Medicine today 

Sharp pain in the right side of a pregnant woman. Why does the right side hurt in pregnant women?

Pregnancy is the best time in every woman's life. But it comes with a lot of inconveniences. The mom-to-be may experience abdominal discomfort or pain. And if the first is a completely common manifestation, then the second should be given increased attention, because spasms can be messengers of various problems that can pose a threat to the life of the baby or his mother. If you are faced with similar problems, then you should not panic, as unnecessary excitement will not be of much use. The most important thing is to understand why the right side hurts during pregnancy.

Why can abdominal cramps appear?

During pregnancy, you need to pay attention to all changes in the body. Cramps in the right side of the abdomen can be caused by many things.

The most common among them are the following:

  1. Appendicitis: According to many doctors, during gestation in women, it becomes inflamed. If at the same time colic does not go away for a very long time, and an increased body temperature also persists, then you do not need to self-medicate. It is better to seek help from a profiled specialist.
  2. Ovarian cyst: if a similar disease manifested itself even before pregnancy, then during gestation it is necessary to pay great attention to your health, since very often an exacerbation occurs when a baby grows in a woman's abdomen. At the first sign, you should immediately contact a specialist.
  3. Pancreatitis: if this ailment has worsened, then in women during pregnancy, the right side in the lower abdomen hurts. In addition, vomiting and diarrhea are common symptoms.

The abdomen is the home for a large number of internal organs (liver, kidneys, and parts of the intestines) that can respond to pregnancy. At the same time, it does not matter at all whether you have previously had problems with them. Therefore, in order to determine the cause of pain and take the necessary measures, it is necessary to have an idea of ​​the symptoms that may appear with certain problems.

Clinical manifestations

If your right side hurts during pregnancy, it is very important to determine the nature of the spasms. To do this, try to understand how the pain attacks make you feel. It is also very important to determine the place in which they appear. This will not be difficult to do, since each organ sends signals to a specific area. Conventionally, the abdominal cavity can be divided into two parts - left and right, each of which, in turn, consists of an upper and lower region. This way, you can determine the approximate place where pain occurs.

What to do if it hurts in the upper abdomen

What you should pay attention to? If the right side of the abdomen hurts during pregnancy in the upper part, then this may be due to the following organs:

  • liver;
  • gallbladder;
  • intestines;
  • the top of the diaphragm.

If you have cramps in your upper abdomen, the problem is most likely with those organs. If the pain is aching in nature, then most likely the liver or the upper part of the intestine makes itself felt. Most often, such manifestations occur with hepatitis, which is also accompanied by a change in the color of the skin and urine. This disease has practically no effect on the bearing of the fetus, and the only symptom is pain.

If the spasms are very strong, and they roll suddenly and do not let go for a long time, then the problem may be related to the pancreas. If it is inflamed, you may be vomiting and sweating.

Lower abdominal pain

If the right side hurts during pregnancy in the lower part, then this may be due to the following organs:

  • bladder;
  • kidneys;
  • appendicitis.

If the spasms are pulling, then it is recommended to pay attention to the genitourinary system. This is especially worth doing at the first signs of cystitis. If the pain is unbearable and continues for at least 30 minutes or longer, then most likely the inflammatory process of the appendix has started and immediate surgery is needed. The second common case is a ruptured cyst. Surgical intervention is also necessary here, which should not be delayed, since it is accompanied by internal bleeding.

Painful sensations during the first trimester

Many women have a very common right side pain in early pregnancy. With what it can be connected?

The most common reasons are as follows:

  1. Ectopic pregnancy. It can be determined at the earliest possible date using ultrasound.
  2. Malfunctions of the digestive system. Such problems are associated with hormonal imbalances, due to which many chronic diseases that were previously in a dormant form emerge in the body.
  3. Toxicosis. Every woman carrying a child faces this problem. It is accompanied by frequent nausea, and the expectant mother often has pain in her right side. This is quite common during pregnancy, so don't panic.

Painful sensations during the second trimester

Throughout pregnancy, the fetus grows and develops, so the woman's walls of the uterus stretch, resulting in pressure on neighboring organs. As a result, periodic pain in the abdominal cavity may occur.

A very common problem during pregnancy, which almost every woman faces, is constipation. This is due to the fact that the uterus presses on the intestines, as a result of which it becomes difficult to remove feces from the body. Of course, the expectant mother will experience not only discomfort, but also cramps in the abdomen. It is worth noting that such manifestations are considered normal, and you do not have to worry about having any health problems.

Unpleasant sensations during the third trimester

Many expectant mothers have a sore right side during pregnancy. This is especially true of later dates. The thing is that in the third trimester, the baby is already big enough, and he can also move in the womb, which, of course, is accompanied by discomfort and pain. Also during this period there may be various problems with the digestive system and pancreas. The strong pressure on the internal organs created by the baby hinders blood circulation, so the girls feel as if their side is being stretched.

What to do with stomach cramps?

So, your right side of the abdomen hurts during pregnancy. What should the expectant mother do in this situation? First of all, you need to focus on your own feelings. If the spasms do not occur very often and do not last long, then there is no particular cause for concern, since there are no health problems. Discomfort is most likely associated with internal restructuring of the body, which is common. But if painful sensations are often manifested in an acute form, and are also accompanied by fever, loose stools and vomiting, then in this case you cannot do without the help of a doctor. At the same time, you should not assume that the problem will go away on its own. It is better to immediately undergo an examination by a profiled specialist.

When are abdominal cramps normal during pregnancy?

During unpleasant sensations, do not immediately panic. If during pregnancy the right side hurts under the ribs, this does not mean that you have any health problems. In some cases, cramping is quite common and is associated with bearing a fetus. As mentioned earlier, if the pains are of a periodic and short-term nature, and there are no symptoms, then there are no obvious reasons for worrying. In this case, the painful sensations are caused by the restructuring of the body, which adapts to the bearing of the fetus. At the same time, it is important to understand that the longer the period, the more often you will experience discomfort.

But there are a number of cases when it is worth calling a doctor or going to the hospital. Chief among them are frequent and acute spasms that last more than half an hour. The situation is aggravated if you feel unwell, you have a fever, and various dyspeptic disorders appear. With such symptoms, it is not recommended to postpone the visit to the doctor, since a great threat can be created for both the child and his mother.

How to relieve pain?

If your right side regularly hurts during pregnancy, then in order to improve your well-being, you need to know the main ways to relieve spasmodic attacks. It is worth noting that it is not recommended to take any pain relieving medications, as this will complicate the diagnosis. Lie on your back and try to relax. This will reduce the stress on the abdominal muscles. Warming up the stomach is not recommended, since this not only will not give any positive effect, but can only aggravate the situation. Another good way to relieve pain is to lie on either side and bend your legs under you. This position will not only reduce the severity of spasms, but also reduce their duration.

If the right side hurts during pregnancy, then even after calling a doctor at home, it is necessary to be examined by an obstetrician-gynecologist or therapist. The thing is that it is very important not to overcome spasms, but to establish their cause, so that, if treatment is necessary, take the necessary measures in a timely manner, because this is the only way to minimize the likelihood of various undesirable consequences that can pose a threat to the health of the baby and his mother.

It is worth noting that even if the spasms are not associated with any diseases, but are caused by the usual restructuring of the body, it is recommended to monitor your diet, excluding all harmful foods from the diet, and also try to rest as much as possible.

Preventive actions

If the right side hurts during early pregnancy, then by adhering to some tips and recommendations, you can reduce the intensity and duration of spasms.

Preventive measures are as follows:

  1. Adjust your daily diet. You should eat regularly and only eat fresh and healthy foods. This is very important, because during pregnancy, a woman's digestive system suffers greatly.
  2. Rest well. Quality sleep is just as important as proper diet.
  3. Don't overload your body. Reduce the number of daily tasks, or do them little by little, so as not to get tired.
  4. Monitor your emotional state and try not to take everything too personally.

By following the above tips, you will not have any health problems throughout the entire gestation period. But if any alarm signals from your body appear, do not try to solve the problem yourself. Remember that you are responsible not only for yourself, but also for the baby, so do not dismiss your health.

