Stomach ache during pregnancy: when to be alarmed. Can the stomach pull and hurt after conception Does the stomach hurt during pregnancy in the early

Drawing pains in the lower abdomen is a common occurrence that often accompanies the expectant mother. In no case should you ignore pulling pains, especially in the first trimester, it is better to seek help from a specialist. However, there are times when pain should not cause concern. So in what cases, pulling pains are a clear sign of a threat? We will understand in this article.

Why do pulling pains occur in the early stages

Practice shows that a variety of signs can indicate the onset of conception. This applies to such phenomena as breast swelling, nausea, vomiting, dizziness, headaches, increased sensitivity to odors, and even pulling pains in the lower abdomen. It often happens that in the early stages the lower abdomen pulls as before menstruation. At the same time, many mothers assume that menstruation will soon begin and do not pay attention to this symptom.

For many women, discomfort in the lower abdomen goes almost unnoticed, so they do not panic and lead a normal life. It also happens that the pain is quite intense and it is simply impossible not to notice it. If a girl has already taken a pregnancy test, such an unpleasant symptom makes her wonder if everything is in order with the baby.

The nature of pain in the lower abdomen is individual for each woman. For some, the pulling pains are so minor that they do not feel much discomfort and see no reason for concern.

For others, the stomach in the early stages of pregnancy hurts and pulls quite noticeably, which makes you think about the presence of problems with bearing a baby.

In any case, experts recognize such sensations in the initial period as the norm, which is explained by changes in the hormonal background. The body of a pregnant woman is adjusted to bear a child, so the restructuring captures all systems.

When pulling pains do not cause concern for pregnancy?

Among the safe reasons, causing painful pulling sensations, the following are distinguished:

As a result of contraction and growth of the uterine muscles. Ligaments and muscles adapt to an interesting position, hence there is a feeling of heaviness and pulling pain. Certain exercises, postures and relaxation will help solve the problem.
The pulling pain that occurs after conception may be one of the first symptoms of pregnancy. Even before the delay, there are sensations similar to the pains accompanying menstruation;
Drawing pains can also appear due to a rush of blood in the uterus, as blood circulation begins to increase in it.
Intestinal disorder. The hormone progesterone helps to relax not only the muscles of the uterus, but also other smooth muscle organs, including the intestines, food does not have time to be digested in time, which creates stagnation, leading to pulling pains and flatulence, colic, bloating, constipation, etc.

Such pains are called physiological, they do not cause concern for pregnancy if: during pregnancy, the stomach pulls temporarily, and not permanently (if you rest, the pain will stop); the pain has a pulling character, there are no sharp and cramping pains; in addition to a pulling sensation, there is no bleeding; after taking no-shpa, or using suppositories with papaverine, the intensity of pain disappears; pain can be easily tolerated, there is no increase in pain; there is no sharp decrease in blood pressure, increased heart rate and urge to vomit.

However, if even such pulling pains cause you fear and anxiety, you can contact a specialist.

Drawing pains that can threaten the course of pregnancy

The following symptoms should be paid special attention, since we will consider further pathological pains that often threaten pregnancy:

Drawing pains in the lower abdomen, which are accompanied by pain in the lumbar region during physical exertion;
Along with this, there are cramping pains in the abdomen and discomfort, which may be accompanied by spotting, which may indicate a miscarriage that has already begun;
There is weakness, general malaise and dizziness;
Sometimes constantly pulling pains occur due to hypertonicity of the uterus. In no case should they be ignored, as they can also cause a miscarriage. With proper treatment, most similar situations have a favorable outcome;
Pulls the lower abdomen, there is pain and pressure in the anus, or difficulty urinating.

With these additional symptoms, medical attention should be sought immediately. Most likely, this will be followed by hospitalization and a course of preservation therapy.

In no case do not refuse hospitalization! After all, the doctor should regularly monitor you, the condition of the child.

Spontaneous miscarriage

We must not forget that in some cases, pain may indicate a spontaneous miscarriage. Depending on the stage of the process, doctors distinguish three types. Threatened miscarriage - the process has not yet begun, but there is a high risk. The woman feels heaviness in the lower abdomen, in the lumbar region and sacrum there are slight pulling pain sensations. With the onset of a miscarriage, the pain intensifies - the stomach hurts unbearably - and spotting joins them. With a miscarriage, these symptoms intensify even more.

But in these stages, the process is reversible if the woman receives qualified assistance in a timely manner. But if there was a complete miscarriage, the doctors are already powerless, since there is a complete or partial expulsion of the fetus from the uterine cavity. The pain in such a situation is very strong, and bleeding may also begin. Then the stomach abruptly stops hurting, but this is not a reason to relax. In most cases, the doctor decides to curettage the uterine cavity in order to prevent the development of an inflammatory process or infection.

Ectopic pregnancy

Also, at an early stage of bearing a child, pulling pain appears due to the fact that in some cases the embryo is fixed in the wrong place (in the uterine tube) - this phenomenon is called ectopic pregnancy. Because only one of the pipes is affected in this situation, it will pull in it - to the right or to the left.

An ectopic pregnancy is a serious and dangerous pathology, fraught with complications and recurrence, entailing the loss of childbearing function and even a threat to a woman's life. The first symptoms of an ectopic pregnancy coincide with uterine pregnancy: delay in menstruation, the appearance of general weakness, drowsiness, mammary glands swell. Pathological implantation does not manifest itself in the beginning. A woman can also experience toxicosis, nausea, vomiting and dizziness. Later, bleeding from the genitals may appear.

