moving to the lower right side;
  • bloating;
  • vomiting, nausea, upset stomach;
  • temperature increase.

Symptoms manifest themselves in different ways and depend on the individual characteristics of the body: for some the symptoms are sharp, for others they are weak. Therefore, if you experience persistent pain symptoms, you should consult a doctor immediately. A specialist will quickly identify the disease using blood and urine tests or ultrasound.

Removal of the appendix can only be performed surgically. If it is cut out in the initial catarrhal period, the woman and child are not in danger. Destructive appendicitis is dangerous when the appendix is ​​filled with pus and bursts. Pus penetrates into the abdominal cavity, causing peritonitis, which is life-threatening for the woman and baby. Complete removal of pus is necessary.

Cystitis

Cystitis is a very common disease among pregnant women.

Inflammation of the bladder walls has two origins:

  1. Infectious cystitis. The disease is caused by pathogens in the form of chlamydia bacteria, Trichomonas vaginalis, streptococci, staphylococci, and E. coli.
  2. Non-infectious cystitis. It occurs as a result of a weakening of the body's defense system, hypothermia, and irritation of the mucous membrane of the bladder with medications.

Cystitis is often the first sign of pregnancy, and a girl learns about her condition at an appointment with a doctor, whom she consulted precisely because of this disease.

Symptoms of cystitis:

  • aching pain in the lower abdomen;
  • pain when urinating;
  • frequent urge to go to the toilet;
  • difficulty urinating;
  • blood in urine;
  • heat.

The danger of cystitis is that if it is not treated promptly, it can develop into pyelonephritis - inflammation of the kidneys.

Cystitis is treated with medications. Modern medicine allows the use of medications without harming the health of the mother and unborn child, however, after drug treatment it is necessary to undergo a course of rehabilitation therapy.

Cholecystitis

Inflammation of the gallbladder is caused by stagnation of bile and infections.

There are several reasons why this disease occurs:

  1. Metabolic disease;
  2. Poor nutrition and, as a result, disruption of the stomach and intestines;
  3. Infections that enter the gallbladder from the intestines.

Characteristic manifestations of cholecystitis:

  • bitterness in the mouth;
  • diarrhea;
  • nausea;
  • pain in the abdomen or right forecourt.

During pregnancy, due to the enlargement of the uterus, all the internal organs of a woman are somewhat displaced. Therefore, it can be difficult to understand exactly where it hurts.

The main treatment is medication and diet. You need to give up spicy, sweet, fatty, salty and smoked foods.

Chronic gastritis

Inflammation of the inner mucous membrane of the stomach is associated primarily with poor nutrition. Also among the causes of this disease are mechanical damage to the stomach, burns from hot food, poisoning, and the appearance of bacteria.

Main features:

  • the stomach hurts and feels heavy;
  • no appetite;
  • nausea and vomiting;
  • weakness and dizziness;
  • diarrhea;
  • the temperature rises (not always).

Often girls do not notice the symptoms of gastritis, mistaking them for toxicosis. Some people think that their toxicosis lasts throughout pregnancy. As a result, when future mothers fall ill, they cannot eat properly, which has a negative impact on the development of the child.

It is important to remember that toxicosis lasts on average up to 14-15 weeks, and its manifestation is most often observed in the morning. Most of the time, a woman should feel good and eat right.

If symptoms appear, you should consult a doctor who, using the necessary tests, will identify the disease and prescribe treatment.

Pancreatitis

Inflammation of the pancreas is one of the common diseases among pregnant women. The symptoms are the same as for other diseases of the gastrointestinal tract: pain symptoms - either on the left side or in the epigastrium, nausea, vomiting.

For pancreatitis, a prerequisite is a diet on the following conditions:

  1. During the first trimester, only steamed foods are allowed.
  2. The juice of fresh fruits, berries and vegetables has a negative effect on the pancreas, so even they need to be heat treated.
  3. Salty, sour, spicy, fried and smoked are strictly prohibited!
  4. You need to eat food every three to four hours in small quantities.

Monitoring the pregnancy of a woman with pancreatitis is performed by a gynecologist together with a gastroenterologist.

How to recognize an ectopic pregnancy and the threat of spontaneous abortion by the nature of the pain

An ectopic pregnancy will never lead to the birth of a child, because the egg is not implanted in the uterus, but in the fallopian tubes, appendages, and abdominal cavity. But at the same time, the condition is accompanied by all the signs of a normal pregnancy. The danger of an ectopic pregnancy is that as the egg grows, it can lead to rupture of the tubes or appendages. Therefore, it is important to diagnose pathology at an early stage.

It can be determined by the nature of the symptoms:

  • periodic cramps in the lower abdomen;
  • pain intensifies with movement, arises and subsides suddenly;
  • as a rule, painful sensations are concentrated in one place – the location of the egg;
  • there is bleeding - from spotting to heavy.

