Periodic pain at the bottom of the abdomen visits a woman during his life more than once. However, what we call "belly" implies a whole system of organs, and therefore it is difficult to identify the cause of malaise. And yet it is very important when it comes to the health of the future mother and her child.
In this interesting and difficult period, a woman may notice unusual sensations. Some causes that cause discomfort can be considered natural in certain periods of pregnancy. Others talk about pathology and demand to appeal to the doctor. In the first part of the article, we will consider what physiological reasons may bring discomfort at different times of pregnancy. And then try to determine which pain is likely to talk about pathology.
Pain at the bottom of the abdomen in different trimesters
The beginning of pregnancy often manifests itself by pulling the lower abdomen. This is a time when the female organism undergoes natural changes. The uterus is gradually stretched and shifted, under the influence of hormones, the surrounding fabrics are softened. The sensations are similar to painful menstruation - the bottom of the abdomen pulls, light tingles may appear. Already in the early stages, some complain about pain in the pubic area - so the hormone called Relxin itself. It is produced throughout the pregnancy and affects, including cartilage and ligaments. 1,3. .
The pressure on the bundles in the small pelvis and the pelvic bone increases. Therefore, in the second trimescter, especially at the end, the tension of the ligaments exhibit itself as a sharp, short-term pain when changing the position of the body. Sometimes to appear such pain just sneeze or cough.
Also at the end of the trimester, the body begins to prepare for future birth, and periodically "scares" pregnant training fights. They rarely cause discomfort, but if the uterus is particularly tightened, short-term expansion can occur at the bottom of the abdomen.
In this trimester, the baby is already quite developed to start pushing. Shocks in the lower abdomen, especially near the bladder, can be painful but not dangerous 1.
At this time, the uterus begins to be actively stretched, since the fruit grows. It presses on the internal organs, especially the intestine, which slows his proper work. The cause of the intestinal pain also moves hormonal changes and errors of nutrition, limited physical activity. A woman can feel discomfort associated with disturbed digestion. Most often, stupid pain, cutting and tingling will be left at the bottom of the abdomen, and sometimes accompanied by additional symptoms of intestinal disorders - bloody, constipation, dysbacteriosis. Future Mom useful will be able to establish food, refuse fat and sweet in favor of vegetables and fruits, and make unhurried outdoor walks 1.
Pains at the bottom of the abdomen: pathology
Unfortunately, the feeling when the abdomen hurts during pregnancy is not always harmless. Faced with some signs, a woman should be alerted and consult a doctor as soon as possible.
Threat of interrupting pregnancy
A distinctive feature is not a "wandering" character of pain, but exclusively local. Nighting and pulling pain expressed at the bottom of the abdomen and lower back, are often accompanied by bloody discharges. This condition requires the immediate attention of the doctor, because without treatment it can end with spontaneous abortion.
- The phenomenon is rare, but it is not worth dropping it from accounts if sharp or grapple-like pain appear only on the one hand and are accompanied by bloody secretions. It is likely that the pain is caused by a rupture of the fallopian tube due to the attachment of the fetal egg is not where it can grow normally. Pain can keep in foot, hypochondrium, screw area or rear pass. At the same time, the lower abdomen pulls at the beginning of pregnancy.
Belly injuries during pregnancy, heavy toxicosis
In the later dates, anomalies of generic activities, increased blood pressure and other factors can lead to a premature placental detachment. This anomaly can develop both late dates and immediately before childbirth. Premature detachment The doctor may suspect on the basis of an increased tone and a modified form of uterus, pain in the abdomen, increasing oxygen deficiency of the fetus. Externally, you can notice the breakdown of the abdomen, the pallor of the skin. Weakness, dizziness and vomiting appears, often bleeding. .
Even the most harmless signs of malaise need a doctor's attention. Therefore, in future mothers, it is desirable not to let the situation on samonek. If the abdomen hurts during pregnancy, it is better to immediately find out the cause
- Gynecology: National Guide / Ed. G.M. Savelyeva, T. Sukhikh, V.N. Serov, I.B. Manukhina, V.E. Tarazinsky. - 2nd ed., Pererab. and supplemented:: Goeotar Media, 2017.-1048 p.