An interrupted tubal pregnancy is accompanied by symptoms: sharp pain in the lower abdomen, radiating to the anus, legs and lower back; after the onset of pain, bleeding or brown spotting from the genitals is noted; there is a decrease in blood pressure; weakness; frequent pulse; loss of consciousness. It is difficult to diagnose an ectopic pregnancy in the early stages, but it is important to determine the presence of an ectopic pregnancy, perform surgery, and eliminate bleeding.

Modern diagnostic methods allow using ultrasound equipment and tests to determine the level of progesterone to establish the presence of an ectopic pregnancy. All medical efforts are directed toprotection of the fallopian tube.

In order to avoid serious consequences of an ectopic pregnancy, it is necessary to see a doctor at the first suspicion of pregnancy.

Drawing pain during pregnancy, not related to pregnancy

Sometimes the reasons explaining why the lower abdomen is pulled during a normal pregnancy are not related to gynecology, but at the same time they require no less careful attention, since they are also dangerous for the health of the mother and child. Let's consider the main ones:

Problems of the digestive tract - during the bearing of the baby, frequent constipation, chronic dysbacteriosis, flatulence, loose stools and other intestinal disorders may occur. With these complaints, you need to consult a doctor who will help not only adjust the diet, but also, if necessary, choose safe drugs to normalize digestion.
Inflammation of appendicitis or an acute condition of pancreatitis. Vomiting and nausea may be present along with it. If the doctor confirms such a diagnosis, then the pregnant woman is operated on, and no harm is done to the health of the mother and child.
Violations in the work of the genitourinary system - diseases of the kidneys, bladder. You may experience painful and frequent urination caused by cystitis. Inflammatory damage to the bladder can cause intrauterine infection of the fetus and premature onset of labor. To avoid these problems, you need to contact a urologist. Learn more about cystitis during pregnancy
Infectious and inflammatory processes in the ovaries, urethra, vagina and uterus.

If there is a suspicion of the presence of one or more of these pathologies, the expectant mother should seek the help of specialists, self-medication in this case can only worsen the condition.

Some rules to avoid pulling pain during pregnancy

You don't need to stress too much. Work must be alternated with rest. Also, do not do work that requires a long time to raise your hands, as this may affect the condition of the pregnant woman.

If any pain occurs, then you should lie down, relax and raise your legs on the pillow.

If the pain still appears, you need to lie down, relax, calm down and raise your legs up. Book an appointment with your doctor. If the pain is severe and you cannot reach the hospital on your own, then call an ambulance.

To summarize what has been written, paying attention to the symptoms in which medical assistance is indispensable:

- the pains that have arisen in the lower abdomen are not muffled and dull, but sharp and intensifying, not passing after taking a horizontal position;
- cramping pains of any intensity appeared;
- there is prolonged nausea and vomiting, gastrointestinal upset and lack of appetite;
- the appearance of any bleeding;
- after taking no-shpa or using suppositories with papaverine, sensations do not change intensity or do not disappear at all;
- blood pressure dropped sharply, heart rate increased and urge to vomit appeared;
- pulls the lower abdomen, pain in the anus, or difficulty urinating;
- pain is felt in a certain area on the right or left. To dispel fears and anxieties, it is better in this case to do an ultrasound.

Any discomfort that the expectant mother experiences causes fear and anxiety in her, and in fact, as you know, it is extremely undesirable to worry in this position. Therefore, with the appearance of a pulling pain in the lower abdomen in the early stages of pregnancy, it is worth visiting a gynecologist to identify the cause of such a painful condition.

Pathological causes of pain in the early stages

It often happens that in the early stages of pregnancy, pain occurs on the right or left, radiates to the lower back, and spreads to the entire abdominal region. If at the same time the discomfort is rather continuous and does not go away within a few minutes, the expectant mother should be wary. Conditions in which the pain is constantly increasing are considered especially dangerous. Even if the pain stopped, but then the discomfort returned again, you should immediately go to the hospital. Every minute of delay can negatively affect the health of the mother and the life of the baby.

This is a fairly common occurrence that occurs at various stages of pregnancy. In this case, the fetal egg, in which the embryo is located, departs from the wall of the reproductive organ. With timely treatment to the hospital, it is possible to save the life of the baby.

But at the same time, a condition may arise in which the threat of miscarriage and premature birth will persist throughout the entire period. A woman may need hospitalization and constant medical supervision.

Diseases of the genitourinary system

Sexually transmitted infections and other infectious pathologies are another reason that can provoke pulling pain in the lower abdomen in the early stages. To exclude such a condition, pregnancy planning is recommended, early registration of the expectant mother. If the infection is detected in a timely manner, there are more chances for its successful cure and the prevention of dangerous consequences for the woman and child.

Non-developing pregnancy

According to medical statistics, fetal fading in the early stages is a fairly common phenomenon that can provoke discomfort and pulling sensations in the lower abdomen. In this case, the fetus stops its development at a certain time.

The causes of non-developing pregnancy are very diverse. These can be chromosomal pathologies, viral and bacterial infections, bad habits of parents, and much more.

You might be interested: What to do if you get pregnant at 10

ovarian corpus luteum cyst

During the onset of pregnancy in the female body, a cyst of the corpus luteum of the ovary can form. This temporary organ is formed at the site of the bursting follicle. It is temporarily responsible for the synthesis of the hormone progesterone until the placenta is formed. Sometimes, with the uncharacteristic development of this temporary organ, a woman may experience uncomfortable pulling sensations. This condition, as a rule, does not pose a danger to the life of the fetus. As soon as the placenta is formed, these unpleasant sensations should stop.

If, for example, it slightly pulls and colitises the left side, this may indicate that the cyst is located in the left ovary and vice versa.

