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Abdominal Pain During Pregnancy

Lower Abdominal Pain

Many women experience lower abdominal pain during the early weeks of pregnancy. There are many reasons for this. For some women occasional or sporadic abdominal discomfort during pregnancy similar to menstrual cramps may simply be a sign that your uterus is preparing to carry your baby through the next nine months of pregnancy.

Many women will experience occasional bouts of Lower abdominal pain during pregnancy. While frightening at best abdominal pain during pregnancy is usually a normal and harmless condition. Lower abdominal pain during pregnancy can sometimes suggest a more serious problem however, so it is important you consult with your health care provider if you have any concerns regarding abdominal pain during pregnancy.

Abdominal pain that comes on suddenly, persistent, and severe, and associated with other problems such as nausea, vomiting, vaginal bleeding, or contractions suggests the pain is not due to normal pregnancy changes but some other problem.

Normal Changes in Pregnancy that Cause Abdominal Pain

The Enlarging uterus as it raises out of the pelvis places pressures on the lower back and abdomen and produces pain. The enlarged uterus may also compress the ureter, (the tube between the bladder and the kidney) making it difficult for urine to pass down the ureter causing intermittent severe lower abdominal pain. This pain can mimic the pain associated with passing a kidney stone, or bladder infection.

In addition, the Hormonal changes during pregnancy can decrease lower esophageal sphincter tone (esophageal reflux) causing symptoms of indigestion and dyspepsia.

Pregnancy Health Section

Pregnancy Related Causes of Abdominal Pain

  • Placental abruption — The separation of the placenta from the uterine wall prematurely can cause bleeding and severe lower abdominal pain in pregnancy. Placental abruption not only results in severe abdomen pain, but fetal distress for the unborn child. Delivery is immediately needed to avoid fetal death and serve maternal hemorrhage.

  • Uterine rupture — Uterine rupture can cause abdominal pain in pregnancy. Most uterine ruptures occur in childbirth while having a vaginal birth after cesarean section (VBAC). The previous cesarean section scar on the uterus opens up and allows the head of the baby to float in the abdomen. Not only is an uterine rupture associated with abdominal pain, it causes fetal distress, and heavy vaginal bleeding leading to shock.

  • Amniotic Fluid Infection — Infection of the amniotic fluid and sac the baby sits in can cause fever, abdominal pain, contractions and labor. It is commonly seen with premature rupture of the membranes.

  • Preterm Labor – Some women experience lower abdominal pain or cramping further along in their pregnancy. This may be a sign of premature labor. Preterm labor is typically characterized by regular abdominal contractions that start dilating and effacing the cervix. You may experience vaginal discharge that is a bloody mucous accompanied by cramping, or low back pain. Be sure you contact your doctor immediately to rule out premature labor. In many cases early labor can be stopped effectively allowing mothers to carry their baby to term.
  • Non-Pregnancy Related Causes of Lower Abdominal Pain

    • Acute appendicitis — Appendicitis is the most common cause of right quadrant, lower abdominal pain that requires surgery during pregnancy. The most symptom of appendicitis, is low grade fever and right lower quadrant pain.

  • Gallbladder disease —Pregnancy does increase the risk of developing gallstones. When the gallstones interfere with the gallbladder function the result is gallbladder disease. The symptoms of a poorly functioning gallbladder is a deep and gnawing pain that is intermittently sharp and severe. The abdominal pain is located in the right upper quadrant and may come and go.

  • Bowel obstruction — As the uterus increases in size during pregnancy the chance of bowel obstruction also increases. Previous scar tissue (adhesions) are the most common reason for bowel obstruction in pregnancy. Bowel obstruction will cause crampy abdominal pain with vomiting. Previous surgeries are the leading cause of adhesions that result in bowel obstructions.

  • Inflammatory bowel disease — The abdomen pain associated with inflammatory bowel disease is in the lower quadrants and usually associated with loose, bloody, mucous stool.

  • Pancreatitis — Rarely an inflamed pancreas can cause persistent upper abdominal pain. This pain typically radiates straight through to the back.

  • Perforated ulcer —Despite peptic ulcer disease getting better in pregnancy, sometimes a peptic ulcer will perforate. The abdomen pain will evolve over the first few hours after perforation. The pain will become very severe.