Each of us periodically experiences painful sensations in the abdomen and this is quite natural, because there are no absolutely healthy people. It is important not to ignore them, but to be able to determine the cause of their occurrence. For example, what causes the pain in the side to the right? Read about possible sources of her origin.

What can hurt in the right side

Some internal organs are located in the indicated side, with dysfunctions of which discomfort has a direct connection. What can hurt on the right:

  • liver;
  • kidneys;
  • pancreas;
  • intestines;
  • ovaries;
  • appendicitis.

The right lobe of the abdominal cavity is conventionally divided into subcostal (top) and pelvic (bottom) parts. The first contains the gallbladder, adrenal gland with kidney, liver, diaphragm, ileum. The second contains the ovary (in women) with an appendix (in all). Rarely, but sometimes the wandering pain of the organs located on the left gives to the right. This can be the stomach, pancreas. To establish the exact root cause of the onset of unpleasant sensations, you need to clearly determine their localization.

Right under the ribs in front

It can be constant or periodic. Constant pain on the right under the ribs in front occurs due to such ailments:

Pain in the right side of the abdomen in the front may not be related to pathologies. Periodically, everyone experiences such sensations when:

  1. Pregnancy. The growing fetus is in the uterus and puts pressure on the woman's organs, causing pain.
  2. Intense physical activity. If a person is not used to doing hard work or doing sports exercises, he has a lot of adrenaline is thrown out. Therefore, blood flow increases, and the vena cava expands and constricts the liver.
  3. Premenstrual syndrome. With the increased production of estrogen, which occurs before menstruation, a spasm of the biliary tract occurs, which is affected by this hormone.

Right side from the back

This phenomenon is typical for a number of renal pathologies. Does your right side hurt from your back? Warns this about:

  1. Acute pyelonephritis. Intense but dull painful sensation. If you knock on the lower ribs, it becomes stronger.
  2. Chronic pyelonephritis. A weak aching pain sensation that becomes obsessive if it is damp and cool outside the window.
  3. Retroperitoneal hematoma. If a person falls on his back or is badly hurt, then a vessel bursts behind the peritoneum and a hematoma (blood accumulation) is obtained, pressing on the organs.
  4. Acute pancreatitis. Girdle pain that grows if the person is lying down. Additional symptoms are nausea, diarrhea, vomiting.
  5. Urolithiasis. Dull pain sensation. It grows if a person moves a lot or drinks an excessive amount of liquid.
  6. Pinched nerve. Spilled pain at the top, increasing under the scapula on the right.

Back in the lumbar region

There are many circumstances for the occurrence of such a symptom. Does your right side hurt from your back in your lower back? It is necessary to be examined for ailments:

  1. Musculoskeletal system: spondylolisthesis, osteochondrosis, osteomyelitis, osteoporosis.
  2. Muscles: inflammation, injury, sprain.
  3. Neurological: plexitis or neuritis.
  4. Internal organs: kidneys (pyelonephritis, stones, hydronephrosis, colic), intestines, gallbladder, liver, ovaries in young ladies.

At the waist

There are many probable reasons for this phenomenon. It hurts in the right side at the waist level in people with:

  1. Volvulus.
  2. Liver disease.
  3. Pancreas malfunctions.
  4. Appendicitis. Sharp stinging, worse on inspiration or movement.
  5. Inflammation of the uterine appendages.
  6. The presence of small stones in the gallbladder. Paroxysmal pain.
  7. Inguinal hernia.
  8. Kidney diseases: prolapse, hydronephrosis, glomerulonephritis, stones.

Pain in the liver area

The list of reasons for this phenomenon is very extensive. Pain in the area of ​​the liver, in the mouth in which bitterness appears, occurs when:

To carry out the diagnosis correctly, it is necessary to identify not only the localization of unpleasant sensations, but also their nature and intensity. This is very important, because only after finding out why the right side hurts, the doctor will be able to prescribe an actual treatment regimen that will really help the patient and alleviate his condition. The pain is dull or sharp, girdle, stabbing, cramping. The reasons for the appearance of each are individual.

Aching

Allocate constant or periodic. The first is found in oncology, cysts, bone fractures. Intermittent aching pain in the right hypochondrium is typical for:

Pulling

There are several groups of diseases for which this symptom is characteristic. Gynecological pathologies in which the right side is pulled:

  1. Right-sided adnexitis, acute or chronic. The symptom is accompanied by chills, high fever.
  2. Apoplexy of the ovary. Partial pain in the abdomen on the right, in other areas can not give.
  3. Ectopic pregnancy with tube rupture.
  4. The pedicle of the formation on the ovary is twisted.

Does the right side of your abdomen hurt? This may indicate the following urological diseases:

  • chronic pyelonephritis;
  • tumors of the kidney.

A pulling feeling is a symptom of a number of surgical conditions:

  • appendicitis;
  • strangulated hernia.

Tunic under the rib on the right

Colic is a very unpleasant symptom. There are many reasons for their presence. A stabbing pain in the right side arises from:

  1. Insufficient passable bile ducts. Attacks overtake the patient unexpectedly, at night, and by the morning they become a little quieter. Colic is unpleasant, but passes quickly.
  2. Ulcerative duodenitis (duodenal ulcer). Severe colic on the right and near the navel, which is accompanied by fever, bloating, nausea.
  3. Presence of kidney stones. They cause a tingling sensation by moving along the ducts and scratching them.
  4. Pyelonephritis. Persistent colic is uncommon for this disease, but periodic colic occurs with excessive physical activity.

Dumb

Notifies a symptom of a period of exacerbation of chronic diseases. Dull pain in the right hypochondrium is indicated when:

  1. Chronic hepatitis. Dissolves when pressed on the liver.
  2. Chronic cholecystitis. The inner wall of the gallbladder is "scratched" by stones. This brings painful sensations that are aggravated by the use of fatty foods.
  3. Chronic pancreatitis. The side on the right hurts after eating, there is nausea, heaviness.
  4. Chronic duodenitis. If the wall of the duodenum becomes inflamed, a person's stomach aches and rumblings, heartburn and nausea are observed. Vomiting occurs, in which there are traces of bile.

Heaviness in the right hypochondrium

First of all, this symptom is characteristic of bowel diseases. Severity in the right side in the lower abdomen is observed with infectious lesions of this organ, dysbiosis, colitis, ulcers and the presence of neoplasms. With intestinal dysfunction, additional symptoms appear: stool disturbances, weakness after eating, sometimes vomiting opens. Another cause of severity can be adrenal or kidney disease.

Sharp

It accompanies pathologies of some organs. A sharp pain in the right side often occurs with diseases of the liver, gall bladder, duodenal ulcer. Its suddenness is a sign that the work of the organs has given a serious malfunction. The most common causes of cuts:

  • the bile ducts are clogged with a stone;
  • ovarian cyst;
  • inflamed appendicitis;
  • ectopic pregnancy;
  • ovarian apoplexy;
  • entrapment of an inguinal hernia.

Burning

This extremely unpleasant sensation speaks of the pathologies of the internal organs. Burning sensation in the right hypochondrium develops due to:

  1. Dysfunctions of the gallbladder. Burning pain begins due to retention of bile, inflammation of the organ.
  2. Diseases of the liver, pancreas, intestines. Burning sensation periodically appears with hepatitis, cirrhosis, chronic pancreatitis, duodenal ulcer.
  3. Diaphragmatic hernia.
  4. Diseases of the urinary organs and kidneys. A burning sensation occurs between bouts of colic.
  5. Osteochondrosis of the lumbar spine.
  6. Neurological diseases.

Sharp

The phenomenon in the lower abdomen arises from:

  • appendicitis;
  • pancreatitis;
  • intestinal diverticulum;
  • liver disease;
  • intestinal blockage (strongly radiates to the groin);
  • inguinal hernia;
  • duodenitis.

Acute pain in the right hypochondrium reports:

  • dyskinesia of the bile ducts;
  • cholecystitis;
  • hepatitis;
  • shingles.

If it hurts more from the back, then you need to check for:

  • renal dysfunction;
  • the presence of stones in the ureter.

