How long does the lower abdomen hurt? Lower abdomen hurts: when is the doctor's help needed? Prevention of constipation, bloating and other bowel problems during pregnancy

30.05.2019

It is known that with the help of pain syndrome, our body notifies that not everything is in order inside. It is quite natural that in this situation a person seeks to find out what caused such sensations. But pain in the early stages of pregnancy is especially alarming, because in the 1st trimester, the pregnant woman and her baby are more at risk of developing complications than ever. If soreness is felt in the abdomen, this can even cause panic in the expectant mother. But excessive excitement in such a delicate position is completely useless, so the primary task in this case is to determine why the stomach hurts in the early stages of pregnancy.

Normal or pathological?

In the period from 1 to 12 weeks of bearing a child, a huge number of serious changes occur in the body of a pregnant woman.

Often, pains in the lower abdomen in the early stages of pregnancy appear precisely due to physiological reasons that do not pose a danger either to the pregnant woman herself or to her baby.

But it should be borne in mind that only a certain nature of pain can indicate that nothing threatens the course of pregnancy. They should not be sharp or sharp, but an aching stomach may well be one of the signs of a successful conception, since such pains sometimes occur when the embryo is introduced into the wall of the uterus. This is called ovum implantation. Sometimes soreness can be accompanied by a faint pinkish discharge - implantation bleeding.

If the expectant mother has a pain in her lower abdomen, the reason for this may be:

unstable work of the stomach and intestines. In such a situation, in early pregnancy, pain that spreads to the abdominal region is accompanied by specific symptoms of impaired digestive function - difficulty or absence of defecation, bloating and flatulence.
hormones produced during pregnancy. During pregnancy, the amount of progesterone increases. This substance softens the ligaments and joints, contributing to the gradual formation of the birth canal and preparing the woman's body for the birth of a child. The action of progesterone is not bypassed by the uterine ligaments. They become more elastic and begin to stretch, which causes the characteristic pain in early pregnancy.
growth and elevation of the uterus in the abdominal cavity. Towards the end of the 1st trimester - at 10-12 weeks - the uterus is already changing its size and from the small pelvis begins to rise into the abdominal cavity, therefore, during this period, soreness in the abdomen may be associated with stretching of the muscle tissue of the organ and its increase.

As already mentioned, all these manifestations of pregnancy are not considered dangerous, and their duration is usually short, but experts still recommend reporting them at the next appointment with a gynecologist. If the doctor deems it necessary, he will send the expectant mother for additional examination, but, as a rule, this is not required if no other symptoms are observed.

Pathological abdominal pain in pregnant women

When a future woman in labor has a stomach ache during early pregnancy, this is not always associated with physiological changes in her body. Sometimes pain during pregnancy can become a manifestation of serious gynecological pathologies that threaten the life and health of the baby and his mother. Therefore, when such sensations appear, you should always pay attention to how and where the pain syndrome manifests itself.

The most frequent pathological source of abdominal pain in expectant mothers is uterine hypertonicity, which threatens with miscarriage in the early stages. With an increased uterine tone, the lower abdomen “turns to stone” and severely hurts, and the back in the lumbar region often aches. Sometimes the sensations are sharp and intense. A frequent companion of an incipient miscarriage is a symptom such as spotting from the vagina.

Sometimes a frozen pregnancy becomes the source of the pain syndrome - a serious pathology, which is accompanied by signs of intoxication of the body. With an undeveloped pregnancy, the temperature often rises, the body aches, nausea and vomiting appear. In addition, shortly before the detection of pathology, a woman ceases to notice the characteristic signs of a successful conception: for example, toxicosis abruptly stops and breast sensitivity disappears.

Another painful cause. In women with this pathology, the fetus is in the fallopian tube. When the embryo begins to grow, the pregnant woman feels aching pains in the place of its attachment. Failure to pay attention to this symptom can lead to complications: the fallopian tube ruptures, and then the pain becomes severe. Early pain in pregnancy that develops outside the uterine space may be closely associated with spotting discharge.

If a woman has a stomach ache during early pregnancy, the reason for this may be an exacerbation of some chronic diseases of the female genital organs, but this is no longer as dangerous as the phenomena listed above.

Nevertheless, if intense pain in the lower abdomen occurs during pregnancy, you should immediately seek help from a medical institution to find out if the pain syndrome can be associated with obstetric pathologies.

It is worth paying attention to vaginal discharge and be sure to inform the gynecologist about changes in their consistency, color or smell, since such symptoms always signal the presence of certain problems in the state of women's health.

Are the internal organs in order?