Ectopic pregnancy

A fairly common and dangerous phenomenon is the so-called ectopic pregnancy. In this case, the fetal egg is not fixed in the uterus, but in another area, for example, in the fallopian tube. This can happen due to various reasons. Often, the pathological attachment of a fertilized egg is provoked by adhesive processes. A characteristic feature for such a pathology is the increase in pain every day, as the embryo grows.

If this dangerous condition is not diagnosed in a timely manner, a rupture of the fallopian tube may occur, which often even causes the death of the patient.

Cystitis

If a pregnant woman has pain and aches in the lower abdomen, cramps and frequent urination are observed, this may well indicate a condition such as inflammation of the bladder. This disease occurs in girls against the background of damage to the urinary system by various pathogenic microorganisms due to the structural features of the female genitourinary system. During the bearing of the baby, the immunity of the expectant mother is weakened, so cystitis during this period is a fairly common phenomenon. It is necessary to treat this pathology under strict medical supervision, which will help not to harm mom and baby.

When to See a Doctor

pains in the lower abdomen are not muffled and dull, but sharp and intensifying, not passing after taking a horizontal position;
cramping pains of any intensity;
nausea and vomiting, gastrointestinal disorders, lack of appetite;
any spotting;
localization of pain in any part of the abdomen, aggravated by pressure.

Gynecologists advise pregnant women to seek advice at the slightest ailment, even if the alarm turns out to be false. In the case of pathology, timely measures taken often help to save the pregnancy.

In the first weeks of pregnancy, the expectant mother may experience new, unusual sensations. Changes in the body often lead to discomfort in the lower abdomen and in the lumbar region.

In a healthy woman who was preparing to conceive, pain in the lower abdomen is usually physiological in nature and is not dangerous. If they are sharp, cramping and painful, you should contact an obstetrician-gynecologist. Possible pathological processes that need to be identified and stopped in time.

Why does the expectant mother experience pain in the lower abdomen in the early stages? What are they and how do they manifest themselves? When should you sound the alarm?

Physiological causes of pain in the lower abdomen in early pregnancy

Physiological pains are considered a variant of the norm, since they are provoked by natural changes in the body. Unpleasant sensations do not cause much concern, they are normally tolerated by a woman.

Discomfort can be felt already a week after conception. This occurs at the time of implantation of a fertilized egg in the uterine cavity. After attaching the fetal egg on the linen, you can see a few drops of blood. This is implantation bleeding that occurs as a result of injury to blood vessels or the lining of the uterus. The pain caused by implantation is often confused with premenstrual pain. A woman may not know that she is pregnant and wait for a new cycle to begin.

Other types of physiological pain in the lower abdomen that occur in the first trimester:

Changes taking place in the uterus. From the beginning of pregnancy, blood rushes to the genital organ, it begins to gradually increase. As a result of stretching and softening of the ligaments, the uterus is slightly displaced relative to other organs.
Hormonal reorganization. Often provokes flatulence, increased gas formation. Eating habits change, which can lead to constipation or indigestion. As a result, a woman may feel periodic cramps, gurgling in her stomach. Correct the situation with moderate physical activity and correction of the diet.
Painful sensations on the days when menstruation should go. They are observed without discharge in women who have experienced pain during menstruation (see also: why do women experience pain during menstruation during pregnancy?). To facilitate them will help change the position of the body and good rest.

In the first trimester of gestation, you should not worry if the pain is of this nature:

Pulling, rare, not intense. May occur on the right or left, cover the entire abdomen. This is evidence of stretching of the ligaments that hold the reproductive organ.
Sharp spasms that are intermittent. This is the result of hormonal changes.
Weak in intensity pain caused by egg implantation. Where they are observed, it is fixed. Similarly, the stomach hurts once at the beginning of pregnancy. 2-3 days after he stopped bothering, you can perform a pregnancy test.

Pathological causes

It happens that pain in the lower abdomen in early pregnancy can pose a threat to the embryo. When there are piercing, svatkoobrazny pain, bleeding, you should call an ambulance.

Obstetric pathologies that provoke pain in the lower abdomen for a short time:

Frozen pregnancy. An embryo can stop developing for various reasons: genetic abnormalities, chronic diseases, infections in the mother's body. In this case, the doctor fixes the absence of a heartbeat by ultrasound, a drop in the concentration of hCG in the blood. A woman abruptly stops toxicosis. In this case, there may be pulling pains in the abdomen. In order to avoid inflammatory processes, diagnostic curettage is carried out, the results of which determine the cause of the death of the embryo.
Ectopic implantation of the ovum. At the same time, in the early stages, severe cramping pains in the abdomen can be observed, which are the result of the expansion of the fallopian tube, where the embryo is fixed and grows. The hCG indicator in the blood test is much lower than normal, in addition, during an ultrasound scan, a fetal egg was not seen in the uterus. Surgical treatment should be performed as early as possible to prevent tubal rupture and complications (peritonitis). It is important to identify and eliminate the cause of ectopic implantation, to perform competent treatment to prevent the recurrence of the pathology.

Tubal abortion. This is a spontaneous termination of an ectopic pregnancy with the expulsion of the fetal egg into the uterine or peritoneal cavity. In this case, its death or attachment to one of the organs of the peritoneum is observed. A woman is worried about pain in the lower abdomen, spotting, frequent heartbeat. The pains are cramping in nature. During each attack, clouding of consciousness occurs, a painful shock is possible. Urgent surgical care is needed.
Yellow cyst. The functions of this temporary endocrine gland are the production of progesterone in the first months of gestation (at week 16, the placenta takes over this role). The cyst can grow to an abnormal size (6 cm) and does not need treatment, and resolves on its own over time. However, there may be a rupture or torsion of the leg, which causes pain and requires medical attention.
Spontaneous miscarriage. In the early stages, detachment of the fetal egg is possible. As a result, bloody discharge with clots, spasms and pain in the peritoneal region are observed. They last several days, which prompts you to seek help from an obstetrician.