The discomfort

Such an unpleasant sensation sometimes arises even in healthy people due to the use of food or alcohol that is heavy for the body. Discomfort in the right hypochondrium is accompanied by cholelithiasis, cholecystitis. It can be caused by hepatitis and liver abscesses. However, stress, physical or mental overstrain, which have nothing to do with organ pathologies, can cause this condition.

Pulsating

There are a lot of reasons for this symptom. Throbbing pain in the right side informs about:

  1. Digestive disorders or bowel pathologies. The stomach shoots due to dysbiosis, bloating, poisoning.
  2. PMS. The throbbing of the abdomen often begins before your period. If she is tolerant, then there is no need to worry.
  3. Ailments of the female genital organs. It is especially dangerous if the pain is accompanied by severe bleeding.

Cutting

A number of diseases cause this symptom. A cutting pain in the right side arises when:

  1. Inflammation of the duodenum. Has a periodic character.
  2. Blockage of the bile duct with a stone.
  3. Pinched inguinal hernia. A dangerous condition that requires urgent surgical or removal surgery through laparoscopy.
  4. A ruptured abscess on the inflamed fallopian tube.
  5. Acute appendicitis.

Presses under the ribs on the right

From time to time, the symptom occurs after eating heavy food, alcohol. The liver is trying to overcome the increased load, which makes the person feel uncomfortable. There are also dangerous reasons why it presses in the right side under the ribs:

  1. Gynecological diseases. A feeling of squeezing is possible with salpingitis, ovarian tumor, rupture of a cyst or torsion of its legs, oophoritis, vulvodia, endometritis, diverticulitis, adnexitis.
  2. Urological diseases. The feeling of pressure is caused by cystitis, pyelonephritis, inflammation or infections of the urinary system.
  3. Tumors of the male reproductive organs.
  4. Inguinal hernia.
  5. Bowel diseases.

Bursting

The symptom is very common and troublesome. Bursting pain in the right hypochondrium opens when:

  • colitis;
  • dyskinesia of the biliary tract;
  • liver diseases: hepatitis, echinococcosis, cirrhosis, pancreatitis;
  • diseases of the small intestine;
  • pyelonephritis;
  • exacerbation of chronic cholecystitis;
  • appendicitis;
  • duodenitis.

Pain in the right side of the abdomen in women

I would like to dwell on gynecological diseases, which the representatives of the opposite sex simply cannot have. Pain in the lower abdomen on the right in women is observed when:

  1. Endometritis. The painful sensation during inflammation of the uterine mucous membrane can be both intolerably sharp and aching, it gives to the sacrum. The disease is accompanied by a burning sensation, discharge.
  2. Myoma of the uterus. In the subserous form, the painful sensation is acute, and in the submucous form, it is aching. The disease may be accompanied by difficulty urinating, chronic constipation.
  3. Oophorite. Inflammation of the ovaries, in which there is aching pain on the right. It disrupts the menstrual cycle.
  4. Salpingitis. Infectious inflammation of the fallopian tubes. Strong cuts. The general state of health deteriorates, there is discharge from an intimate place.

In men

It is worth talking in more detail about the ailments of the genitourinary system, which cause an unpleasant symptom, characteristic of those who represent the stronger sex. Pain in the right side in men occurs due to:

  1. Balanoposthitis. Inflammation of the head of the penis, accompanied by a pulling pain in the abdomen.
  2. Cavernite. Inflammation of the cavernous bodies of the penis. In an acute form, the man's side on the right hurts and cuts badly, in chronic aching.
  3. Colliculitis. Inflammation of the seminal mound. It is accompanied by a pulling feeling on the right.
  4. Presence of stones in the prostate gland. With this pathology, the side on the right hurts. Can give it to the lower back.
  5. Prostatitis. The abdomen at the lumbar level hurts a lot.
  6. Adenomas of the prostate gland. An oppressive feeling.

During pregnancy

Slight abdominal discomfort for a woman in this position is normal. If a girl has a pain in her right side during pregnancy, then this is caused by the active growth of the fetus. It expands the internal organs, from which it becomes painful. In the later stages, the child kicks very actively. You should be wary if the discomfort came unexpectedly and does not let go for more than half an hour, the attacks are too acute, accompanied by symptoms of intoxication. If the condition deteriorates sharply in the first weeks, this may, unfortunately, be a manifestation of an ectopic pregnancy.

When coughing

The phenomenon is extremely frequent. If a person has a sore right side under the ribs when coughing, he should be checked for the following diseases:

  1. Right-sided pneumonia. Painful sensations prove that the disease is in an acute stage.
  2. Dry unilateral pleurisy.
  3. Pancreatic dysfunctions.
  4. Injuries to the intercostal space on the right. Until she is completely healed, the cough will hurt.
  5. Lung neoplasms on the right.
  6. Intercostal neuralgia.

After meal

The source of this phenomenon is problems with the organs of the digestive system. Pain in the right hypochondrium opens after eating from such diseases:

  1. Chronic pancreatitis. Sensations during exacerbations intensify, accompanied by nausea, belching.
  2. Duodenitis. Aching contractions, gives under the chest, scapula. Comes an hour after eating.
  3. Chronic cholecystitis. A dull bursting feeling, can be given to the shoulder, scapula.
  4. Dyskinesia of the biliary tract. A dull aching feeling, which becomes acute at moments of exacerbation, comes in attacks.
  5. Cholangitis. It hurts weakly, but unpleasantly.
  6. Bulbita. Aching sensation, sometimes cramping.
  7. Gastritis. Pains of varying intensity. Come after eating in an hour or two.

When inhaling

For a number of diseases, this symptom is characteristic. With a sigh, the right side hurts under the ribs from:

  1. Pericarditis. Sharp cuts, it becomes even more intense if you take a breath.
  2. Acute cholecystitis. Gives to the back, lower abdomen.
  3. Myositis. With this ailment, pain first occurs only with a deep breath, and then (with a prolonged absence of treatment) takes on a permanent character.
  4. Renal colic.
  5. Thromboembolism of a large branch of the pulmonary artery. Cuts that become stronger when air is taken in.
  6. Subphrenic abscess.

Learn more about what to do if the right side hurts under the ribs.

When walking

Each of us is familiar with a similar phenomenon and has encountered at least once. If your right side hurts while running, it doesn't have to be related to illness. Due to the sudden rush of adrenaline, the blood flow in the body becomes more intense. This leads to the expansion of the vena cava, which presses on the liver, thereby causing discomfort. Other causes of side pain when walking:

  • cholestasis;
  • fatty hepatosis;
  • cirrhosis;
  • calculous cholecystitis;
  • kink of the gallbladder;
  • appendicitis;
  • vena cava thrombosis.

Video

Often in the early or late stages, women are faced with the fact that they have pain in the side or lower abdomen during pregnancy.

Being at this moment more attentive to their health, expectant mothers are afraid of the possible causes of these symptoms.

But you should not be too worried about such phenomena - they are so common even in the early stages that they are considered not only the norm during pregnancy, but one of its signs, by which one can judge its onset.

The importance of understanding the causes of pain

To differentiate the factors that cause soreness in the lower abdomen during pregnancy, they can be conditionally divided into 3 groups:

  1. factors associated with the growth and development of the fetus. They can be a sign of a naturally occurring process or a consequence of pathologies;
  2. purely physiological reasons caused by pregnancy, but not affecting its course;
  3. factors not related to pregnancy, but which manifested themselves in connection with the load on the body during this period. They can, to a greater or lesser extent, affect the course of pregnancy.

This is a rather arbitrary division, but based on it and on knowledge of physiology, one can independently assume the causes of pain in the lower abdomen during pregnancy and identify a possible threat for oneself.

At the beginning of self-diagnosis, it is important to be able to assess the nature of the pain - in women in the early stages (in the first 9 weeks), they are specifically pulling, aching, not strong.

First of all, it is worth understanding that, as a rule, these sensations do not carry anything dangerous.

If the pain is not sharp, and the sensations are not strong, stabbing or cutting and do not have a pronounced paroxysmal character, without bloody discharge, then you should not urgently call a doctor.

But at regular examinations, it is imperative to inform the leading specialist about changes in the condition so that he can adequately assess the onset and development of pregnancy.