A woman should be able to recognize abdominal pain during pregnancy, they are not always associated with bearing a child and gynecological problems. The abdomen may ache due to disturbances in the work of internal organs and acute surgical pathologies. Among them, the most common are:

Gastritis. The stomach in pregnant women can hurt very often, especially if the inflammation of the mucous membrane has already acquired a chronic form. With an exacerbation of gastritis, pain is localized mainly in the upper abdominal cavity, but can also be given to the lower part.
Cholecystitis. This is an acute disease of the gallbladder, accompanied by attacks of severe pain in the right abdominal region, vomiting, high fever.
Pyelonephritis, better known as inflammation of the kidneys, usually occurs less frequently in the early stages than in the later stages, but the possibility of the development of this pathology cannot be ruled out, because the immunity of a pregnant woman in the 1st trimester is greatly reduced. This disease is characterized by dull aching pains in the abdomen, extending to one or both sides and aches in the lumbar spine. Blood and urine tests can easily detect the inflammatory process, and edema appears on the face and limbs of the expectant mother.
Cystitis is a disease that affects the lining of the bladder. Painful sensations affect the area above the pubis and are accompanied by frequent and difficult urination.
Appendicitis. With this pathology, there is a long-term attack of abdominal pain. The intensity of sensations increases gradually, the pain can be given to the stomach, lower back, lower abdominal cavity. The body temperature may rise, and repeated vomiting may occur.

It is impossible to independently identify the true cause of intense abdominal pain in the early stages of pregnancy, since most of the above pathologies are diagnosed only after a series of urgent studies.

What to do?

The first thing a woman should do, if in the early stages she is worried about painful sensations in the abdomen, is to go to the doctor. First you need to visit a gynecologist to make sure that nothing threatens the course of pregnancy.

Many pregnant women are embarrassed to bother their doctor once again "over trifles" and do not always seek help on time.

But experts strongly advise telling the gynecologist leading the pregnancy about all your feelings, especially about the unpleasant ones.

Firstly, it will help to timely identify the pathology, if any.
Secondly, it will allow the expectant mother to calm down and feel safe if the doctor does not find any abnormalities in the development of the child and the process of carrying it.

In addition, a woman who has noticed bloody vaginal discharge must urgently call an ambulance, as in this situation she is in serious danger.

If the examination and examination did not reveal pathological changes during pregnancy, then most likely the cause of abdominal pain lies in the physiological restructuring of the female body, but only on the condition that the unpleasant sensations do not intensify and appear only from time to time. There is no need to treat such pain: in a few weeks it will go away on its own. To avoid soreness in the abdomen caused by constipation and gas formation, the expectant mother should take care of her diet.

If the gynecologist's examination does not reveal any problems, and the pain in the abdominal cavity continues and begins to be accompanied by other unpleasant symptoms, you should soon get an appointment with a therapist to determine the true cause of such sensations. In the presence of any diseases of the internal organs of a pregnant woman, proper care and safe effective treatment are required.

If abdominal pains are severe, this may be a sign of dangerous surgical pathologies, for example, appendicitis, so it is impossible to hesitate in such a situation. Appendicitis in pregnant women is successfully treated by surgery if detected early.

Any discomfort while carrying a child should be strictly controlled by a doctor who monitors the pregnancy, so the expectant mother should definitely inform her gynecologist about painful sensations in the abdomen, especially if they bother her in the early stages.

Lower abdominal pain during early pregnancy is quite common. Some are completely harmless and do not cause intolerable anxiety. Others are capable of carrying a threat to the beginning of the period of bearing a baby.

It is important to remember that even with detailed information about the causes of certain symptoms, a woman is unlikely to be able to independently understand the clinical picture. In addition, in most cases, it is extremely important that reliable treatment is prescribed in a timely manner. For this reason, any discomfort should be a mandatory reason for consulting a gynecologist.

Causes of abdominal pain in early pregnancy

Painful sensations in the lower abdomen are divided into two groups: non-obstetric (physiological) and obstetric (pathological). The first group includes those pains that were caused by sprains, or associated with the gastrointestinal tract, with overstrain of the abdominal muscles, or with any disease, such as appendicitis. Obstetric pains include those that have arisen in the event of an ectopic pregnancy, the threat of termination of pregnancy or premature placental abruption.

In any case, pregnant women absolutely do not need unnecessary nervous shocks that can cause an actual termination of pregnancy. A properly proceeding pregnancy can include harmless pain. For example, mild cramping, pain, or a pulling sensation on one side or the entire abdomen. Such symptoms are often associated with sprains, which are caused by the natural enlargement of the uterus.

Or if the pregnant woman feels spasms of a constant unchanging nature, which may be the result of internal restructuring of the body. But moderate spasms that accompany bloody discharge, coinciding in terms with menstruation, as well as in the period 7-10 days after the alleged conception, should not cause concern. The bottom line is that during this period, a group of cells begins to attach to the wall of the uterus and develop into an embryo. This process is often accompanied by mild spotting and painful sensations.

The nature and intensity of pain

If a pregnant woman feels pain in the lower abdomen, don't panic right away. Pain in the lower abdomen in the early stages is not always evidence of any abnormalities or pathologies. If the nature of the pain is not strong, they do not occur often and pass quickly - there is no need to worry, but for absolute certainty, you should still make an appointment with a gynecologist.

In the event that painful sensations appear quite often, their nature is intense or even cramping - a visit to a gynecologist is extremely necessary. There are cases when painful sensations accompany women from the first days of pregnancy, their belly is sensitive to touch. In this case, women often experience both aching and intense pain in the lower abdomen and appendages. Such symptoms are considered alarming, as they may indicate an ectopic pregnancy.

Many pregnant women are often concerned about the situation when pain in the lower abdomen is felt in the early stages, but all indicators remain normal. In this case, you should not worry if, during the examination, the gynecologist did not find any pathologies and the general health and condition of the woman is good enough - abdominal pains can be the result of physiological changes, since during this period the female body begins to completely rebuild. For example, the tissues supporting the uterus will begin to soften, and the muscle organ itself will increase in size and shift. For this reason, some tingling and tingling sensations in the lower abdomen are considered normal.