Murtazin A.I. Obstetrics and gynecology. Medical standards. Criteria for quality assessment. Formulary. 2020 (electronic version)
Early pregnancy terms: complications and prediction of perinatal outcomes Nigmatova G.M., Kuzieva Yu.M. 2017 / Biology and Integrative Medicine
Rus2124800-2 dated 03/20/2020
Hurt the belly during early pregnancy is a frequent complaint of future mothers. Why do pains appear at the bottom of the abdomen during pregnancy, what does this mean? What is the reason whether any complications are possible, do you need to contact the doctor? Consider these questions and try to understand how to act with such sensations.
The character of pain at the bottom of the abdomen during pregnancy
During pregnancy, a woman is experiencing a lot of new sensations, and, unfortunately, most often they are not the most pleasant, in most cases even painful. During pregnancy, the belt, belly, head can hurt. The pain has different character and intensity, is constant or temporary. Some pain is physiological, that is, natural in this position, the other is a sign of some kind of indisposition.
As for pain at the bottom of the abdomen during early pregnancy, you should carefully listen to these feelings and determine its features. If the pain is short-term, not strong, quickly passes, then most often it does not represent danger. If the pain is intense, frequent, has a grapple-shaped character, then you should immediately consult a doctor.
- Now let's talk about why in the early grades of pregnancy can hurt the belly. Most often, the pain is physiological, that is, caused by natural causes. Moreover, the belly, and the loin can be sick.
- Usually such pain is not acute, not intense and does not increase.
- For the first time, it may arise when the woman does not know about his position. It is connected with the attachment of the fetal egg to the wall with the uterus, which may well cause painful sensations.
Another reason why stomach hurts in the early pregnancy - vibrations of hormonal background and other changes that are already beginning to occur in the body of the future mother. Unfortunately, early deadlines may be accompanied by other, not so innocuous states.
In addition, the growing uterus requires more space, elongation of supporting ligaments, and this can also cause pain.
Know the cause of pain at the bottom of the abdomen during pregnancy is important. Unreasonable alarms and fears may worsen the state. As it turned out in the study of Russian specialists SPbGMU. I.P. Pavlova, psychosomatic factors are able to influence the development of hypertonus of the uterus. Increased anxiety, stresses are significantly more often detected in patients with an increased tone of the uterus walls in the second trimester.
Pains accompanied by bloody secretions, increased temperature, vomiting, may indicate frozen pregnancy, developing miscarriage and other pathologies. And for some time before this, a woman can stop feeling the first signs of pregnancy. Pain in this case most often indicates the death of the embryo. A woman feels intense, sharp pains because of the cutting of the uterus. Most often, pain is accompanied by bleeding.
No less serious problem, which may be evidence of pain - ectopic pregnancy. In this case, operational intervention is required.
To other pathologies, in which there are pain at the bottom of the abdomen, appendicitis, inflammation of the gallbladder, intestinal obstruction. In order to take the necessary measures on time, carefully follow the character of pain and contact your doctor!
Klimov Yuri Viktorovich
Since the conception of a child in a female body, a number of processes are launched in the female body, most of which are localized in the field of childbearing organs. Natural pain arising at different stages of bearing are called obstetrics. In some women, they are more pronounced, others are weaker, but completely without pain, pregnancy can not flow - such is physiology.
Character of pain in different periods of pregnancy Entering is divided into three three-month stages - trimester. Since the condition of pregnant women is studied comprehensively, there are objective data about their well-being from conception before childbirth.
Pain sensations at the bottom of the abdomen may arise even in the earliest stages of pregnancy. They cause the process of attaching the embryo to the wall of the uterus. Such pain is considered the norm if it is not caused by something else.
Usually, pressure or tingling caused by implantation is not pronounced and short. It may be tingling, the rivy burning or sensitivity at the level "something is happening there." If the painful sensations do not stop long and cause the desire to accept painful agents, then you must certainly consult a doctor to clarify the causes of such deviations. Otherwise, the situation may threaten the fetus.