Understanding the changes taking place in the body, one can adequately perceive the unusual pulling and aching sensations at the beginning of pregnancy without fear, or, conversely, take the necessary measures in time, quickly and correctly reacting to strong stitching, cutting pains in the lower center of the abdomen or on the left, on the right, radiating to side.

Each term has its own predisposing factors. In different trimesters of pregnancy, pain in the lower abdomen can be assessed in different ways.

Features of the course of pregnancy

The entire period of pregnancy is divided into 3 trimesters:

  • The 1st trimester lasts from the first to the 14th week;
  • The 2nd trimester includes the time from 14 to 27 weeks of pregnancy;
  • 3rd trimester - from 28 to 40 weeks.

The pregnancy is considered to be 40 obstetric weeks. But in reality, the 3rd trimester has a vague framework - labor can begin both at the 38th week and at the 42nd. It is considered normal when the final trimester lasts from 11 to 15 weeks.

The obstetric period is considered not from the moment of conception, but from the first day of the last menstruation. The day of birth is supposedly calculated by subtracting 3 months from that day and adding 7 days to the resulting date.

Thus, there are, as it were, 2 terms: embryonic - the term of fetal development from the moment of conception, and obstetric term.

And one more interesting fact: more often in women, the right ovary is more active, some even feel it during ovulation (special pains in the lower right abdomen, which can be given to the side).

At the beginning of pregnancy, in the first trimester, a tremendous work takes place: the body of women is rebuilt in a new way, adjusting to the needs of the fetus.

By the end of the first trimester, the size of the embryo from the vertex to the sacrum (CTE) is 12-13 cm, and its weight is already about 100 g.

In the second trimester, the embryo looks more and more like a man. He is growing, his organ systems are improving. By week 27, the weight of the fetus has already reached 900 g, and its size from the crown to the sacrum will be 24 cm.

The woman is still influenced by hormones, which cannot but affect her mood and feelings, and the toxicosis should have already diminished.

She is also less and less bothered by the pulling sensations in the lower abdomen, which were at the beginning of pregnancy.

Abdominal discomfort due to the growth of the uterus can be more general and radiate to the lower back or to the right / left side.

In the third trimester, the baby develops and gains weight. Already at 37 weeks, you need to be ready for a trip to the hospital in case of childbirth.

Possible causes of pain in the first trimester

Due to the enormous load, the female body is especially vulnerable in the early stages. Many women develop toxicosis, they quickly get tired and become drowsy.

Lower abdominal pain during this period is quite common.

They can be caused by a number of non-pathological reasons:

  1. stretching of the walls of the uterus;
  2. the flow of more blood to the pelvic organs;
  3. an increase in the load on the ligaments that support the uterus;
  4. increased tension of the abdominal muscles.

Such phenomena contribute to the appearance of painful pulling pains in the lower abdomen.

They are pulling, moderate in intensity, have a uniform character and can focus on the bottom, either in the center, or on the right or left. The discomfort is reduced by lying down or taking pain relievers.

At the same time, under the influence of hormonal and other changes, women often experience flatulence, constipation or bloating.

Thus, painful sensations in the lower abdomen can be associated not only with the reproductive organs, but often also relate to disturbances in the functioning of the intestines or stomach.

But sometimes pain in the lower abdomen may indicate an unfavorable course of pregnancy.

The most dangerous pathology in the early stages will be an ectopic pregnancy. It can be detected already at about 3 - 5 weeks.

It is characterized by sharp stabbing pains on the left or right in the lower abdomen, radiating to the right or left side.

The embryo, fixing itself not in the uterus, but in one of the tubes or in the ovary on the right or left, will stretch the cavity, causing pain, up to its rupture.

Women in this condition need urgent help. There are various procedures to help you get out of this situation.

It is necessary to consult with your doctor about the possibility of a fetal transplant into the uterus (some institutions may provide similar services) or about other methods of treatment.

Another conditionally pathogenic cause of pain in the lower abdomen in the early stages is the tone of the uterus. This is a common occurrence associated with stress and general psychological or physical stress.

Usually it can be removed by eliminating the causes of overexcitation in the mother, calming down or taking "No-shpa". This factor becomes pathogenic in the case of hypertonicity of the uterus.

In some situations, it can even lead to a threat of miscarriage. Then the pains become sharp and resemble labor pains, bloody discharge may appear. In this case, urgent medical attention is needed.

A doctor should be consulted if there is any strange bloody, greenish, or yellow discharge that may or may not be painful.

This may indicate a frozen pregnancy - it is necessary to quickly exclude this scenario.

Other causes of pain may only be indirectly related to pregnancy or not related to it at all. In women in a special position, the immunity is physiologically reduced, so that sores that have been "dormant" for the time being often come out.

In the first trimester, untreated cystitis may return, kidney or gastrointestinal tract diseases are haunted, which is why the stomach and the left or right side begin to ache. The gynecologist will tell you how you can cope with problems without prejudice to the situation.

Causes of pain in the second and third trimesters

Physiological conditions for the occurrence of abdominal pain are relevant in both the 2nd and 3rd trimesters:

  • the uterus is stretched and heavy. This is no longer as uncomfortable as at first, and pulling sensations can be overlapped by others;
  • the growing fetus "pushes" the nearby organs, which causes a feeling of pressure;
  • toxicosis in most mothers has already passed, but some still have nausea and flatulence;
  • the pressure sensation on the pelvic organs increases. Soreness may occur in the lower abdomen and groin, especially in the last weeks of pregnancy;
  • by the 3rd trimester, the tone of the uterus is especially dangerous, so women can be admitted to the hospital for observation.

The pressure of the uterus on nearby organs can even cause pain. The situation is aggravated by the activity of the baby. This is especially true of the end of the second and the entire third trimester.

By this time, the fetus is quite noticeably moving. His strong kicks to the organs are a good reason why sharp pain and stitching or cutting sensations occur in the right or left in the abdomen.

They can give both to the lower abdomen, to the lower back, and to the left or right side. Pregnant women often have pain on the right in the hypochondrium. The right side hurts from the baby's thrusting into the liver or pancreas.

And, of course, contractions will be the natural cause of pain in the lower abdomen. It can be both false contractions, training, and already quite expected prenatal contractions.

As mentioned above, you should prepare for childbirth, starting at 37 weeks. For pain in the lower abdomen in the third trimester, it is better to contact your doctor.

Training contractions - Braxton Hicks contractions. In fact, they can periodically occur throughout pregnancy, but they will be a factor in the onset of pain only at the end of the second trimester and throughout the third, since, having increased, the uterus can already contract quite sensitively.

Pathological causes of lower abdominal pain will be:

  • premature detachment of the placenta;
  • hypertonicity of the uterus;
  • premature birth;
  • pathologies not associated with pregnancy.

Carrying a baby is a big burden on the body. Therefore, "weak points" in the body can make themselves felt.

In a healthy woman with a predisposition to any disease, it can manifest itself during pregnancy.

Diseases of the kidneys, pancreas, liver - all this can cause soreness in the lower abdomen or on the left and right sides and complicate the course of pregnancy and childbirth.

Occasionally, in pregnant women, inflammation of appendicitis occurs, which causes severe pain in the side on the bottom right.

In such situations, you need competent support from a specialist. Therefore, many pregnant women go to the hospital for examination and treatment.

But in most cases, pain in the lower abdomen during pregnancy is caused by non-dangerous reasons.

The pulling pain in the lower abdomen during pregnancy must be carefully treated. Such sensations are not uncommon, they can indicate serious violations. To determine the degree of danger or its absence, you must immediately seek help from a specialist.

Obstetric type

Pain in the lower abdomen on the right and left is divided into 2 groups. The first is represented by the obstetric type. It includes painful manifestations that are directly related to pregnancy. An unpleasant symptom can occur as a result of premature placental abruption, with an ectopic pregnancy, or if there is a risk of abortion and fetal loss.

Aching pain in the lower abdomen, which is associated with the obstetric type, is a threat to the fetus, and in some cases to the mother. With the ectopic development of the pregnancy process, the fertilized egg is fixed in the cavity of the fallopian tube, and not in the uterus itself, where it should be. At 5-7 weeks of pregnancy, the woman feels normal, but there is a mild degree of discomfort.