If a woman's menstrual cycle was accompanied by rather unpleasant pains before pregnancy, then with the onset of pregnancy, their presence will also be considered the norm. The basic rule here is to monitor the intensity and frequency of such sensations. If the pain becomes acute and cramping, it is necessary immediately seek advice from a gynecologist watching pregnancy.

The above symptoms are completely harmless and do not require urgent surgical intervention. It still makes sense to consult a doctor in any case, since more alarming situations can have similar symptoms.

Physiological pain

To the relief of many, in most cases, pain in the lower abdomen in early pregnancy can be physiological in nature. These pains, most often, are not capable of causing much discomfort, they are imperceptible and do not worsen over time.

The first painful sensations can occur as early as 7 days after conception, often, during this period, women do not even know about the onset of pregnancy. It is in the first 7 days that the ovum begins to invade the endometrium. In this case, microscopic damage to a blood vessel or mucous membrane is quite capable of causing pain, and sometimes minor bleeding.

In the first month of bearing a baby, pain in the lower abdomen can be caused by other reasons. For example, changes in the hormonal background, in particular, an increase in the level of progesterone in the blood, may be to blame. In addition, from the first days of pregnancy, other changes occur in the body: the ligaments are stretched, the center of gravity of the body shifts, and so on.

Pain associated with fetal implantation

Roughly, later, a woman may experience mild pain in the lower abdomen, and they may also be accompanied by small pink discharge. It is during these 10-14 days that the fertilized egg must reach the uterus and attach to its wall. This process is accompanied by violations of the integrity of the epithelium of the uterus, which is the reason for small blood secretions that come out with vaginal discharge.

Pain caused by implantation is often confused with premenstrual pain, so not all women pay attention to them and rarely associate their appearance with the onset of pregnancy.

Pain from sprains of the round ligaments of the uterus

As the fetus develops and grows, the size of the uterus is constantly increasing, since this muscular organ must satisfy the baby's need for free space. The enlargement of the uterus accompanies the stretching of the round ligaments that support it in the abdominal cavity.

Stretching the ligaments can irritate the nerve fibers surrounding them, as a result, at times, a pregnant woman may feel slight discomfort in the lower abdomen. This is a fairly common symptomatology that accompanies the normal development of pregnancy. The pain, most often, is felt more strongly on the right side of the abdomen and it occurs after waking up, and during the day it can be caused by sharp turns, bends and other vigorous activity.

These pains are usually mild and short-lived, and do not require treatment. Changing the position of the body will help to alleviate such sensations a little. For some, it facilitates the "lying on its side" position, for others - while sitting, for others - while standing.

Pathological pain in early pregnancy

Doctors note that at the beginning of pregnancy, painful sensations in the lower abdomen can be caused by more dangerous reasons that require immediate consultation with an observing gynecologist.

Pain with a frozen pregnancy

Unfortunately, sometimes, for various reasons, the development of the fetus stops, as a result of which the fetus dies. Of course, in such a situation, the body rejects it, which will cause contractions of the uterus, and, of course, pain in the lower abdomen. Such cases are characterized by acute pain, which will gradually intensify and, possibly, be accompanied by bleeding. In this case, nothing can be done. The doctors will only have to make sure that there are no fetal particles left in the uterus, if necessary, they will scrape off the uterine lining.

Pain with an ectopic pregnancy

It will turn out to be no less deplorable diagnosis. In this case, the ovum does not reach the uterus and stops in one of the fallopian tubes. Soon it will increase to a size exceeding the diameter of the pipe and begin to expand it. This process can cause painful sensations.

An ectopic pregnancy has a fairly wide clinical picture: pain in this case is felt in a specific place, when the tube ruptures, severe bleeding will begin, the pain will become acute, vomiting and dizziness are also possible, up to fainting. It is important to note that medical intervention is desirable before the rupture of the tube, since it is extremely rare to restore the fallopian tube.

It does not really matter whether it was possible to timely detect a rupture of the fallopian tube, or whether doctors have to eliminate the consequences of the pathology - surgical intervention will be necessary in any case. It is extremely rare to detect an ectopic pregnancy at an early stage, when the size of the ovum is relatively small, only in this case, doctors will be able to prescribe drugs for medical abortion and not violate the integrity of the body from the outside.

What kind of abdominal pain indicates an ectopic pregnancy?

As mentioned above, an ectopic pregnancy is the implantation of an egg and the development of pregnancy not in the uterus, but in the fallopian tube. An ectopic pregnancy can only be detected by ultrasound. However, if an ultrasound examination of a pregnant woman has not yet been performed, but the pregnancy has been established reliably, then unexpected pain in the lower abdomen, accompanied by other symptoms of ectopic development of the fetus, should be the reason for an immediate visit to a gynecologist.

Among the pronounced signs of ectopic pregnancy, which can be determined independently, doctors note spasmodic stabbing pain in the abdominal cavity, it initially occurs on one side or penetrates the entire abdominal cavity. Such pains can occur due to overexertion of the colon, during movement or coughing. If the fallopian tube ruptures, the pain becomes unbearably sharp and severe, after which it spreads towards the pelvis.