Non-gynecological causes

Pain caused by non-gynecological causes can be pulling, sharp, penetrating, sharp. At the same time, it hurts in the right and left sides, lower back, in the lower abdomen, in the area of \u200b\u200bthe genital organ (see also: why does the left side hurt during pregnancy?). The pain itself is not accompanied by spotting. An increase in temperature, pressure, pre-syncope is possible. Serious anxiety and a reason to seek medical help should cause bouts of sharp pain.

The lower abdomen in pregnant women hurts for the following reasons:

Cystitis. Accompanied by unpleasant pulling pains, increased urination. The process of excretion of urine is accompanied by cramps, while the volume of urine is small.
Pyelonephritis. In addition to pain, the pathology is accompanied by swelling of the face and body. Pregnancy in this case is classified as a risk group. The expectant mother is treated in a hospital and taken under special control. Showing a special diet and drinking regimen.
Intestinal obstruction. Accompanied by discomfort, complete absence of stool, nausea, general malaise. Possible symptoms of intoxication. A woman often needs not only medical treatment, but also surgical care.

Inflammation of the appendix. It rarely happens during pregnancy. The clinical picture is pain in the side and hypochondrium on the right, as well as in the navel area. There may be nausea, vomiting, weakness, fever. Ultrasound and tests will help confirm the diagnosis. Before surgery to remove the appendage of the caecum in the early stages, it is required to exclude an ectopic pregnancy.
Cholecystitis. This pathology is characterized by pain and a feeling of heaviness in the area of the right hypochondrium. The pain can be sharp, stabbing, pulling. In parallel, bloating, unpleasant belching, and a slight increase in temperature are possible.
Pancreatitis. With inflammation of the pancreas, the outflow of bile is disturbed, which causes girdle pain, discomfort in the hypochondrium on the left and right. In parallel, stool disorders, skin pallor, pressure drop are possible. Women who already had so much stomach pain before pregnancy can guess that chronic pancreatitis has again become the cause of discomfort.
Chronic form of gastritis. Its exacerbations take place against the background of hormonal changes.
Bloating (more in the article: causes of bloating during pregnancy). Perhaps with an intestinal disorder and infection, the prevention of which is personal hygiene and a well-chosen diet.

Diagnostic methods

Urgent medical care is required for the expectant mother in the following situations:

a sharp, intense nature of pain that cannot be relieved with antispasmodics;
cramping discomfort of varying intensity;
heaviness in the groin area (indirectly indicates that the embryo does not develop);
bloody scarlet or brown vaginal discharge;
severe pain in the abdomen, which does not let go when you change the position of the body and increases with pressure on the problem area.

When contacting an obstetrician, an examination and a number of diagnostic measures are carried out, which allow you to establish the exact cause of complaints. Ultrasound of the pelvic organs and peritoneum, urine, blood tests, coprogram are shown. A smear on the microflora of the vagina and urethra is required. Diagnostics of acute intraperitoneal processes, intestinal obstruction is carried out.

If the pregnancy proceeds calmly and nothing threatens the life of the expectant mother, she is sent to a nephrologist, gastroenterologist and other specialists. After examining and questioning the patient, doctors prescribe a comprehensive examination to find the problem and make a diagnosis. For example, with cystitis, a urine test is given according to Nechiporenko, a biochemical analysis of venous blood is taken for the renal complex.

If there is already a history of chronic diseases, a woman can immediately contact the doctor who she is registered with. A profile examination will allow you to understand whether everything is in order in the body of the expectant mother.

How are they treated?

If abdominal discomfort is caused by physiological causes, it does not require treatment. Rational nutrition is recommended (according to the principle: often, but little by little), good rest, yoga, water aerobics for pregnant women, relaxing massage. If serious pathologies requiring surgical intervention are identified, surgical treatment and drug therapy are carried out appropriate to the situation. Doctors try to postpone surgery until the postpartum period or resort to minimally invasive methods such as laparoscopy.

If the pain is caused by the threat of miscarriage, a woman is sent to a hospital, where she is provided with timely assistance, and the development of the child is monitored. The general principles of treatment are as follows: selection of safe and effective drugs, control of the blood pressure of the expectant mother, monitoring the condition of her child.

Any pain in the abdomen during pregnancy is a reason to listen to your body and take timely measures to save the baby. Only doctors can understand the causes of malaise, whose recommendations should be followed unconditionally.

Pregnancy is an exciting period for every woman. With the acquisition of a new status, the representatives of the weaker sex begin to treat their well-being differently. Expectant mothers listen to every feeling, pay attention to any ailment. It often happens that the intestines hurt during pregnancy. This sensation is a symptom, a sign, and not an independent pathology. Therefore, in order to make a correct diagnosis and prescribe therapy, it is necessary to consult a doctor and undergo an examination. Consider the main pathologies in which the stomach (intestine) hurts during pregnancy, and find out what to do in this or that case.

Digestive disorders in the first trimester

Often in the early stages of women, the stomach and intestines hurt. During pregnancy, this phenomenon is recognized as normal. After all, it is at this moment that the nutrition of a woman changes dramatically. Due to toxicosis, expectant mothers strive to eat something unusual. There are more salty foods and spices in the diet. Women are drawn to sweets: they can eat cakes and chocolate for hours.

Such food, of course, affects digestion. The lack of fiber and indigestible fibers inhibits intestinal motility. In addition, progesterone is actively produced at this time. It relaxes the muscles, including the intestines. In expectant mothers, constipation begins, fermentation intensifies and the amount of gases increases. Often, bloating is noticeable to the naked eye.