At this time, the development of the egg takes place, which is located in the fallopian tube. It grows quickly enough, tissue rupture occurs, so there is pain in the lower abdomen during pregnancy. Bleeding may begin. Such a pregnancy is determined using ultrasound. If the patient has not yet sought help, the pregnancy test showed a positive result, and the pain intensifies, then you need to go to the hospital as soon as possible.

Severe pain may be accompanied by a smearing character of a light brown discharge. Their interval and intensity may vary. Beginning with mild manifestations, the discharge may become abundant after a while. There is a possibility of bleeding.

With the threat of termination of pregnancy, the formation of a pain syndrome occurs. The threat itself can be associated with many factors. This also applies to the presence of pathologies or diseases, and to prolonged stress or high physical exertion.

In these situations, a woman is assigned tests, her hormonal background is examined. At the initial stage of development, it is required to go to the doctor immediately. If assistance was not provided on time, then there is a risk of shortening the cervix. This is fraught with premature birth or spontaneous abortion.

Pain in the lower abdomen on the right can form if the pregnancy is frozen. This could be due to a genetic malfunction or an inappropriate lifestyle. Often pregnancy freezes as a result of artificial insemination. A similar process is characteristic for different periods, so it can occur both at the beginning of the development of pregnancy, and in the middle.

Danger of placental abruption

The presented reason for the development of painful sensations in the lower abdomen refers to obstetric pain. Premature placental abruption also causes unpleasant symptoms. This often occurs as a result of a certain impact. This can be physical stress or injury. The presence of past diseases, for example, hypertension, can also lead to a similar result.

Thus, many reasons contribute to the development of the named factor. These include the following:

  • severe form of preeclampsia;
  • too short an umbilical cord;
  • anomalies that may occur during gestation, this concerns anomalies of labor and other pathological conditions;
  • the arterial form of hypertension transferred in the past negatively affects the condition of the mother, which can cause painful sensations.
  • trauma to the abdomen can lead to premature labor and loss of the fetus as a result of its death.

With placental abruption, the patient may not have external bleeding. Strong pain is a sure sign of the presence of a pathological process. There is a tension in the uterus, unpleasant sensations and hematoma, which is located in the placenta, increase. Such a situation can cause a deterioration in the condition of the mother and child, which ultimately leads to the death of the fetus inside the patient's womb.

Natural sensations

Aching pain in the lower abdomen during pregnancy can occur in absolutely any woman who is expecting the birth of a child. This can be explained quite simply. In a woman's body, a restructuring occurs, an increase in sensitivity is observed. This process is individual. For example, during pregnancy in a woman, discomfort may be natural, while a few days before the onset of menstruation, pain is present for the entire cycle.

If severe pain does not arise, then this is a reason for calm. Nevertheless, the situation depends on the pain threshold, therefore, with its lower level, the woman feels the changes taking place more strongly. In the presence of an increased pain threshold, the patient tends not to pay attention to these signs.

To understand the essence of unpleasant sensations, it is required to trace the process of the birth of the fetus. Already from the first week of conception, the process of preparing the body for childbirth is observed. For every woman, this process is individual, therefore, for some, pain may become a permanent phenomenon, but for others it may not.

Aching pains can appear with the tone of the uterus. There is a reduction in the surface of the uterus, the sensations themselves are harmless. This condition can be detected during an appeal to an obstetrician-gynecologist and during an examination.

Due to the effect of the substance - relaxin, the pubic bone begins to move apart. The distance in this case is small, it is equal to 6 mm. During pregnancy, the lower abdomen pulls as a result of impregnation and sprains. Loosening of the cartilage also occurs at this time. Similar processes occur due to the effect of relaxin. Unpleasant sensations are the first harbinger of the onset of pregnancy. Such symptoms will be in the expectant mother throughout the entire period of bearing the child.

However, it is necessary to listen to all the signals that the body of the expectant mother sends. All new sensations should be taken seriously, since pain symptoms signal the need to urgently pay attention. In this case, a visit to the hospital will not only reveal the cause of the symptoms, but also calm the expectant mother.

Stretch marks and other diseases

Non-obstetric pain is a digestive problem. In addition, they can occur as a result of stretching of the muscles and ligaments located in the abdominal press. Displacement of organs or various diseases, for example, appendicitis, can also lead to the appearance of non-obstetric pain.

Unpleasant sensations of the abdomen on the left during pregnancy may not always indicate the presence of problems with pregnancy. Some cases indicate the development of diseases affecting the gastrointestinal tract. However, it is not always infectious or inflammatory in origin. During the restructuring of the body of a pregnant woman, bloating and dysbiosis are formed, which is a consequence of hormonal changes.

Pain in the lower abdomen on the right occurs during stretching of the ligaments and muscle fibers. There is an increase in the pressure of the growing fetus. At this time, the uterus also grows, its pressure on the ligaments of the small pelvis increases. Divergence and stretching of the abdominal muscles is observed. However, this process does not cause strong pain.

Lack of physical activity, eating before bed, overeating or food incompatibility can also lead to gastrointestinal disorders and pain in pregnant women. In addition to pain, heartburn, belching, nausea and vomiting develop. If you do not start to eliminate the pathological condition in a timely manner, then the threat of termination of pregnancy can become a reality.

Pain in the lower abdomen on the right or left may be the result of the development of surgical-type pathologies. These include the formation of pancreatitis, the progression of appendicitis, the development of intestinal obstruction and a number of other pathologies. The patient has unpleasant manifestations, the lower abdomen pulls and hurts. At the same time, dyspeptic disorders occur: nausea, diarrhea, vomiting, decreased appetite and fever. If the stomach hurts and such signs appear, then the patient must be immediately taken to a medical institution.

Pain in the left or right abdomen during pregnancy requires urgent medical attention. We are talking about a threat to the life of not only the mother, but also the unborn child, so you should not risk it, hoping for an independent getting rid of the problem. Even if during the diagnosis it turns out that the cause of pain is associated with natural processes, it will not be superfluous to see a doctor.

It is important for a future mother to monitor her diet if her lower abdomen hurts. If the reason lies precisely in constipation and indigestion, then this measure will get rid of unpleasant symptoms. It is required to eat vegetables, dairy products and fruits. Vegetable oil is good for the body, it is recommended to add it to salads. If the lower abdomen begins to hurt, then in no case should you use laxatives on your own. Consultation with a specialist is very important.

As for the discomfort associated with the pressure of the uterus and the stretching of the muscles, they do not appear to a strong degree, so they can be tolerated. However, if the symptoms intensify, a visit to the doctor should be made as soon as possible.

Thus, the presence of unpleasant signs in the lower abdomen during pregnancy does not always indicate the presence of problems or the threat of pregnancy.

While waiting for the baby, a woman is worried about many not always pleasant symptoms, including pain in the right side. In some cases, it is completely natural and should not cause concern, but not always. How to distinguish pathological pain in the right side from normal changes in a woman's body.

When there is no reason to worry?

First of all, the expectant mother needs to remember that any painful sensations should not be ignored. In any case, you need to inform your doctor about them.

The most common causes of flank pain in a pregnant woman are:

  1. Digestive system disorders ... In expectant mothers, the process of digesting food slows down, and therefore they often have to deal with constipation, bloating, and increased gas production. As the uterus grows, this problem gets worse, so the woman needs to not overload the stomach and intestines.
  2. Growing uterus can cause constant pain in the right and left sides. Muscle ligaments and tendons are stretched daily to provide the baby with more space, but at the same time, this process gives the mother a lot of discomfort. Normally, such pains last no more than 15 minutes and, in the absence of other symptoms, do not require medical attention.
  3. Baby's motor activity ... After the children grow up and get stronger, their movements become strong and rather painful for women. Even when there is less space in the uterus, they push with their elbows and push against the walls of the uterus with their heels. Such blows feel like a dull short pain in the side, in order to reduce it, a woman just needs to sit down or lie down more comfortably.
  4. Incorrect position of the baby in the abdomen ... When the baby is in transverse presentation, his head constantly presses on adjacent organs, causing pain.