Also, the symptoms of such a pathology include the presence or slight bleeding, they occur after painful sensations for several days. It is important to note that bleeding will not occur until the tube ruptures, which is why it is considered the most dangerous symptom following pain in the lower abdomen. At the same time, heavy bleeding can occur due to cracks in the fallopian tube.

Also, the clinical picture of an ectopic pregnancy is considered to be a sudden acute malaise, which is accompanied by vomiting, dizziness and a feeling of weakness. A strong weakening of the pulse can also be noted, and the fainting state will be accompanied by an obvious pallor of the skin. Strong urge to defecate is also possible, and some women have noted back pain.

A similar symptomatology may appear as a consequence of the fact that a growing egg cell ruptures the fallopian tube, which happens, most often, by 5-. If a woman finds such symptoms, there is an urgent need to immediately contact an observing gynecologist. Calling an ambulance at home will also be a justified measure, since only timely surgical intervention can save the fallopian tube and prevent a woman from ever becoming pregnant again.

Risk of miscarriage

Painful sensations in the lower abdomen may also indicate a threat. An equally terrible process is hidden under such a frightening name - the detachment of the ovum. The severity of symptoms depends on the degree of detachment. Miscarriages can be recognized by some of the likely symptoms. It can be bloody discharge, accompanied by cramps or pain in the abdominal region. Or the pains become more intense and remain intense for a day or more, even in the absence of any discharge.

The bloody discharge itself can be saturated, as with normal menstruation, or with mild spotting, which indicates the passage of tissues. Discharge can be observed for 3 days or more. They can also be overly abundant.

Types of pain in miscarriage

Spontaneous abortion is divided into several stages, each of which is characterized by its own manifestations of pain in the lower abdomen.

Threatened abortion... At this stage, there may be a feeling of heaviness in the lower abdomen or not strong pulling pains in the sacrum region. At the later stage of this stage, cramping pains and spotting are characteristic, which, however, may not occur often. The tone of the uterus, in this case, will be increased, but the cervix is not shortened, and the external pharynx is closed. The size of the uterus at the stage of threatening abortion corresponds to the rate of pregnancy.

Started abortion... The next stage of miscarriage is characterized by cramping pain in the lower abdomen and pronounced spotting (in comparison with the previous stage). During this period, the ovum begins to exfoliate only in a small area, for this reason, the size of the uterus will correspond to the actual gestational age. The cervix will retain its natural parameters, and its canal may be slightly open.

"Inevitable" abortion... The process of "inevitable" abortion is accompanied by cramping pains and severe bleeding. At this stage, the ovum is already in the cervical canal, while its lower part can protrude into the vagina. The stage of "inevitable" abortion ends with an "incomplete" or "complete" stage.

Incomplete abortion. At the stage of "incomplete abortion", the ovum will leave the uterine cavity only partially, this process is accompanied by bleeding of varying intensity and cramping pains in the lower abdomen. At this stage, the cervical canal opens, the uterus becomes softer and smaller in size, now having parameters that do not correspond to the gestational age. If this stage is reached, particles of the fetal membrane or placenta can linger in the uterus.

Complete abortion. In the case of a "complete abortion", the ovum completely leaves the uterus, which begins to actively contract, and the bleeding stops. In the event that the contractions of the uterus that occur after the death of the fetus are not intense enough to expel it, the detachment of the ovum will occur gradually. This rather slow process can lead to prolonged, non-abundant uterine bleeding, which can lead to the development of anemia.

It is no less likely that pain in the lower abdomen, when carrying a child in the early stages, is caused by a cervical abortion. In this case, the external uterine pharynx does not open, but the ovum completely exfoliates. As a result, due to the intense contractions of the uterus, the egg will descend into the canal of its cervix, the walls of which will be stretched. This happens in the case of "cervical pregnancy", when the ovum is attached not in the uterus, but in the canal of its cervix.

If, judging by the obvious clinical picture, the miscarriage has passed in whole or in part, the woman must adhere to bed rest until the ambulance arrives. In case of suspicion, you should immediately go to the hospital or call a doctor at home. While waiting for help you should lie on your back and relax lifting your legs as high as possible. Such actions will not prevent miscarriage, but will help to transfer pain in the lower abdomen. The main thing to remember is that most pregnant women who find bloody discharge carry the pregnancy until a successful delivery. And if the interruption has already occurred, it can be quite successful to carry the next pregnancy. However, this is due only to timely diagnosis and proper treatment, since the consequences of a miscarriage are extremely deplorable.

So, for example, a spontaneous abortion can cause the microflora from the vagina to penetrate into the uterine cavity and provoke the development of inflammatory processes. Infected abortions are often the basis for the onset of septic diseases, with characteristic symptoms: tachycardia, fever, enlargement of the uterus, purulent discharge from the genital tract. If the infection spreads, then the woman's well-being will begin to deteriorate sharply, persistent pains in the lower abdomen and chills will appear.

Corpus luteum cyst

The corpus luteum is one of the fickle organs; it is formed in the female body only to maintain pregnancy. This organ receives its development at the site of the bursting follicle, and its task is to produce progesterone, starting from the first months of pregnancy and until the completion of the formation of the placenta.