At different timing of the first trimester, pregnant women are pain that give to the lower back. As a rule, they are caused by the displacement of the center of gravity and light spasms of the muscles stabilizing the spine. Previously not loaded fibers of these muscles come into operation, but quickly get tired, causing such sensations. Over time, they train, strengthen and cease to spy. But lumbar pains are sometimes associated with the pathology of the urinary system. As a rule, this is the development of infectious diseases, accompanied by concomitant symptoms: impairment of urination, temperature, burning in the urethre. The most disturbing signal threatening the fetus is uterine bleeding. At the first blood discharge, it is necessary to urgently consult a doctor.
Closer to the middle of the separation period, the uterus increases with so much that the round bundle supports its tension spoke with pain. Such attacks last a few minutes, but may arise several times a day. The absence of such sensations is not a deviation at this stage.
Approximately after the 20th week of pregnancy, some women celebrate the feeling of a "hard abdomen". This is due to the hypertonus of the uterus, which regulates medication. By the end of the second trimester, the lumbar spine strifted forward even more due to the displacement of the center of gravity. As a result, pregnant women, especially during walking, can occur spasms, as with radiculitis. Avoid this will help the refusal of shoes on heels and exercises designed for pregnant women.
Entering the final stage of the baby tooling, the female organism undergoes a lot of changes. From the 35th (sometimes before) weeks of women begin training fights that cause a feeling of gravity at the bottom of the abdomen. Woman quickly gets used to such sensations, but if they become frequent and strongly pronounced, it is recommended to consult a doctor, because This may be a sign of kissing premature birth.
Closer to the end of the pregnancy, the baby head begins to put pressure on the pelvic bones, which leads to an increase in the stress at the bottom of the abdomen and spasms of regional muscles. Normally, such pains are tolerant. But if they become excessive, then it is necessary to refer to the doctor without delay.
Lack of abdominal pain
As already mentioned, pregnancy can not take place with the complete absence of pain at least at one of its stages. If a woman does not feel any pain, then, most likely, we are talking about her high pain. The normal development of the fetus cannot be characterized by obstetric pains. For this, there are a number of more accurate markers. If the fruit is developing normally, but there are no painful sensations, then we can assume that she was lucky.
Possible causes of abdominal pain during pregnancy
In addition to obstetric pains, which is accompanied by a completely healthy pregnancy, a pathological pain may occur during this period. A woman who carries the child does not cease to be vulnerable to diseases of the internal organs. Therefore, she, like everyone else, abdominal pain may not be associated with its position. It should be distinguished by obstetric pains from non-achesive.
- Food poisoning
- Any woman knows the sensations arising in food poisoning. It can be:
- Strong nausea;
- abundant salivation;
Spasms in the intestinal area.
Poisoning is chemical or infectious. Easy food poisoning Pregnant woman can be transferred without consequences, but heavier states, especially when the temperature is raised, require immediate medical care. In this case, it is impossible to engage in self-treatment, since there are a number of nuances and restrictions for pregnant women (including medical).
The change in the hormonal background of a woman who is carrying a child may be accompanied by the appearance of at least discomfort at the bottom of the abdomen. By the end of the third trimester, the female organism distinguishes relaxing - hormone, relaxing bundles, preparing the bones of the pelvis to childbirth. This process is often accompanied by a feeling of gravity at the bottom of the abdomen. Such sensations relate to obstetric pains and are not pathological.
Pains for ectopic pregnancy and threat of miscarriage
It is impossible to judge the emergence of ectopic pregnancy only by symptoms, to which the pain is at the bottom of the abdomen and blood discharge. But these are clear signals for urgent appeal to a doctor who will conduct an ultrasound and establish their true cause. Most often, an ectopic pregnancy is localized in tubes. As the embryo and stretching the walls of the uterine pipe, pain arise. They are rapidly and enhanced, unlike obstetric pains.
In the threat of miscarriage, which can happen on any lapitage period, pain is localized in the center of the lower part of the abdomen and are accompanied by the fights. Intuitively many women who have experience in childbirth can distinguish training fights and obstetric pains from pathological. But if pregnant notes unnatural in her opinion, pain in his stomach (especially in the center), then she is better to be renewed by contacting the doctor at least by telephone to describe its condition. The threat of miscarriages occurs when the emergence of uterine bleeding, which is also accompanied by a sharp decline.