The threat of spontaneous abortion occurs for various reasons. It is important to recognize its symptoms in time in order to provide first aid before the ambulance arrives. In addition to bleeding, weakness and fever, the nature of the pain will tell you about a threatened abortion - it is pulling, moving to the lower back. Contractions may occur at intervals of 5 to 20 minutes. If these symptoms occur, seek medical help immediately.

What to do if your stomach hurts during pregnancy - doctor's recommendations

Gynecologists say that pain, similar in nature to symptoms before menstruation, occurs in every woman. Long-term symptoms are dangerous, with attacks of spasms, accompanied by bleeding, weakness, fever, and pressure surges.

In other cases, symptoms should not cause panic; if they appear, you need to lie down and relax or take a warm shower. A light massage of the lower back will help relieve symptoms.

Prevention of aching abdominal pain during pregnancy

There are many reasons why abdominal pain may occur. Competent prevention can prevent them.

Diet

Proper nutrition is the key to good health and full development of the baby. Food should be balanced, healthy and easily digestible. Vegetables and fruits, dairy products, nuts, boiled meat and fish are foods that will provide the right amount of fats, carbohydrates and proteins throughout the day.

Physical activity

During pregnancy, it is useful to walk a lot in the fresh air, do light gymnastics, fitness (special complexes for pregnant women), and swimming. Yoga will bring great benefits for physical and spiritual development.

However, excessive physical activity and heavy lifting are contraindicated. If a pregnant girl’s work involves physical activity, then by law she must be transferred to light labor.

Lack of stress and negative emotions

Expectant mothers should try to avoid situations that will bring negative emotions. There is no need to watch news or heavy films; it is better to give preference to light romantic comedies or reading books. Visiting exhibitions, museums, and communicating with interesting people will have a beneficial effect on a woman’s emotional state. You need to devote more time to your family - loved ones are the most powerful support in such an important period of life.

Some more useful information in this video:

Conclusion

The pregnancy period in the life of every woman should be associated with positive emotions. Even if you have pain in the lower abdomen, you don’t need to immediately panic. Modern medicine is developed enough to ensure the bearing of a healthy baby, which is why timely consultation with a doctor is so important.

We have compiled a “hit parade” of typical pains that women often experience during pregnancy, and about which there is no need to panic.

During pregnancy, our body goes through many changes to ensure the normal development of the fetus and preparation for childbirth (see our). And these changes can bring various painful sensations, many of which are normal. But how do you know if this pain is normal during pregnancy or if you should be concerned?

Abdominal cramps during pregnancy

As the size of the uterus increases, cramping during pregnancy is normal. Other causes of cramping include gas and constipation.

If the cramping pain is stronger than what you experienced during your period, also accompanied by bleeding and lower back pain, then consult your doctor immediately. Also consult a specialist if you experience severe pain on one side.

Headache during pregnancy

Pain and pinched sciatic nerve during pregnancy

Sciatic nerve pain may be accompanied by numbness, tingling or unpleasant, painful sensations radiating to the legs from the lumbar region. As the uterus enlarges, pressure on the sciatic nerve, which runs from the lower back along the thighs, increases. Plus, the nerve is affected by the child and relaxed pelvic joints.

Bending over, lifting heavy objects, or walking can make the pain worse. Often, sciatic nerve pain and pinching during pregnancy is not a cause for concern, but tell your doctor, especially if the pain becomes constant or you have trouble moving.

Cramps during pregnancy

Leg cramps during pregnancy often occur in women during pregnancy and especially at night. Cramps during pregnancy may be accompanied by nervous, racing sensations.

This is due to the extra weight that pregnancy brings, the pressure that the baby puts on the vessels and nerves running in the legs, and changes in blood circulation during pregnancy.

Round ligament pain

This occurs when the uterus begins to enlarge and the round ligaments stretch accordingly. This can cause sharp pain in the abdomen, side, or groin when you move around at night or stand up. But there is no reason to worry unless the pain lasts longer than a couple of minutes.

Braxton Hicks contractions

Braxton Hicks contractions are false contractions that can occur during... They help your body prepare for real labor, and you may experience a pulling sensation in your lower abdomen.

Unlike real contractions, (false contractions) do not follow any patterns and can differ in duration and strength. They bring discomfort rather than pain. If you experience severe pain or count more than six false contractions per hour, this may be a signal of premature labor, so it is better to see a doctor to understand the nature of the contractions.

Pains that shouldn't be ignored

You should not ignore sharp stabbing pain that lasts longer than a couple of minutes, burning and pain when urinating, pain in the shoulder, pain in the upper right quadrant of the abdomen, under the right ribs. If you have at least one of these symptoms, consult your doctor.

Based on materials from www.americanpregnancy.org

If you are worried about headaches during pregnancy, back pain during pregnancy, false contractions or cramps during pregnancy, you can discuss it with experienced mothers on our forum.

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