Sometimes the development of the corpus luteum does not proceed in accordance with the norms, since it is capable of accumulating fluid in itself and acquiring an uncharacteristic value. In this case, the doctor will say about a corpus luteum cyst. At the same time, before pregnancy, such a cyst is practically not dangerous.

This condition is also characterized by pulling pains in the lower abdomen. Often the pain is localized to a specific location and will not be severe or acute. This pathology, most often, does not require urgent intervention, although the accuracy of the diagnosis will not be superfluous, since some recommendations for women with a corpus luteum cyst still exist.

It is imperative for these women to avoid any physical activity: for example, long walks, lifting weights, playing sports. Even passionate intercourse with a spouse can lead to rupture of the cyst. In this case, the symptoms will be similar to that characteristic of an ectopic pregnancy, since in both the first and second cases, there is profuse internal bleeding.

Other diseases causing pain

At the same time, pain in the lower abdomen in early pregnancy may not be associated with gynecological pathologies. , appendicitis and other similar diseases can also lead to pain. Each of these diseases can develop independently or arise precisely as a result of the onset of pregnancy.

So, for example, very often the course of pregnancy is accompanied by cystitis. In this case, the pain in the lower abdomen will be pulling in nature, and as the bladder fills, the pain becomes stronger and becomes stabbing. Cystitis is characterized by frequent urination, while the volume of urine is prohibitively large and the pain can become unbearably cutting. It is impossible to remain indifferent to such a disease in any case, since most often it is due to the presence of infections that can be extremely dangerous for the healthy development of the baby.

Appendicitis during pregnancy is not common. The clinical picture here consists of severe pain in the right side, right hypochondrium and in the navel. Also, in this case, one can observe high fever, weakness, headache, nausea and vomiting. Ultrasound helps doctors distinguish appendicitis from cases of ectopic pregnancy. Today, this diagnosis should not cause panic in pregnant women, since the removal of the appendix is a simple operation that poses no danger to either a pregnant woman or her unborn child.

Also, the list of surgical pathologies possible during the period of bearing a child includes cholecystitis, indicating an inflammation of the gallbladder. Cholecystitis is characterized by pain and a feeling of heaviness in the right hypochondrium. Pain syndrome, in this case, is characterized by a dull, aching (chronic cholecystitis) or acute, cramping (acute cholecystitis) character. Such pains can accompany: a feeling of bitterness in the mouth, nausea, vomiting, belching of air, bloating. Attacks of this ailment are often provoked by dietary disorders - the use of fatty and fried foods in the diet. Another reason for seizures is the presence of stones in the gallbladder, shaking while driving.

Pancreatitis is usually called inflammation of the pancreas. Its development is due to a violation of the outflow of bile, non-compliance with the diet, it is customary to talk about abundant meat and fatty foods, alcohol consumption, hereditary predisposition, stress. Acute pancreatitis is manifested by a sharp pain in the abdomen, in particular, acute pain in its upper region (epigastric region, right or left hypochondrium), encircling in nature. The disease may be accompanied by vomiting, stool disorders, low blood pressure.

Sometimes, the causes of pain in the lower abdomen in the early stages of bearing a baby turn out to be completely prosaic: pain can be caused by bloating. In the early stages of pregnancy, intestinal disorders are considered quite frequent companions of an interesting position. In this case, there is only one recommendation: you need to carefully monitor the diet of food consumed in such a dangerous period.

If the pain syndrome accompanies the first months of bearing a baby, you do not need to panic right away, but it is better to rush to consult your gynecologist. If the pain is not acute, bleeding is not detected, and there are no other symptoms, then you can get to the clinic on your own, otherwise, you should call an ambulance and not risk the health of your baby.

A pulling sensation can be the result of stomach or intestinal cramps, resulting from the wrong combination of foods or ordinary overeating. Also, among the features of the period of bearing a baby, it is worth noting frequent constipation and gas formation in the intestines. These problems can manifest themselves in different periods of bearing a baby, since they have a purely individual character. A similar picture is due to the weakening of the functioning of the intestine, including its peristaltic activity. During this period, the digested food moves along the path of the intestines sluggishly, slowly, lingering in it and becoming compacted.

The notorious changes in the hormonal background will be to blame. In addition, the rapidly increasing size of the uterus will affect the formation of constipation and bloating during pregnancy. The size of this muscular organ increases daily, taking up more and more space in the abdominal cavity, which oppresses the intestines. Such an ailment cannot be treated without due responsibility.

Constipation can not only cause discomfort, it can also cause pain in the lower abdomen while carrying a child, which entails some health complications and serious consequences as a result of the lack of the necessary treatment. The most unpleasant of them is considered to be hemorrhoids. It is a nodular expansion of the venous plexus in the rectum that accompanies the formation of nodules. In turn, hemorrhoidal nodules can be located both inside and outside the rectum. The tension that appears during constipation can seriously affect the condition of these nodules, provoking their inflammation, swelling, pain and bleeding.

Prevention of constipation, bloating and other bowel problems during pregnancy

First of all, it is worth including in the diet more plant foods, which are high in fiber. The stomach does not completely digest fiber, giving the stool massiveness, which stimulates the active work of the intestines. At the same time, you should limit the use of cabbage or legumes if they provoke increased gas production and lead to bloating. If bloating during pregnancy has already been noted, it is worth drinking a glass of herbal tea, and chamomile will have the best effect.