In late pregnancy, the uterus compresses and displaces all internal organs: stomach, liver, kidneys. Therefore, almost all women after the fifth month from time to time feel a dull pain in the right side.

Generally speaking, such pains cannot be avoided. But following the recommendations, you can try to reduce their frequency and intensity. If the pain is caused by a muscle strain or pushing by a child, mom needs to try to lie down or just change body position or take a warm bath ... In most cases, to relieve pain, it is allowed to take an anesthetic drug, for example, no-shpu.

Despite the fact that these reasons do not pose a threat to the unborn child, the woman needs to inform the doctor about her condition. If the pain does not stop within half an hour, and the condition of the pregnant woman worsens, you need to seek help on the same day.

Causes of pain in the right abdomen in a pregnant woman, requiring medical attention

At the very beginning of the term, pain in the right side may signal about. Its symptoms are quite acute. The woman feels a sharp, undulating pain that does not stop even after taking painkillers. Also, against the background of an ectopic pregnancy, nausea, vomiting, loss of consciousness, spotting from the vagina appear. This is due to the fact that the embryo is attached in the wrong place, namely in one of the fallopian tubes.

One of the reasons may be a sexually transmitted disease - gonorrhea, trichomoniasis, chlamydia.

In other cases, pain in the right side can mean serious problems on the part of such organs:

  • Kidney ... During pregnancy, they experience a great deal of stress and often cannot cope with it. In this case, the pain always radiates to the side and back. If the pain radiates to the groin and increases with urination, this may indicate the presence of stones in the ureter.
  • Pancreas ... In this case, there is nausea, vomiting, profuse sweating. The pain is sharp and radiates to the back. In the supine position, the discomfort increases.
  • Stomach - gastritis, pancreatitis, ulcer. These diseases often cause additional symptoms in the form of nausea in the morning, bitterness in the mouth.
  • Aching persistent pain in the liver can occur due to infection with hepatitis A, B, C. There is also "toxic hepatitis" that occurs after consuming a lot of drugs or chemicals. A large load on the liver is caused by spicy, fatty, fried foods.
  • Appendicitis ... In this case, the cutting pain is felt in the navel area, and a little later it radiates to the lower right side. After some time, the body temperature rises, nausea and vomiting appear.
  • A cyst or tumor of the right ovary ... As a rule, this condition develops long before the onset of pregnancy, but begins to progress at the time of bearing a child. Cyst rupture is a very dangerous condition, characterized by pain radiating into the anus, bleeding, loss of consciousness.
  • Stagnation of bile ... This phenomenon is typical for pregnancy at a later date, when the level of progesterone increases significantly. This hormone has the ability to relax all smooth muscle organs. Therefore, most likely, after childbirth, this problem will disappear by itself.
  • Genitourinary system ... When an infectious inflammation occurs, a woman may feel pain in the side, radiating to the lower abdomen and discomfort during urination.

When do you need to urgently seek help if your right side hurts?

Without a medical education, it will be difficult for an expectant mother to understand the causes of pain.

In order to prevent the development of complications, you should immediately consult a doctor in such cases:

  • Sudden sharp pain regardless of position.
  • The pain does not subside within 30 minutes.
  • The pain is not severe, aching, but lasts more than two days.
  • Appearance.
  • Increased body temperature.

Timely treatment in most cases does not pose a serious danger to the baby, so the mother does not need to try to wait out this period. Such actions can only harm yourself and the child.

Prophylaxis

To avoid such pathological pains, a woman first of all needs to undergo a full examination at the stage of pregnancy planning. Since all untreated chronic diseases tend to worsen during pregnancy.

Keep in mind that overeating can cause problems. For a woman, it is now better to stick to a fractional diet. And to strengthen the ligaments, daily physical activity will be useful - swimming, yoga, fitness for pregnant women .

Women often complain of pain in the abdomen during pregnancy. And regardless of the nature and cause of pain, the doctor who monitors the course of pregnancy should be aware of this. Even if the pains are not a consequence of pathology, the uncomfortable state of the expectant mother negatively affects the well-being of the baby.

Abdominal pain arising during pregnancy can be of a different nature: aching and pulling, cramping and sharp, stabbing and pressing, acute and chronic.

The persistence, intensity and characteristics of pain must also be reported to the gynecologist. The doctor, after examining and interviewing, may prescribe an additional examination, hospitalization or, in the absence of dangerous symptoms, drug therapy or physiotherapy exercises suitable for the duration of pregnancy. If the right side in the lower abdomen hurts during pregnancy, there can be quite a few reasons, and these reasons are divided into two main categories - physiology and pathology.

In the earliest stages, painful sensations may occur on the right when the embryo is attached to the right wall of the uterus. Such pains are similar to mild contractions and may be accompanied by minor bleeding. Also, in the early stages, hormonal changes in the whole organism take place. Rising progesterone levels increase blood circulation in the pelvic organs. The pain can be aching, throbbing, but usually they are moderate and go away rather quickly.

At the beginning of the second trimester, active growth of the uterus occurs and the tension of its ligaments is felt. This is a common muscle pain that subside after rest. During this period, the pain can cause the growing baby to wiggle. The pain is sharp and severe, but quickly passes with a change in position or after rest.

The third trimester (about the 30th week of pregnancy) is the time for possible training contractions. This pain is associated with the increasing tone of the uterus and subsides with rest. Sharp and severe pain can be felt when the fetus moves, especially if it has a breech presentation. Pressure on internal organs can cause urge to urinate or defecate.

Immediately before childbirth, severe pain may occur due to the pressure of the baby's head on the pelvic floor. All these problems and discomfort should be reported to your doctor, who will consult and advise the most optimal solution and relief for the condition of the expectant mother.

Pathology as the cause of pain


Pain arising from pathological reasons can be very dangerous and have serious and negative consequences. Only a specialist can determine the pathology, therefore, the health and life of the mother and child will depend on the timely visit to the doctor. Pathological causes, in turn, are divided into obstetric (pregnancy pathologies) and non-obstetric (inflammation of other organs). And if the right side in the lower abdomen hurts during pregnancy, then such sensations may not be associated with the course of the pregnancy itself. The reason must be sought in the state of other organs located nearby.

Obstetric pathologies require immediate medical attention.

An ectopic pregnancy at the earliest stage looks like the most common, does not cause fear and is determined only by ultrasound, therefore, a sharp pain in the right or left side of the lower abdomen at 6-7 weeks, spotting (of any volume), dizziness and weakness are a reason for emergency hospitalization and operations to save a woman's life.

The threat of miscarriage can occur at any time during pregnancy. Aching first appear
pain, gradually they become cramping and discharge appears. If you do not seek emergency help at this stage, the process will become irreversible.

Placental abruption can be of two types - partial and complete. With partial detachment, the pain is mild and pulling, slight discharge may be observed. With complete detachment, the pain is strong, cramping, and the discharge is abundant enough. Hospitalization and treatment are vital for this pathology.

Istviko-cervical insufficiency is a pathology of the cervix. The norm is when the cervix relaxes and opens only towards the end of pregnancy. With ICI, the cervix cannot withstand the increasing weight of the fetus and may open at any time. With this pathology, aching pains and heaviness in the lower abdomen are characteristic. Treatment consists in the imposition of a pessary - a kind of bandage on the neck or surgical suture on it.

Non-obstetric pathologies that cause lower abdominal pain in a pregnant woman are acute surgical cases (appendicitis, cyst rupture), intestinal dysfunction, diseases of the urinary system (renal colic, cystitis, pinched ureter) and food poisoning. Many of these pathologies require hospitalization and immediate treatment.

Every woman from the very first days of pregnancy should pay special attention to the state of her health, because the health and life of the future baby directly depends on this. Any pain and discomfort in the lower abdomen is a reason for a medical visit.

The upcoming motherhood fills a happy woman with some incredible light that warms everyone around. But this feeling is seasoned with a note of uncertainty, because there is a colossal restructuring of the work of the whole organism, and any deviations from the norm seem suspicious and cause concern. Especially when the side hurts during pregnancy.