Muscle tension and ligaments
Developing in the uterine cavity, the fruit increases and stretches its walls. This process is accompanied by a stretching of bundles that stabilize the position of the uterus. And the uterus, and her ligaments are adapted to such a stretch, but pregnant women may arise in this background of the sensation of discomfort right up to pain. In order not to confuse such pains with pathological, you need to pay attention to their frequency and duration. Poles are accompanied by micro-grooves connective tissue tissue, which normally last at least five minutes. If the pain does not pass longer, then this is a reason to doubt that it is caused by stretching ligaments.
In the late pregnancy, the tension also experience muscles surrounding peritone (oblique and straight abdominal muscles). These may be tingling pain when setting poses. They also pass quickly, as they arise.
Pains for diseases of internal organs
Pregnant women are not insured against the occurrence of cholecystitis, appendicitis, exacerbation of the disease of the kidneys and internal genital organs. Often, when these disease occurs, they bind pain symptoms, first of all, with the position. But the symptoms of the acute manifestation of these diseases is very different from normal obstetric pain. With appendicitis, the abdominal pain increases, does not pass by itself, accompanied by a temperature that already makes it take to seek medical attention immediately.
With cholecystitis (the inflammation of the gallbladder), which by the way the women occurs an order of magnitude more often than in men, characterized by stuffing pains in the top of the abdomen. Often, pain gives under the right blade, during palpation area of the projection of the gallbladder does not change. Cholecystitis attacks are mostly closer to midnight. They should not be tolerated, because in the absence of treatment, a gallbladder rupture can occur, which entails a serious threat to both a woman and for the fetus. Acute cholecystitis in non-hazardous stages can be substantiated by drugs and with a diet. Operation to remove a bubble with stones in this case is carried out after delivery.
Hatal hernia is most often observed among those who have already gone to women over the age of 30. This hernia hole holes, through which the esophagus passes. The state is complicated by the pressure of the increasing uterus. Women with such pathology complain about painful pain, burning in the area of the esophagus, belching and the cast of gastric juice in the esophagus. Treatment of pregnant patients does not have features. They are recommended to sleep on beds with raised headboard, fractional food with a reduced content of crude fiber, medicines, relaxing intestines.
Training (false) contractions. Short-term grapple-shaped uterine contractions are very similar to real generic contractions. They are accompanied by not very strong pains, and the abdomen itself becomes "stone". The frequency of false fights, in contrast to the generic, is descending. With training cuts, the neck of the uterus is not revealed, so they do not threaten the fruit. But the woman itself they deliver the unpleasant feeling and feeling of anxiety.
Diagnosis with belly pain in pregnant women
Non-phycle for pregnant pain in the abdomen requires surveys and establishing their true causes. About the character of sensations is necessary to tell a gynecologist. Based on this information, the doctor defines a further strategy. With suspected pathologies, he may appoint an ultrasound of the abodes of a small pelvis, the surrender of blood tests and urine. If pathology is identified, treatment is appointed taking into account the physiological position of the future feminine.
How to treat abdominal pain during pregnancy
In early terms, women should not arise strong pain in the abdomen. They can signal diseases that are not associated with obstetrics, to which the gynecologist will definitely pay attention. Natural obstetric pains can be minimized if you stick to the diet and perform gymnastics for pregnant women, as well as walk in the fresh air and observe gentle mode.
Eco and AMG
No less serious problem, which may be evidence of pain - ectopic pregnancy. In this case, operational intervention is required.
To other pathologies, in which there are pain at the bottom of the abdomen, appendicitis, inflammation of the gallbladder, intestinal obstruction. In order to take the necessary measures on time, carefully follow the character of pain and contact your doctor!
Follicles and ripening processes
Inflammation of the appendens What is this symptom? Abdominal pain during pregnancy - This is an unpleasant feeling at the bottom of the abdomen, which may differ in intensity, duration, character and arise in any trimester of pregnancy. Almost every pregnant woman on a time or another senses feels the pain at the bottom of the abdomen. In most cases, this symptom has obstetric origins, that is, is associated with pregnancy. Approximately one of 500 pregnant women like pain caused by a non-achesive cause (
not related to pregnancy
). In the early stages, this symptom can very much to scare a future mother. However, you should not fall into panic.
As a rule, in most cases, pain at the bottom of the abdomen themselves are not accompanied by any pathologies or risks for the fetus. In the case of additional symptoms, such as bleeding from the vagina, nausea, vomiting and others should immediately consult a doctor.