Also, in your diet, you can increase the amount of natural foods consumed, which are characterized by a laxative effect. In this case, it is better to focus on grated beets or fresh beet juice mixed with 1 tablespoon of honey and diluted with 150 ml of boiled water. A similar drink is drunk on an empty stomach, after which you need to lie on your side for 15 minutes, you can put a heating pad under your side, but you should not get carried away with the last recommendation.

In fact, there are many folk recipes that can fight this ailment: here you can talk about seaweed, wheat bran, plum puree. However, it should be noted that all methods are helpful in one case and completely useless in another. The main thing is that the remedy, which is suitable for the individual, is safe for the health of both the woman and her baby. You should not rely on drug treatment, because in such a crucial period as carrying a baby, it is forbidden to take any medications, including laxatives, without proper consultation with a doctor about this.

During pregnancy, it is worth giving up the daily use of foods with a characteristic strengthening effect. Such, for example, as: poppy in large quantities, bird cherry jam, certain varieties of pears. It is equally important with such a disease to increase physical activity and the duration of walks in the fresh air. Not all pregnant women are required to rest in bed only if the course of pregnancy and health conditions require it. You should adhere to a normal lifestyle, or rather an active one: do special exercises for pregnant women, do not avoid walking, visit the pool.

If the above recommendations do not provide adequate relief, you should consult a doctor who monitors the pregnancy. Today, pharmacies provide a wide range of laxatives, but the main rule here is that any medication should be prescribed by a doctor who knows the features of the course of a particular pregnancy.

Many expectant mothers during pregnancy, in the early stages, note that their lower abdomen often hurts. Such symptoms can be, both during the normal development of pregnancy, and signal that there is a pathology and urgent action is needed.

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Many people are interested in the question - why does the stomach hurt during pregnancy, and what to do about it? To answer this question, you need to understand the reasons. All the reasons why pain may occur are divided into several groups - these are obstetric (that pain associated directly with your condition), not obstetric (pain associated with an exacerbation of chronic or in no way related to pregnancy or other diseases).

Causes associated with pregnancy (obstetric).

Ectopic pregnancy. A similar situation occurs when the ovum is attached outside the uterus, on the fallopian tubes, on the ovaries, the cervix, or on the abdominal organs. This is a serious reason why the lower abdomen often hurts, such a pregnancy threatens the health and life of a woman. In the early stages, the abdomen begins to pull or ache, gradually the pain sensations become intensified and is felt only on one side.
With the threat of miscarriage. The tone of the uterus increases, the pain has an aching character, there is a feeling of heaviness, which can be given to the lower back. When taking pills, the pain may go away for a short time, but then everything resumes again. Over time, the pain will acquire cramping symptoms, bleeding may appear.
Non-developing pregnancy.
When everything proceeds without complications, pain can be caused by a malfunction of the digestive tract.
Stretching of the ligamentous apparatus of the abdominal cavity. This is due to the fact that the uterus begins to increase in volume and pull all the ligaments with it. This leads to discomfort in the lower abdomen.
Surgical pathology.

First, during pregnancy, the body begins to completely rebuild in order to accept and take care of a new life. Therefore, pain is quite normal.

Often stomach ache during pregnancy due to a change in diet. When the regime changes, eating too much salty, sour, sweet, or other unusual foods can all lead to bloating. Intestinal motility is impaired, gastritis worsens - all these are causes of abdominal pain.

Changing your diet can affect your health

Reasons not related to the situation.

Cystitis. The immune system decreases during pregnancy. The pressure of the uterus on the bladder increases, due to hypothermia, the use of unsuitable underwear. All this can provoke the appearance of cystitis, that is, inflammation of the bladder. At the same time, pains in the lower abdomen have cutting and stabbing sensations, urination often occurs. This occurs early in pregnancy.
Appendicitis may also develop.
Intestinal obstruction.
Cholecystitis.

All these diseases can be accompanied not only by pain in the lower abdomen, but also by a general worsening of the condition. The temperature may rise, and some people start vomiting.

May ache in the lower abdomen

Seek medical attention for these symptoms and for acute pain.

Woman lifestyle

Pregnancy is not a disease - it is a normal physiological state for a woman. But in any case, it carries with it a strong physical and emotional stress.

What a pregnant woman should do in order to avoid pain in the abdomen and other unpleasant consequences:

it is necessary to strictly follow the doctor's recommendations;
you need to take all the necessary tests on time;
avoid stressful situations;
undergo an ultrasound scan, monitor the child's development process;
control your weight, when you gain weight too slowly or, conversely, too quickly - consultation with a gynecologist is necessary;
it is necessary to create a pleasant atmosphere, spend more time in nature, not think about the bad.

overheat (you cannot sunbathe, go to the steam room, etc.);
supercool;
stay in stuffy rooms for a long time.

For women during pregnancy, especially in the early stages, healthy sleep is important, which should last at least nine hours. In order to avoid digestive problems and prevent stomach or stomach pain, it is necessary to normalize food intake.