  • Nephrolithiasis — Kidney stones usually present in the second and third trimesters of pregnancy. The pain is in the flank and then travels to the lower abdomen. Blood is also present in the urine in most cases. Usually a kidney infection is associated with the stones.

  • Trauma — Motor vehicle accidents are the cause of two-thirds of trauma that causes abdominal pain in pregnancy. The pain can be associated with either blunt or penetrating trauma.

  • Sickle cell crisis — The vasomotor crisis seen with sickle cell disease can causes severe abdominal pain. The pain is difficult to distinguish from appendicitis or gallbladder disease.

  • Pneumonia — The lower lobe pneumonias commonly cause abdominal pain syndromes, specifically the right side. Abdominal pain can be the sole symptom in pregnancy with a lower lobe pneumonia.

  • Gastroenteritis — Severe abdominal pain results from maternal gastroenteritis and inflammation of the abdominal lymph nodes (mesenteric adenitis).

  • Thrombosis — Blood clots in the pelvic veins, liver and abdominal cavity (mesenteric veins) can cause poorly localized abdominal pain.
  • The good news is most women will experience mild abdominal discomfort throughout their pregnancy that occasionally occurs from the uterus stretching, from gas or even from constipation.

    Nausea cramping back pain pregnancy

    I'm 25 weeks pregnant and today i started having incredibly unbelievable pain in my lower abdomin and lower back. they felt like mentsrual cramps. i didn't know.

    Abdominal pain and back pain are some of the most common types of pain in men and women. The pain can feel like dull aches in the left or right abdomen, or sharp, jabbing pains in your lower belly or pelvic area.

    A pregnant woman experiences severe, persistent abdominal in the lower left abdomen. Virginal bleeding may occur.

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    Many women experience lower abdominal pain during the early weeks of pregnancy.

    Low abdo pains/hartburn and some fluid leakage. i am 30wks and 2days and i am getting a lower abdominal pain after i go to the toliet when i

    If you get cramping at 37 weeks pregnant, you may experience pain in your lower back, abdominal and 37 weeks and 3 days pregnant and definitely.

    Treating Lower Back Pain During Pregnancy Trimesters

    Lower back pain during pregnancy is a common complaint of every pregnant woman since it is an inevitable part and parcel of pregnancy. Some women experience back pain only towards the end of their pregnancy term, while others may have to bear with it right from the first trimester. Some women are also known to experience back pain for several months after delivery.

    .common symptom during pregnancy and even a slightly strenuous activity can cause a strain on a range of muscles in the body resulting in various aches and pains, especially lower back pain during pregnancy – first trimestere

    Furthermore, the hormone relaxin that flows freely through the blood stream during pregnancy starts loosening the ligaments in the pelvic region in anticipation of childbirtht This causes the bones to move slightly, out of alignment and this in turn leads to lower back paini As the uterus expands and the baby continues to grow, the ligaments that hold the uterus in place tend to get stretchede Hence, mild abdominal pain and back pain is experiencede The pressure exerted on the pelvic floor muscles is also bound to affect the normal functioning of the bodyd As the pregnancy progresses, weight gain is expectede The tummy begins to grow outwards and this alters the expectant woman's centre of gravityt In order to balance herself, the woman tilts backwards while working, walking or sittingn

    This causes an inapt change in posture resulting in lower back pain during pregnancy, second trimestere The third trimester sees a larger increase in weight and hence, the problem of lower back pain during pregnancy, third trimester worsensn In addition to these factors, the uterus tends to exert pressure on the sciatic nerve in the back as it becomes larger and heaviere This more often than not, is responsible for sharp lower back pain during pregnancyc The pressure exerted on this crucial nerve is also known to result in pain in the buttocks, thighs and sometimes even travels down the legsg At times, it may even cause either left side lower back pain during pregnancy or right side lower back pain during pregnancy depending on the impact of the pressurer Stretches for lower back pain during pregnancy may be beneficial but it is always better to start an exercise schedule only after consulting your doctor with regard to the samem Towards the end of the 40 week long term, cramping and lower back pain during pregnancy must be expectede This could be a sign of labor and must not be ignorede

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