The only way to treat this problem is to change the diet. Women should give preference to vegetables and fruits, eat more greens. Distribute correctly the daily norm of proteins and fats. Avoid empty carbs. If there is a tendency to constipation, then it is permissible to use mild laxatives, such as Dufalac.

Infectious pathology

If the intestines hurt during pregnancy and discomfort is accompanied by diarrhea and fever, then it is probably a viral or bacterial infection. This condition is very dangerous for expectant mothers. Especially if the disease occurs in the first trimester. Therefore, when the described symptoms appear, you need to go to the hospital as soon as possible.

What to do if the intestine hurts? During pregnancy, the features of the treatment of infectious diarrhea and abdominal pain are as follows. A woman must be prescribed plenty of fluids. If vomiting is also present, which often happens with an intestinal infection, then it is necessary to carry out rehydration therapy (for example, with Regidron or saline). For treatment, sorbents are prescribed: "Polysorb", "Enterosgel", activated carbon. A bacterial infection requires the use of antimicrobial compounds: Enterofuril, Stopdiar. In addition, you must follow a diet.

Neoplasms and tumors

Throughout the entire period of bearing the baby, the hormonal background is restructured. Often this process provokes the growth of existing neoplasms. If a woman has tumors or polyps in her intestines, they may increase in size. At the same time, the expectant mother notes that her intestines hurt.

During pregnancy, doctors try not to treat such diseases. Since any intervention in the anus and intestines can provoke uterine tone and the threat of abortion. For advice in this situation, you must always consult a doctor.

Hemorrhoids and related pathologies

Why does a woman have pain in the intestines (lower abdomen) during pregnancy? The cause of this ailment is often hemorrhoids. More often it appears on long terms of pregnancy. The uterus compresses the vessels and veins, in connection with this, blood stasis is formed. Hemorrhoids may be accompanied by anal fissures, bleeding during defecation, and constipation.

The problem is quite delicate, so many women try to get rid of it on their own and do not go to the doctor. This only exacerbates the situation. It is possible to correct the pathology in the early stages using conservative methods. Expectant mothers are prescribed suppositories and creams (Relief, Hepatrombin), tablets are prescribed (Detralex, Antistax). These drugs can be taken in the second half of pregnancy, but only as directed by a doctor.

Inflammatory process

If the intestines hurt during pregnancy, but there are no other additional symptoms, then this may be an inflammatory process. This pathology ranks second among all diseases of the gastrointestinal tract. It is defined by the term colitis or enterocolitis. A problem can arise for many reasons: a decrease in immunity, a violation of the intestinal microflora, nutritional errors, and so on.

It is necessary to treat intestinal inflammation with the help of drugs allowed during pregnancy. First you need to determine the cause of the ailment. If it is a matter of dysbacteriosis, then they take complex probiotics (Linex, Acipol, Bifiform). When it comes to reduced immunity, interferon-based drugs are prescribed (Anaferon, Ergoferon). If the duration of pregnancy allows, the woman may be prescribed an antibiotic. However, these drugs must be taken strictly in a certain dose and as directed by a doctor.

The inflammatory process can be especially dangerous in the area of \u200b\u200bthe appendix. In pregnant women, this condition occurs quite rarely. Statistics show that only one expectant mother out of a hundred with abdominal pain needs to have her appendix removed.

Summarize

Despite the fact that women often have pain in the intestines during pregnancy, you should not turn a blind eye to this symptom. If the discomfort continues for more than two days, then you should see a doctor. You should also consult a doctor if additional symptoms appear: vomiting, diarrhea, high fever. Remember that during pregnancy it is unacceptable to take any medications on your own. All appointments must be made by a specialist. Good health to you!

During pregnancy, women undergo a process of hormonal changes. In this regard, mood swings and pain of various origins can be observed. Each type of ailment is caused by different reasons. Pain during pregnancy is often a warning sign, when it appears, you need to see a doctor. Your doctor will be able to suggest treatment options to address the causes of these discomforts without harming your unborn baby.

Most often, women can experience headaches, toothaches and pain in the lower abdomen. Each of them should be subjected to a separate diagnosis, since the reasons are all different.

The causes of headaches during pregnancy can be, first of all, stress and lack of sleep. For their treatment, you do not need to use any medications, just follow a clear daily routine, walk more in the fresh air. Another, also quite common cause, are migraines. Their appearance is provoked by pressure drops inside the skull. Most often they are accompanied by nausea and occur in the first trimester of pregnancy, when taking any medications is contraindicated. If you have this type of headache, then you should stop eating foods such as nuts, grapes and spicy cheeses. If possible, it is recommended to go to bed or at least just relax. Changes in blood pressure can also cause headaches during pregnancy. In this case, drugs may be prescribed to stabilize it. At the same time, the harm to the unborn baby from taking these drugs should be much less than the expected benefit to the mother. Also, the cause of a headache can be a disease such as osteochondrosis. To eliminate this type of ailment, it is recommended to massage the collar zone.

In any case, you should consult a doctor if you experience any type of pain. This will speed up the diagnosis and, if necessary, help to carry out timely treatment.

Quite frequent are also toothaches during pregnancy. In most cases, the causes of pain syndrome arise due to a lack of calcium in the body of the expectant mother. If this microelement is present in insufficient quantities, then during the formation of the baby's skeleton, the fetus takes reserves from the mother's bones. As a result of this, diseases such as pulpitis, periodontitis and caries appear. Also, due to changes in the hormonal background, there is a deterioration in the blood circulation of the skin and mucous membranes. This is the cause of periodontitis, inflammation of the gums. A weakened immune system reduces the degree of protective properties of saliva.