Getting enough sleep is essential

Diet should be varied. Include in your diet foods that contain vitamins and minerals. Proteins, fats, carbohydrates, vegetables, fruits - all this should make up at least 50% of the diet.
Often experts recommend switching to four meals a day (in the first trimester). Try to eat more foods such as fish, meat, dairy products (natural), cereals, legumes, etc.
To make it easier for a woman during this period, the body needs much more calcium, iodine, vitamins, iron, zinc.

Products that are prohibited:

hot spices, seasonings: their intake leads to swelling of the extremities, internal organs;
any types of canned food, preserves: they contain a lot of vinegar, preservatives - they can suppress protein synthesis;
carbonated drinks, sauces: they contain a lot of dyes, preservatives, thickeners and flavorings;
fast food;
coffee, black tea, chocolate.

Common causes of pain are presented in the table.

Why does it hurt	Description	How often does it occur
Gastritis	Often women eat a lot of salty, sweet, fatty foods. This contributes to the exacerbation of chronic diseases. Heartburn, discomfort in the stomach may occur.	From 15 - 25%
Cystitis	Failure to comply with the rules of personal hygiene and inattention to their health, cystitis worsens.	From 20 - 30%
Developmental pathology (ectopic pregnancy)	When the fetus does not enter the uterus, it begins to develop elsewhere. Since there is not enough space, the fetus increases, unpleasant pain sensations in the lower abdomen begin. When tissue ruptures, the pain intensifies, at such moments a woman can lose consciousness.	From 20 - 30%
Sprain	During early pregnancy, the body begins to change, pain is noted in the lower body.	15%
Bloating	This is how taste preferences change, something may not fit. Someone starts to eat everything. The abdomen is inflated, discomfort appears.	10%

Difficult state / caption]

Turning to traditional medicine

When a woman is pregnant, and abdominal pain is not associated with the pathology of the child's development, there are no sharp pains or profuse bleeding, and bloating occurs due to improper nutrition, then the pain can be soothed with herbal infusions.

Required Ingredients:

coriander 1 tsp;
boiling water.

Mode of application.

Take one spoonful of coriander seeds and chop.
Pour in a glass of hot water.
Boil for a few minutes.
After that, strain and drink each time before meals.

Another recipe to help avoid pulling sensations in the lower abdomen in early pregnancy. Required Ingredients:

watch leaves;
boiling water.

If you have gastritis and low acidity or constipation, then several times a day you need to take such an infusion.

Mode of application.

Pour hot water over two tablespoons of crushed watch leaves.
Insist for at least an hour.
After straining, you can drink.

Application of preventive measures

Depending on why the lower abdomen hurts in the early stages of pregnancy, it is necessary to determine the preventive measures. If this is a slightly uncomfortable feeling caused by unlimited food intake, or you notice that after a certain food the stomach does not express its delight, you should stop taking such food. You should discuss your diet with a specialist.

If you know that you have chronic diseases that worsen during pregnancy, you should consult with your doctor in advance and determine the preventive measures that you will take.

It is worth clarifying whether you are at risk of ectopic pregnancy or some other unpleasant consequences. If there has been a previous termination of pregnancy, a second one should be planned with a doctor. It is also necessary to lead a healthy lifestyle.

The condition of a woman during pregnancy changes in unpredictable ways. Girls in position can experience a lot of unusual sensations, and quite often pregnant women have lower abdominal pain. Do not be afraid and panic, this will only aggravate the condition of the expectant mother and baby.

It is worth remembering that in most cases this condition is of a physiological nature and does not pose a danger. But sometimes such pain can warn of the development of pathologies during pregnancy, so a young mother should know all the subtleties of this unpleasant sensation. And it is very important not to hide this condition from the specialist who leads the pregnancy, since it can talk about very serious violations and even indicate the possibility of losing a child.

Firstly, there are different types of pain, and secondly, the week of pregnancy in which the girl faced this feeling is important. This is what the doctor assesses when consulting in cases of such complaints.

When lower abdominal pain is a safe symptom

Since from the very beginning of the conception of a baby in a woman's body, there are many changes that are imperceptible at first glance, pain can be observed, which should not be considered a pathology at all.

Thus, the body simply signals an unusual state.

Harmless causes of pain can be as follows:

In the early stages, this sensation may be a sign that a fertilized egg is being introduced into the tissue of the uterus. This process is called implantation of the ovum, and after a few days the pain will disappear.
Unstable functioning of the digestive system due to pregnancy. In this case, the girl often experiences a feeling of bloating in her abdomen and difficulty in defecating (constipation). Stool consistency and color also change. These symptoms also disappear without treatment after the body gets used to the presence of an embryo.
At the end of the first trimester, the uterus becomes larger and changes its location. This provokes pain. Stretching of muscle tissue can cause this condition.
The increased production of the hormone progesterone, which helps with the formation of the birth canal during pregnancy, can also provoke abdominal pain, because it makes the ligaments and joints more elastic. The action of the hormone extends to the uterus, which causes the characteristic pain.
At a later stage of pregnancy, somewhere in the third trimester, the cause of this phenomenon may be kicks of the baby's legs or arms. When the baby has grown up, his movements can cause pain if he sharply pressed on any internal organ. This happens especially often when the mother has a full bladder.