When the cause of pain at the bottom of the abdomen becomes diarrhea, not to do without the use of enterosorbent. However, not every sorbing agent is suitable for future mothers. From the message of the National Agency for Medicinal Safety and Medical Products (ANSM, France), it became known that SMECTA® may contain lead impurities, and there is a risk of lead transition to blood in children under 2 years of therapy with this drug. As a result, physicians in France are not recommended to prescribe this drug and its generic to children under 2 years old, pregnant and nursing women for the treatment of acute diarrhea. The Russian Union of Pediatric Centers has already sent to doctors a warning from the French regulator with the recommendation instead of smilets for children and pregnant women to use Russian drugs. For example, the first choice is recommended to enterosgel, which meets the main security requirement - works only in the lumen of the gastrointestinal tract, does not penetrate the mucous membrane.
In some cases, painful sensations can be associated with the restructuring of the female body to wear the child. In other cases, the feeling of such pain can be a dangerous symptom and requires immediate treatment. The reasons Pains at the bottom of the abdomen are often found during pregnancy. Some of them are directly related to pregnancy, others arise as a result of any diseases or complications (
). Non-achesive pains are often associated with acute surgical pathology, disruption of the digestive tract, displacement of internal organs. Depending on the period of pregnancy, the doctor may assume that reason for pain at the bottom of the abdomen and, if necessary, assign treatment.
Causes of pain at the bottom of the abdomen during pregnancy Miscarriage Miscarriage ( Spontaneous abortion ) - This is a spontaneous pathological interruption of pregnancy. The miscarriage is one of the most common causes of pain at the bottom of the abdomen in early pregnancy. Unbearable is accompanied by spastic ( convulsive ) pain at the bottom of the abdomen ( in a suplobic area ) C or without vaginal bleeding. With failed ( Non-prompt pregnancy when fetal death up to 21 weeks ) or septic ( infected ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
Weak pulse, decrease in blood pressure, frequent breathing, sweating
). Ectopic pregnancy Ectopic pregnancy is a complication of pregnancy, in which a fertilized egg ( Female sex cage ) attached outside the uterus ( Spontaneous abortion in the fallopian tube, ovary, abdominal cavity
). Ectopic pregnancy remains one of the most common causes of maternal mortality, especially in low-level countries. With ectopic pregnancy, the pain at the bottom of the abdomen can be at the beginning of the spastic (
), and then acute or sting. The pain is usually one-sided, accompanied by vaginal bleeding for the 6-10 week of pregnancy. With interrupted ectopic pregnancy, signs of shock may be observed, which include an increase in heart rate and respiratory frequency, decrease in blood pressure, sweating, pallor of the skin, violation of consciousness. Tarrow of the uterus The uterus break is a violation of the integrity of the walls of the uterus during pregnancy. Often the gap occurs at the location of the aligned fabrics (
) Uterine. With a threatening break, moderate pain in the lower body of the abdomen is determined. In the event of a start-up, a woman feels a sharp convulsive pain. With the patient, the patient makes complaints about a strong cutting pain at the bottom of the abdomen. There may also be bleeding from the vagina, difficult to urinate. This complication of pregnancy is very dangerous and requires immediate treatment. Pain associated with increment The pain at the bottom of the abdomen, associated with increasing the uterus, is weak and often occurs in the second trimester of pregnancy, when the most intense growth of the uterus is noted. These sensations are associated with stretching (
) Bundles and muscles, with which the uterus is attached to the cavity of a small pelvis. Also the growing uterus squeezes the intestines, causing painful sensations. In this case, the pain at the bottom of the abdomen can be a pulling or stitching and appear both with the right and left side. Painful sensations can enhance with cough, sneezing, changing body position. Premature birth Premature childbirth is childbirth that comes under a period of 28 to 37 full weeks of pregnancy. In this case, the mass of the fetus is from 1000 to 2500 grams. The occurrence of this problem may be due to infectious or inflammatory diseases of the genital organs, Eastic-cervical insufficiency ( The inferiority of the muscular layer of the cervix ), extracting the uterus ( Multiple pregnancy ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