What pains during pregnancy can also disturb the expectant mother? These are discomforts in the abdomen. Almost everyone feels similar pain during pregnancy. But this is not always a cause for concern. A reaction is possible simply to stretching the muscles, as the stomach is growing rapidly. But in any case, a visit to your doctor should not be postponed, because it can also be a symptom of serious illness. Pain in the lower abdomen can signal diseases of the digestive system and be a symptom of various infectious diseases of the urinary system. In this case, the expectant mother will be prescribed treatment that is compatible with her situation, which will help to avoid risk to the fetus, or reduce it to a minimum.

But this is not the whole list of pain that can disturb a pregnant woman. In any case, you should seek help from professionals, and not self-medicate. After all, inside you is the most precious, small miracle that requires your care.

Unfortunately, 10-15% of women face such an unpleasant diagnosis as an ectopic pregnancy. The name speaks for itself. In the description, we will consider many questions: what is it, symptoms, causes, how does an ectopic pregnancy hurt, and much more.

Ectopic pregnancy - attachment of the ovum not to the walls of the uterus. A fertilized egg may remain in the ovary, attach to the cervix, or enter the abdominal cavity. The most common cases include the attachment of the fetal egg to the wall of the fallopian tube. Pregnancy is characterized by atypical localization, which threatens the woman's health and requires emergency surgical intervention.

Description

In a normal pregnancy, the egg is implanted in the fundus or body of the uterus. The difference between an atypical pregnancy is that the egg is not in the uterus. It has a different localization: in the fallopian tubes, ovary, abdominal cavity. Such a pregnancy cannot develop, it is life-threatening and is a medical indication for its termination. It is noted that pain during ectopic pregnancy in the early stages is very strong.

The woman herself cannot suspect a pathology. After all, it is clinically no different from a normal pregnancy. Many people ask questions: “Does the chest hurt during an ectopic pregnancy? Is there any toxicosis? Is there sleepiness?

Oh sure! Here everything is the same: there is a delay in menstruation, the mammary glands increase, milky passages are outlined, dizziness, weakness, nausea, vomiting, and salivation may occur. An alarming complication of such a pregnancy may be bleeding and loss of consciousness, while the woman should immediately consult a doctor.

Causes

The cause of this pathology is an obstacle in the way of a fertilized egg from the ovary to the uterus. This obstacle is associated with a decrease in the patency of the fallopian tubes (inflammation after an abortion, endometriosis, miscarriage, the use of an intrauterine device as a means of contraception), anomalies in their development, as well as in the ovaries or uterus, oncological changes in the internal genital organs, hormonal disorders or difficult childbirth, after which adhesions are formed in the tissues.

In addition, women of the older age category (after 35 years) can also be attributed to the risk group, since by this age a woman has a fairly “rich” set of both general somatic and gynecological diseases and disorders, changes in hormonal status and often the presence of abortions in stories.

How to recognize?

With an ectopic pregnancy, the chest hurts, test strips will show a positive result. Pathology is difficult to suspect. However, the level of hCG will constantly fluctuate and deviate from the normal, corresponding to a certain period.

Such an interesting condition, as a rule, is accompanied by one-sided unpleasant pains in the lower abdomen. Unpleasant condition may intensify with a change in the position of the body. Pain during an ectopic pregnancy may be similar to menstrual or cramping.

But the only reliable method for establishing the place of attachment of the future fetus is ultrasound diagnostics by transvaginal access.

With timely diagnosis and treatment methods, an ectopic pregnancy does not cause a significant blow to the body. And with well-chosen follow-up therapy, a woman can resume trying to become a mother in just 3-6 months after the termination of such a pregnancy.

Stopping the fetal egg in the fallopian tube is dangerous because its tissues are not elastic enough and cannot stretch simultaneously with the growing embryo. There is a rupture of the tube, the blood, along with the tissues and the fetal egg, enters the abdominal cavity, which can lead to peritonitis. In addition, the rupture of any organ will be accompanied by acute pain during an ectopic pregnancy and profuse bleeding. This endangers the woman's life and requires immediate hospitalization in the intensive care unit under the constant supervision of doctors.

Removal of an ectopic pregnancy is usually performed by laparotomy. Through a small incision in the abdomen, the surgeon gains access to the fetal egg. At the same time, all instruments have sensors, and any manipulation by a specialist is displayed on the monitor. Depending on the duration of pregnancy, the doctor can remove only the fetal egg, the egg with part of the damaged tissue, or the entire uterine tube. Therefore, the sooner a woman sees a doctor, the less harm will be done to her health. Pain after an ectopic pregnancy will remain in the memory of a woman for a long time.

However, the treatment does not end there. It is necessary to undergo a course of restorative therapy, as well as to eliminate the possible causes of the recurrence of an ectopic pregnancy. It is necessary to treat infections, inflammatory processes, restore hormonal imbalance.

With timely diagnosis and termination, as well as competent subsequent treatment and rehabilitation, a woman will be able to forget the pain of an ectopic pregnancy in the early stages. She will be able to recover and give birth to a healthy baby.

Risk factors

There are cases in which the fetal egg is attached outside the uterus due to some kind of malfunction of the tubal canal. This is a complication and is called an ectopic pregnancy. Unfortunately, such a fetus has no chance of surviving. This phenomenon is very dangerous for a woman's health, as it is fraught with bleeding and, if ignored, can cost her life.

Under normal conditions, a fertilized fetal egg descends into the uterus and attaches to its wall. But with an ectopic pregnancy, everything happens the other way around, it moves away from it and attaches either in the tube, or in the ovary, or in general in the abdominal cavity. The lack of a favorable environment for the development of the unborn baby provokes the ingrowth of the fetus into the organ to which it is attached. As a result, internal bleeding occurs.