It is important to understand which symptoms indicate a serious problem, and which are fairly safe processes. The expectant mother should understand that she will have to go to the hospital in any case if painful sensitivity arises. The only question is whether it needs to be done urgently, or whether you can wait for a scheduled examination by a gynecologist. To draw a conclusion, it is worth getting a general idea of ​​the predicted sources of pain, its symptoms and how to alleviate the general condition before contacting a specialist.

A visual representation of how the internal organs are located in a normal state and during pregnancy will help us in this:

Why does the side hurt during pregnancy

The pain is unpleasant in any case, but one must distinguish between discomfort associated with normal changes in the female body, from exacerbations of old and new pathologies.

Short-term and unpleasant symptoms that go away on their own within half an hour are most likely not dangerous. They arise for the following reasons:

1. Indigestion. With periodic constipation, a pregnant woman often has a dull, pulling pain on the left in the iliac region. In this case, it is worth paying attention to the food intake and solving the problem, while even taking laxatives must be coordinated with the doctor leading the pregnancy.

2. Enlargement of the uterus. A tiny little man grows inside his mother's tummy, and his safe haven grows with him. In this case, there is a displacement of internal organs, pinching of individual nerves and arteries. The mass of the uterus with its size increases, therefore the side hurts during pregnancy due to stretching and rather significant tension of the ligaments with the muscles under its action.

3. Later, in the third trimester, the growing fetus brings enough inconvenience. He is showing more and more activity, his tiny heels with elbows, when moving, cause tangible discomfort. But the soul of the parent only becomes brighter, because it is incredibly pleasant, albeit sometimes very painful, sensations - to feel the baby's movements.

What to do to alleviate the condition with such indications? Practically nothing, because mommy herself should not treat or anesthetize anything. Professionals can recommend the following:

- competent organization of the daily routine of a pregnant woman: alternation of moderate activity with good rest;

- comfortable, loose clothing that does not interfere with breathing, movements; it is great if she is beautiful, and not just comfortable - this contributes to the lady's awareness of her attractiveness and maintains her self-confidence;

- the use of a special bandage for expectant mothers for certain indications.

Some patients have pain in the side during pregnancy under the arms. This is due to the fact that preparations are underway for the lactation process, because the mammary glands increase in mass and volume. As a result, the load on the muscles supporting them increases. Troubles are removed if a reliable and high-quality bra is selected correctly.

Causes of acute pain in the side during pregnancy

A completely different situation if there is a prolonged, lasting more than half an hour, acute pain. Most likely, it is a sign of a serious disorder, pathology. It is better to be prepared and know the main symptoms causing anxiety in order to respond quickly.

1. A sharp onset of severe pain in the hypochondrium on the right, accompanied by nausea, sometimes indicates cholelithiasis, cholecystitis, and problems with the gastrointestinal tract.

2. Difficult to tolerate pain in the hypochondrium on the left, turning into a girdle - a potential symptom of acute pancreatitis, especially if it is accompanied by vomiting, high fever.

3. Localization of acute painful sensations to the right or left in the lower abdomen, together with bloody discharge, are dangerous signs of an ectopic pregnancy (early) or ovarian cysts (late). The process is sometimes accompanied by loss of consciousness.

4. Severe pain over the ilium on the right with nausea - one of the symptoms of acute appendicitis. Along the way, the temperature may rise.

5. A fairly common cause of acute, sometimes intolerable soreness is kidney disease (nephrolithiasis, pyelonephritis).

From such a condition, when the side hurts during pregnancy, it is difficult to protect a woman, even if a full medical examination was passed before planning a child. The restructuring of the body is so significant that old, chronic ailments can aggravate and new ones appear.

If a sharp complication arises, then you need to help the pregnant woman to lie down comfortably, put cold on her stomach for a short time and immediately call an ambulance. The mom-to-be should remember that she is now responsible not only for herself, but also for the tiny little man who will soon be born into the world. Therefore, even if you really, really don't want to, and it seems that the malaise will soon pass, you should still see a doctor without delay. This is necessary so as not to harm yourself and the child by launching the developing disease.

If the right side hurts during pregnancy

Unpleasant sensations on the right and left can be caused by the same prerequisites or completely different, characteristic of a particular case. Consider situations when the right side hurts during pregnancy.

1. Varicose expansion of the uterine vessels in the lateral parts of the female organ. The development of the disease is facilitated by the weakness of the walls of the uterus and the state of pregnancy against the background of increased blood supply. Most often, there is a combination with varicose veins on the legs, but you cannot self-medicate: the appointment, including phlebotonic agents, to bring the walls of the uterus to normal tone, is done exclusively by an angiosurgeon (vascular surgeon) or another specialist.

2. Violation of the normal functioning of the kidneys - one of the most common reasons that the right side hurts during pregnancy. Depending on the indications, diagnosis, treatment should be carried out by a nephrologist, urologist.

3. A cyst of the right ovary can begin to develop even before pregnancy, or be provoked by it. The concentration of unpleasant sensations occurs in the lower abdomen, they are either dull, pulling in nature, or are very strong and sharp. They arise due to stretching of the cyst or when it ruptures, "twist". The doctor is unlikely to make an unambiguous appointment, since with such a delicate position, each method will have its own contraindications. The available range of means and methods - from taking antispasmodics to prompt removal of the cyst, it all depends on the specific symptomatology.

4. It happens that the right side hurts during pregnancy and in connection with a spasm of the circular muscles of the intestine. Inconvenience occurs with prolonged constipation, deficiencies in the daily diet. The gynecologist prescribes antispasmodics if the symptoms do not go away on their own after a bowel movement.

5. The source of problems can be fatty degeneration, other ailments of the liver, problems with the pancreas, gall bladder. All women with similar difficulties are under the close scrutiny of therapists, since a threat to both the mother and the fetus is likely.

If the left side hurts during pregnancy

There are quite a few reasons for the troubles associated with the left side hurting during pregnancy. It is necessary to consult a doctor in any case if discomfort arises, but the patient should be able to describe her feelings in order to facilitate the diagnosis of the disease. To do this, you need to be at least a little familiar with what is happening.

1. Problems with the spleen. It is located in the upper left quarter of the abdomen near the surface of the body; in a number of diseases, its capsule begins to enlarge, causing pain.

2. Disorders of the stomach. In inflammatory processes, inflammation (gastritis) begins to develop on the mucous membrane of the organ. The pain is usually aching, sometimes with the onset of vomiting against a background of nausea.

3. Trouble is sometimes delivered by the pancreas. Stretching through the upper part of the abdominal cavity, it causes pain in the left side during pregnancy. The signs are a sharp, internal soreness that is encircling. It can be given to the back, accompanying symptoms - fever, urge to vomit or directly vomiting, nausea.

4. The side still hurts during pregnancy due to inflammatory processes in the left (or right) ovary, long-existing or newly formed cysts.

Any of the situations mentioned in the article can provoke such problems. Perhaps the only exception is appendicitis, which causes pain only on the right side.

What not to do if your side hurts during pregnancy

A big mistake a pregnant woman makes is the desire to endure relatively little discomfort, although it can be a harbinger of serious problems. An even more serious situation arises if a woman tries to self-medicate, forgetting that there are no safe medicines:

- pain relievers can cause impaired fetal breathing stability and drug dependence;

- antibiotics can lead to allergic (anaphylactic) shock;

- medications can cause heart failure in a child, deviations in the development of the skeleton, provoke future deafness;

- uncontrolled use of drugs sometimes leads to premature birth or even miscarriage;

- seemingly safe herbal preparations often cause harm to the child in the womb, for example, disorders of the immune system.

Fully aware of her responsibility for the life and health of the helpless, just forming crumbs, a woman should definitely consult a doctor in case of any doubts. And if the side hurts during pregnancy, then this is a reason for a mandatory visit to a gynecologist. All further actions to eliminate trouble should be carried out only under the supervision of a doctor.

As soon as a new life arises in a woman's body, it begins to actively rebuild, subjecting all organs and systems to additional stress.

This often contributes to the occurrence of unpleasant sensations, such as pain in the right side during pregnancy, provokes an exacerbation of existing chronic or the development of new diseases.