), stress. Premature births are characterized by pulling, gravating pain at the bottom of the abdomen, which last more than 30 seconds and resemble menstrual. Also, pregnant women are making complaints of the pain in the lower back, there are bloody seals from the genital tract (
from pink-transparent to scarlet, viscous or watery Premature placent detachment The placenta detachment is a premature separation of a normally located placenta ( Provides the flow of nutrients to the fetus ) From the wall of the uterus, which is usually observed after 20 weeks of pregnancy. The reasons for which this state may develop are unknown. Risk factors can be various abdomen injuries, a multi-way ( An excess of arrogant water ), some diseases ( Hypertensive disease, diabetes ). When the placenta is detaching, the vessels take place, which causes bleeding (
Allay or Dark Blood
) From the genital paths. At the bottom of the abdomen appear sudden severe pain. As the abdominal detachment increases, the abdominal is becoming more intense. This condition is accompanied by the poverty of the skin, total weakness, dizziness, decrease in blood pressure and rapid heartbeat. Chorioamnionit Chorioamnionitis is the inflammation of Chorion ( External serous sheath of the embryo ) And Amnion ( Inner Water Sheath Procherat ) with infection of the oily fluid ( Water medium surrounding the fruit ). In the acute course of the disease, pregnant presented complaints about pain at the bottom of the abdomen of various intensity. Pains can enhance with palpation ( Turning ) uterus through the front abdominal wall and give ( irradiate ) In the inguinal region, the crushes. Separated from the genital tract or exhausting oily water have a specific smell and gray-green. Also, the mother marks tachycardia ( Heart rate frequency ), chills, temperature rise ( up to 38 degrees ), Changes in laboratory indicators. May deteriorate the overall well-being of a woman (
Weakness, Fast fatigue
). The severity of clinical manifestations of chorioamnionitis depends on the prevalence of the inflammatory process in the placenta and inflammation of the umbilical cord. Relief cysts ovarian The rupture of the ovarian cyst is a suddenly emerged complication of pregnancy, when the cyst capsule occurs and the influence of its contents in the abdominal cavity. This state is found at one of the thousands of pregnant women and requires emergency medical care. Before the onset of the main symptoms, a woman can feel the discomfort and the severity at the bottom of the belly and the pelvis organs. When the cyst of the ovarian cyst, the pain is usually one-sided ( On the side of the break ) The increasing may be accompanied by a bloating and constipation. In some cases, pain irradiates ( Got ) In the back or thigh. The rupture of the ovarian cyst may be accompanied by an increase in temperature, intoxication of the body ( Nausea, vomiting, weakness, fainting ), bleeding out of the genital tract. In severe cases, peritonitis may develop (
), Which threatens the health and life of the patient. Twisted ovarian The ovarian twist is a pathological condition that is caused by turning ( Full or partial ) ovary and leads to a violation of blood supply and nutrition. When smoothing the ovary on the side of the lesion, there are sudden severe pain at the bottom of the abdomen. Typical cases of twist begin suddenly with the appearance of stitching or grapple-shaped pains, irradiants ( Given ) In the side, back or pah area. Increasing pains are accompanied by bloody discharge, nausea, vomiting, increase in temperature, stool disorders ( constipation ) And urination. Also, the pallor of the skin, tachycardia ( Increased heart rate ), cold sweat. With partial (
) Drive a woman can make complaints about stupid pain with periodic exacerbations. Acute urinary delay Acute urine delay ( Ishuria ) - This is a state at which the ability to empty the bladder can also be disturbed. Acute or as elsewhere called - complete urine delay is characterized by the absolute inability to go to the toilet. At the same time, a pregnant woman is experiencing an acute unbearable pain in a suponic area ( At the bottom of the belly ), which can enhance when driving and physical activity. Also there are frequent urge on urination, but empties does not occur. If you press a slightly to the bottom of the abdomen, then you can try to face a spherical seal ( Overflowing bladder ). Acute urine delay during pregnancy can be caused by an enlarged uterus, which is located behind the bladder and squeezes it by violating the normal work. Other reasons of acute delay there may be various chronic diseases ( kidney diseases, urinary bubble stones ), stress ( Reflex spasm bladder ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
), sedentary lifestyle. With long-term inability to empty the bladder, there is a risk of developing unpleasant complications (