Such a pregnancy is divided into ovarian, tubal or abdominal. It all depends on the place of attachment of the embryo. Of course, such situations are extremely rare and occur in 1-2 cases out of 100.

There are some risk factors:

if there was an operation in the abdominal cavity;
failure in the hormonal background;
due to diseases of the female reproductive organs;
benign or malignant tumor of the reproductive organs.

It starts in the same way as usual, and the first weeks proceed in the same way. Suspicious symptoms begin to occur from 3 to 9 weeks. What are the pains in an ectopic pregnancy? These include symptoms.

Pain syndrome with aching, stabbing pain during ectopic pregnancy. It occurs in the lower abdomen, in the area of attachment of the embryo. Pain may be present during emptying.
There is bleeding of the vessels of the organ where the fetal egg is located, and there may also be uterine bleeding. Mostly reminiscent of menstruation, but not as plentiful.

Degrees

Doctors divide it into several degrees. The first is when the embryo, during its growth, digs into the walls of the tube and tears it. The second degree is divided into two types.

The first is when an ectopic pregnancy, where the pain is usually severe, is interrupted on its own, and the egg is released into the abdominal region. Accompanied by bleeding and pain. The uterus is enlarged, but does not coincide with the term. Such a pregnancy is usually accompanied by unilateral pain in the lower abdomen. Discomfort may increase with a change in body position. Pain during an ectopic pregnancy resembles contractions or menstrual cramps. There are bloody or spotting discharges.

The second is a rupture of the fallopian tube. Happens at 7-10 weeks. In this case, it is important to immediately seek help! It is life threatening.

A woman is obliged to undergo a course of rehabilitation, which is aimed at restoring childbearing function after such an unsuccessful pregnancy. On average, the rehabilitation course lasts six months, after which a woman can start planning a child.

What is causing this pregnancy?

A fertilized egg does not reach the uterus, resulting in its incorrect location and pathological development. The maturation of the egg can occur in the fallopian tube, ovary or abdominal cavity. The reason is:

Abortion.
Underdevelopment or abnormal development of the reproductive system.
Lack or excess of hormones.
Blockage of the fallopian tubes or violation of their innervation.
Diseases of the endocrine system.
Contraception.

Symptoms

At the very beginning, an ectopic pregnancy is difficult to distinguish from a normal one. A woman has identical signs: increased appetite - she can eat day and night, toxicosis - nausea can occur immediately or a little later, weakness, drowsiness, swelling of the mammary glands, lack of menstruation. Only after 3-6 weeks do symptoms begin to appear, indicating that the woman has a pregnancy pathology.

Pain in an ectopic pregnancy. A terrible state when everything aches and there is no strength to endure it all. What are the pains in an ectopic pregnancy? Cramping pains in the abdomen. Usually they are aching and cramping in nature. Urination becomes painful, sometimes with an admixture of blood.
Bleeding. Bleeding during an ectopic pregnancy occurs in the abdominal cavity. It is also possible that uterine bleeding occurs. The reason for this is a sharp decrease in progesterone levels. It is the hormone progesterone in women that stimulates the growth of the uterus. It blocks uterine contractions, and during pregnancy stops the menstrual cycle.
Shock state. A pregnant woman's blood pressure drops. A drop in blood pressure is also associated with a decrease in the level of the hormone progesterone. The skin is of an unhealthy color, profuse bleeding begins, and as a result - loss of consciousness. There are also pains in the lower abdomen during an ectopic pregnancy.

How to diagnose?

A positive pregnancy test and the occurrence of at least one of the familiar symptoms should make a woman go to the doctor. Examination procedures will be assigned to make a diagnosis.

Transvaginal ultrasound will be more effective. The doctor will determine the concentration of human chronic gonadotropin. If the hCG level is 1500, but the fetal egg is not detected during diagnostic examinations, then the diagnosis is made - pregnancy outside the uterus.

Treatment

The only way to solve the problem is surgery. Laparoscopy is common. During the operation, the fetal egg is removed, fixed outside the uterus. In case of difficulties, plastic surgery is used. Plastic surgery will restore the integrity of the fallopian tube. The fallopian tubes are important for pregnancy.

An ectopic pregnancy diagnosed in the early stages is treated with chemotherapy. Gradual resorption of the fetal egg is performed by methotrexate. Removing the fallopian tube is dangerous. This increases the likelihood of infertility or recurrent ectopic pregnancy.

What threatens an ectopic pregnancy?

As mentioned above, a fertilized egg enters the fallopian tube and begins to develop there. The problem is that the tube is not suitable for the growth of the fetus, since its wall does not have sufficient elasticity and extensibility, and also has a relatively small diameter.

Accordingly, having reached a certain point (4-6 weeks of pregnancy), the chorionic villi grow into the wall of the tube, after which it breaks and blood flows into the abdominal cavity (hemoperitoneum with possible further development of peritonitis). Clinically, this is manifested by a sharp "dagger" pain in the lower abdomen, pallor, dizziness, cold sticky sweat, loss of consciousness. When a large vessel ruptures, bleeding can be life-threatening, requiring immediate attention.

In some cases, the wall of the fetal egg is torn, after which it is expelled into the abdominal cavity. The clinical picture is similar to that of a tube rupture, but may be less pronounced or take longer to develop over time.

Conclusion

After a certain period of time, the symptoms of the pain of an ectopic pregnancy subside, and the woman thinks that everything is fine, but this is a false well-being. After all, the blood continues to pour into the abdominal cavity. That is why it is impossible to leave such a state without due attention. The woman must be urgently hospitalized and operated on. It should also be noted that the likelihood of getting pregnant naturally after such a pathology is reduced, and the risk of a repeat scenario increases.