In order to determine why the side hurts during pregnancy, it is necessary to understand the nature of the pain and establish the exact place of its localization. The abdomen can be conditionally divided into four parts: the upper segment on the right (right side), the upper segment on the left (left side), right and left lower segments. Depending on which part of the pain occurs, one can judge their possible cause.

Right side hurts during pregnancy from above

Aching pain in the right side indicates diseases of the liver, gallbladder, intestines or pancreas. In medical practice, there are cases when in the second trimester a woman is diagnosed with hepatitis, the virus of which lived peacefully in the body until pregnancy. The hepatitis A virus can enter the body through food and water. Expectant mothers who have a history of liver and biliary tract diseases are monitored in the antenatal clinic together with a therapist.

The head of the pancreas is located in the upper right side. Therefore, the pain can be caused by pancreatitis. Quite a strong pain syndrome in this case is accompanied by nausea, vomiting and can be given to the back. In the supine position, the pain sensations, as a rule, intensify, subside in the sitting position with a slight tilt forward. The diagnosis of pancreatitis can be confirmed by appropriate laboratory tests and the determination of the amount of certain enzymes.

Painful sensations can also be caused by kidney disease. Infections and inflammatory diseases of the right kidney cause pain, often radiating to the back. Pain sensations can be different from mild pulling pains to acute unbearable cramping attacks. Acute cutting pain requires immediate medical attention, since it can be caused by the presence or movement of stones, and then the condition is almost always aggravated.

In pregnant women, hypomotor dyskinesia of the biliary tract is often found. This condition causes an increased production of progesterone, a hormone that prevents miscarriage and relaxes the uterus. At the same time, smooth muscles of other organs, including the gallbladder, relax. As a result of insufficient emptying of the gallbladder, its walls stretch, and pain occurs.

The normal process of separating bile can also be disrupted due to squeezing (tightening) of the growing uterus of the internal organs, liver and gallbladder. With dyskinesia, pain occurs in the right side of the abdomen in women, a feeling of heaviness and pressure in the hypochondrium. These symptoms are often complemented by a lack of appetite, bitterness in the mouth, nausea, vomiting, heartburn. After eating fatty and fried foods, nervous overstrain and too violent emotions, the feeling of fullness in the hypochondrium and pain increases.

Dyskinesia of the gallbladder sometimes contributes to the development of the inflammatory process and stone formation. In addition, it can be a manifestation of various anomalies in the development of bile ducts and chronic cholecystitis. An important role in the development of dysfunctions of the gallbladder and ducts in expectant mothers is played by the state of the nervous system, various psychogenic factors and unbalanced nutrition.

In rare cases, pregnancy is complicated by acute fatty liver disease. This condition is a form of severe gestosis, which poses a danger to the mother and fetus. Pain in the right hypochondrium is complemented by drowsiness, frequent mood swings, convulsions and confusion. This hepatic problem is usually detected rather quickly, in the early stages of development, and requires immediate qualified help.

The right side hurts during pregnancy from below

Here the intestines are partially located, along with the appendix, the right ureter and the right uterine appendages. Pain can be caused by:

  • Intestinal inflammation
  • Constipation
  • Inflammation of the appendix
  • Inflammation of the fallopian tube and right ovary
  • Right ovarian cyst or rupture

Side pain during pregnancy is associated with intestinal spasm, often preceded by prolonged constipation or a change in diet. Painful sensations usually subside after the act of defecation or taking an antispasmodic.

Acute pain in the right lower abdomen should make you think about possible appendicitis and consult a surgeon. The growing uterus compresses the appendix, its blood supply is disrupted, which leads to inflammation - appendicitis.

The appendix can be located under the liver, which can confuse the symptoms of inflammation with those of gastritis. The lower location of the appendix, near the urinary system, contributes to the frequent urge to urinate and the irradiation of pain in the perineum and legs. The likelihood of such a diagnosis increases if the pain syndrome does not subside for a long time, the pain is concentrated around the navel, or you can indicate the location of its localization with one finger.

At the initial stages, pain with appendicitis is more often observed in the right iliac region; in the second half of pregnancy, the pain is localized much higher, it can be vague and radiate to the back and lower back. With appendicitis, urgent hospitalization and surgery are required.

Ovaries

A dull aching pain in the right side in women in the lower abdomen can be caused by a cyst of the right ovary. Pregnancy sometimes contributes to its occurrence, but more often the cyst exists long before this condition. When stretching, mechanical irritation of the nerve receptors occurs, which causes mild pain, and sometimes just discomfort. Acute pain radiating to the anus, in which there is a false urge to defecate and painful to sit, is almost always a symptom of a ruptured cyst or its torsion and needs timely treatment.

The method of treatment in this case is selected individually, depending on the clinical situation and contraindications. It can be conservative with the use of antiplatelet agents, antispasmodics and other drugs, or operative, in which the cyst is surgically removed.

One of the most harmless is the pain caused by the stretching of the ligaments of the uterus. The right uterine ligament in most women is physiologically shorter than the left one, so its stretching is observed more often. In this case, there is no threat to health, and there is no need for special treatment. Such pains are more often observed in later stages, when the uterus increases significantly in size, although sometimes it can occur at the beginning of pregnancy.

In early pregnancy, sudden spasmodic pain in the lower right side may be a sign of an ectopic pregnancy. A conventional pregnancy test simply detects the presence of chorionic gonadotropin in the urine, regardless of whether the fertilized egg is in the uterus or in the fallopian tube. Guided by its indications, women sometimes are unaware of the development of an ectopic pregnancy, which in some cases is quite difficult to determine. To exclude this option, it is necessary to undergo a comprehensive gynecological examination in combination with an ultrasound scan.

Trichomoniasis, chlamydia, ureaplasmosis and other genital infections also contribute to pain in the right iliac region. Treatment of these diseases is carried out in a hospital, since intrauterine infection of the fetus is possible.

Pain in the right side of the abdomen in women may appear as the pregnancy progresses due to the growing uterus or fetal movements.

What to do in case of pain?

With moderate pain in the right side, you should not worry too much. Short aching pains (no more than 15 minutes) sometimes occur when the baby, turning over in the stomach, touches the liver with his head or leg. In such cases, it is recommended to lie down and try to relax as much as possible, taking deep breaths. However, during a planned visit to the antenatal clinic, report such episodes to the gynecologist.

You can judge the presence of an inflammatory process by passing a blood and urine test. Inflammation is indicated by an increased level of leukocytes in the blood and the presence of proteins in the urine. So you can judge about kidney problems, female inflammatory diseases and appendicitis. With the help of ultrasound of the uterus, placental abruption, increased tone, appendicitis and other problems are detected.

In case of sudden severe acute pain, call an ambulance immediately. Drinking anesthetic drugs on your own is categorically contraindicated, firstly: they can harm the child, and secondly: the clinical picture will blur and it will be more difficult for the doctor to determine the disease. To relieve the spasm, it is allowed to take a No-shpy pill.

Side pain during pregnancy on the left

On the left side of the abdomen is the spleen, most of the pancreas, and the bowel loops. Closest to the surface of the body is the spleen, the main function of which is to completely remove red blood cells from the blood. In some diseases, it increases in size, which explains the onset of pain. The most dangerous is a ruptured spleen as a result of illness or injury. The hallmark symptom of this condition is severe pain and blue discoloration of the skin around the navel.

The cause of dull aching pain radiating to the left side is often stomach diseases: functional dyspepsia, gastritis, ulcer. Sharp pain in the upper left side may be the result of a diaphragmatic hernia. In diseases of the pancreas, soreness extends to the left, central and right abdomen.

During pregnancy, especially in the first trimester, many women experience indigestion, nausea, heartburn, and vomiting. This is due to the increased production of progesterone and estrogen. These hormones relax the smooth muscles of the esophagus, causing food to pass slowly and irritate the walls of the esophagus. The most optimal way to get rid of these unpleasant sensations is to switch to fractional meals with moderate food intake, to include mainly easily digestible foods in the menu and to lead an active lifestyle.

Pain in the right side during pregnancy, regardless of its intensity, should not be ignored, especially with regard to sharp sudden pain. After all, now you are responsible not only for your health, but also for the well-being and well-being of the unborn baby.