Only a specialist after examination and examinations can affirmatively say that the reason is harmless. A woman should not wait and hope that everything will go away by itself. By keeping silent at the first signs of violations, you can provoke a lot of complications that are unsafe for the health of the mother and child. Therefore, it is better to immediately tell the doctor about the unpleasant sensations than to ignore the problems and bring the situation to a critical one.

Abdominal pain as a signal for the development of pathologies during pregnancy

Carrying a baby is a rather long and difficult process for the body of any woman. And, unfortunately, not everyone goes through it without pain and various deviations. If a pregnant woman has a pain in the lower abdomen, then immediately you need to assess the possibility of the presence of such violations as:

Hypertonicity of the uterus is the most common cause. This condition is quite dangerous, it requires medical supervision and treatment. The uterus becomes inelastic, making it difficult for the baby to sit normally in the womb and can lead to miscarriage. Abdominal pain in this case is also accompanied by a pulling pain in the lumbar region.
Frozen pregnancy, when the baby loses its vitality while still in the womb. Often in this case, there is an increase in body temperature, nausea and vomiting, and the symptoms that accompany pregnancy disappear.
Ectopic pregnancy is also accompanied by pain in the lower abdomen. This means that the embryo does not develop within the uterus and in the tubes. If you do not consult a doctor in a timely manner, this can lead to rupture of the tubes, which has quite serious consequences for the woman's body and can greatly complicate further attempts to get pregnant.

Such conditions are often accompanied by smearing secretions of various colors and consistencies, this is a sure sign that you need to immediately contact a specialist. Such conditions can lead to irreversible consequences, so one cannot hesitate, it is necessary to immediately eliminate the problem under the strict supervision of doctors.

Exacerbation of chronic diseases

In a woman in the early stages of pregnancy, immunity decreases so that the body does not reject the embryo. This can lead to an exacerbation of chronic diseases. Also, this phenomenon can arise as a result of an increased load on all organs and systems, since during this period a woman needs to cope with ensuring the vital activity of two organisms.

Moreover, the intensity and type of pain can be very varied. Despite the fact that these conditions do not directly affect a girl's ability to bear a child, they can indirectly cause a developmental disorder of the baby or a sharp deterioration in the mother's condition and her inability to fully spend the period of pregnancy and childbirth.

Conditions that can cause abdominal pain include:

Cholecystitis is a disease of the gallbladder, which is accompanied by sharp pains in the right side of the abdomen. Also, the girl's body temperature rises sharply and vomiting appears. In addition, bitterness in the mouth may occur.
Gastritis can also become aggravated precisely during pregnancy, since the compression of the stomach during the birth of a new life in the uterus can impede the excretion of gastric juice, which provokes a relapse of the disease. In this case, in most situations, the pain spreads to the upper abdomen, and only sometimes it is transferred to the lower abdomen.
Pyelonephritis, inflammation in the kidneys, often occurs due to the fact that it is difficult to remove metabolic products from the organs. The condition is characterized by aching pains, as with menstruation, which radiate to the lower back. Inflammation can pass without an increase in temperature, but simple tests will immediately show the presence of this pathology.
Cystitis is a disease of the bladder, a dangerous spread of infection through the reproductive tract, which can lead harmful microorganisms directly to the child. This ailment is accompanied by painful and frequent urination. Blood impurities in the urine may also be observed.
Acute appendicitis. The situation arises when the organ is inflamed, and urgent medical attention is required, often surgical intervention. In a woman, such an ailment is accompanied by a prolonged attack of pain, which changes in intensity, while the temperature rises and vomiting begins.

All these diseases are considered serious and dangerous for both the mother and the baby. They need serious, attentive therapy, which is mainly carried out in a hospital. Often, doctors have to use drugs that are strong enough to preserve the woman's ability to bear the baby. But you should not hope that you will be able to recover from these diseases on your own.

Without the attention of the doctor, ailments will develop and provoke new deviations.

At the time of bearing a baby, the proper functioning of each organ is important, therefore it is necessary to monitor the general state of health. When preparing for pregnancy, a woman needs to undergo a high-quality examination and, if possible, solve health problems.

These tips can be used only after consulting a doctor and a clear understanding that there are no pathologies and chronic diseases, since if any, the doctor prescribes a certain treatment and gives specific recommendations on nutrition and lifestyle. In some cases, for example, it is necessary to minimize movements throughout the pregnancy and follow a strict diet in order not to provoke an exacerbation of diseases.

But if abdominal pain appeared due to non-dangerous physiological reasons, then you should remember several important recommendations:

Don't overeat.
You need to spend at least 4 hours a day outside.
It is important not to forget about measured walks in the morning and evening.
You need to eat light foods that reduce the burden on the digestive system, kidneys and liver.
You do not need to take any medications, even vitamin complexes, without a doctor's prescription.

All this will help strengthen the body and give it the resources to cope with such a difficult task as carrying a child. If there are no pathological factors at the base of the pain, then it will go away within a few weeks.

After giving birth, a woman will be able to completely forget about these unpleasant sensations. The main thing is to closely monitor your health and changes in the body. It is worth listening to your body, and he himself will tell you what disorders it has. Modern gynecology and obstetrics, in turn, have a large arsenal of tools in order to make pregnancy as comfortable and painless as possible.