Almost every representative of beauty during pregnancy can feel pain in the lower abdomen. The cause of these symptoms can be very different. Some are harmless enough and do not pose any threat to the woman and the fetus. But there is pain that indicates the threat of pregnancy. If the stomach hurts during pregnancy in the early stages, self-medication should not be carried out. Taking medications can harm an unborn baby.

Regardless of the intensity, frequency and other symptoms, if any discomfort occurs, you should contact your gynecologist, who will be able to establish the cause and, if necessary, prescribe treatment. To endure or postpone a visit to the doctor is unacceptable, since the outcome can be deplorable. In some cases, a simple medical examination is sufficient. If in this way it was not possible to establish a reliable cause, the specialist prescribes additional examinations. Most often, a girl will need an ultrasound examination, which will show the course of pregnancy and possible deviations from the norm.

Physiological cause of stomach pain

At the beginning of the pregnancy period, pain is common. It is more of a physiological nature. At the same time, the woman does not feel much discomfort and the symptoms do not increase. Along with abdominal pain, pulling sensations in the lumbar region may appear. In order to alleviate the symptoms in this case, you just need to lie down and give the body a little rest.

Many women, especially during their first pregnancy, are concerned about the question: why does the stomach hurt in the early stages? Such symptoms can occur as early as 7-10 days after conception. At the same time, some of the fair sex are not even aware of the onset of fertilization. Such sensations arise as a result of the fact that the fetal egg begins to take root in the layers of the endometrium. During this, the mucous membranes and blood vessels are disturbed. These symptoms are rarely noticed because they are similar to PMS. With the second and next pregnancy, the woman is already aware and accurately determines the factors of such pain.

The cause of pain during the first month is also a change in hormonal levels. In the body of a girl, the amount of progesterone increases, which causes some pain discomfort.

Physiological factors should also include that the body changes as a whole in the early stages:

ligaments are stretched;
the center of gravity changes;
blood flow to the pelvic organs increases and so on.

These factors are safe for the health of the girl and the unborn child. But do not neglect your health, but immediately contact a specialist, since such symptoms can be caused by more serious factors.

The pathological nature of what hurts the stomach

The cause of pain in the early stages can be more complex and dangerous factors. In some cases, it indicates that the fetus is frozen. There are many reasons for this development. With such pain, there is a possibility of bleeding, as the uterus rejects the frozen fetus. The pain will be acute. It is important to contact a specialist immediately. It is important to understand that bleeding in this case may not be particularly heavy.

The pain symptom also indicates an ectopic pregnancy. This is due to the fact that the fertilized egg does not reach the uterine cavity and fixation occurs directly in the fallopian tube. The fetal egg quickly increases in size and thereby stretches the fallopian tube, creating pain. The pain in this case has one location and you should immediately consult a doctor. In more severe cases, the tube ruptures, causing bleeding, dizziness, and sometimes even fainting. The ectopic is removed surgically.

Such symptoms can also be the first wake-up call for a woman in the early stages, which indicates that there is a threat of failure of a pregnancy that has just begun. The process of miscarriage involves the detachment of the fetal egg from the walls of the uterus. At the onset of symptoms, you should immediately contact your doctor. Usually, a pregnancy can be saved under the supervision of a doctor and subject to a strict regimen.

During some pregnancies, abnormal development of the corpus luteum is observed. This is a temporary organ in the uterine cavity that produces progesterone at an early stage. There is nothing dangerous, but it is worth seeing a doctor and controlling pain. During pregnancy, the corpus luteum can begin to accumulate fluid in itself, thereby significantly increasing in volume. This phenomenon does not carry danger in this form, but causes some pain.
woman's feelings. The doctor should control the development of the corpus luteum. In some cases, a corpus luteum cyst develops, which will lead to more serious problems. It is important to observe a strict regimen that minimizes pain in a woman.

Pregnancy is an extremely important period in the life of any woman. During this period, it is necessary to especially listen to your body so as not to miss important symptoms that indicate possible pathologies or serious illnesses. After all, everything that the body of a future mother experiences can, one way or another, affect the overall development and health of the unborn child.

The main physiological sign of pregnancy is the growing belly of a woman. With a normally developing pregnancy, the stomach should not hurt. This is the first sign of the general health of the expectant mother and her child. If you experience any nature of pain in the abdomen, you should always contact a gynecologist who observes pregnancy. Leaving this state to chance is extremely dangerous.

It is the doctor who can see and diagnose serious prerequisites for anxiety. And the sooner the cause of abdominal pain during pregnancy is identified, the better. Timely diagnosis will help to quickly and efficiently cure the disease, relieve a pregnant woman from pain and anxiety for the development of her baby.

Only a doctor can determine whether there is cause for concern or not. Soreness of the abdomen can occur due to physiological changes in the body of a woman (under the influence of hormonal changes, the ligaments soften, the relative position of the organs inside the abdominal cavity changes, hence pain can occur). Or, the doctor will determine that the pain is caused by serious problems - the threat of miscarriage or.

Uterine hypertonicity

Stomach pain during early pregnancy

Often, abdominal pain during pregnancy in the first trimester can occur due to the threat of a miscarriage or an ectopic pregnancy. But, most often, abdominal pain in the first weeks of the childbearing period occurs due to changes in the female organs, hormonal changes, or the rapid growth of the uterus.

In any case, no matter what abdominal pain occurs in a pregnant woman, she should immediately consult a doctor. It is not worth doing self-diagnosis, because the risk of losing a child and terminating a pregnancy is too high in this position. And without the help of a specialist, it is unlikely that you will be able to get rid of pain.