swelling, high blood pressure Infectious inflammatory diseases of the small pelvis organs Infectious inflammatory diseases of the organs of a small pelvis are a group of diseases of the internal female genital organs ( ovaries, uterus, uterine pipes, vagina ). Very often, this group of diseases is caused by sexually transmitted infections ( Gonorrhea, chlamydia ). No less often, microorganisms are involved in the development of inflammatory diseases, which constitute a normal microflora ( A combination of microorganisms ) Vagina. Symptoms in infectious and inflammatory diseases of the small pelvis organs can be weakly pronounced or not at all. In the presence of symptoms, women may complain about pain at the bottom of the abdomen, the discharge from the vagina ( Sometimes with an unpleasant smell ), itching and burning, rashes on the outer genitals, pain during sexual intercourse ( DISSAREUTION ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
), pain when urination (
Dizuriy Myoma uterus Myoma uterus is a benign ( Nerakova ) Tumor, neoplasm in the form of one or more nodes that develop in the muscle layer of the uterus ( Middle Layer - Miometry ). During pregnancy, Mioma can create such complications as a threat to interrupt pregnancy, frozen pregnancy ( Anomalous cessation of growth and development of the fetus ), spontaneous miscarriage. These complications may occur in the case of contact with the world with a placenta, that is, if the embryo attachment occurs in the area of myomatous nodes. Also, the development of complications depends on the size of the nodes, since with small myomatous nodes, the disease proceeds asymptomatic. In some cases, a pregnant woman can bother the abdominal pain. Rapid growth and nutritional disorders in myomatous nodes leads to painful sensations at the bottom of the abdomen and increase the tone (
) Uterine. Urinary tract infection Urinary tract infection is an infectious process that occurs in any area of urinary tract. This problem is often found during pregnancy. The main cause of the development of the infectious process is the Stas ( stagnation ) urine. This in turn is the result of the expansion of the ureters ( carry urine from the kidneys in the bladder ), the weakening of their peristaltics ( contractile ability ) Under the influence of hormones and the compression of their pregnant uterus. The most common form of urinary infection during pregnancy is cystitis ( inflammation of the bladder ). From the clinical manifestations of cystitis, frequent urination is distinguished for urination with small portions (
accompanied by pain and burning
), discomfort or painfulness at the bottom of the abdomen, which are enhanced when filling the bladder. Constipation Constipation ( Constipation ) Is a violation of the intestinal work, which is manifested by the difficulty, delay or systematic sensations of insufficient defecation ( intestinal emptying, feces ). During pregnancy under the influence of hormones allocated by the placenta ( progesterone ), the peristalistic is worse ( Wave-like cuts of the walls ) Intestine, as a result of which food is moving slower and constipation arises. Other reasons of the confusion may be a malfunction of the power mode, the reception of some drugs ( Preparations containing iron, calcium ), change the position of the fetus. The pressure of the growing uterus on the intestines is accompanied by the appearance of pain at thenime of the abdomen ( More often in the left half ), burning and itching in the area of the rear-ground opening. There may also be complaints of nausea, bloating and a rice in the stomach, a feeling of constant severity. Singing during constipation can provoke the hypertonus of the uterus (
Increased contractile ability
), which can lead to the threat of abortion or premature childbirth. Inflammatory bowel diseases Inflammatory diseases of the intestine are recurrent ( Repeatable ) Diseases under which there is chronic inflammation of various departments of the gastrointestinal tract ( Zhkt. ) with the development of diarrhea (
) And abdominal pain. In inflammatory bowel diseases include crown disease and ulcerative colitis. Crohn's disease is the inflammatory disease of the gastrointestinal tract, which can affect any of his department, but most often affects the final and colon final and colon, deeply hitting their walls. The main clinical manifestations of Crohn's disease are diarrhea, which is accompanied by pain in the stomach. Abdominal pain is characterized by moderate intensity and are most felt in the right bottom of the abdomen or above the pubic. Often pains are preceded by the intestinal emptying, and after - subsidia. Ulcerative colitis is an inflammatory disease in which the mucous membrane of the fat intestine is affected. The symptoms of ulcerative colitis are practically no different from those with Crohn's disease. With ulcerative colitis there are also abdominal pain, diarrhea and frequent urge to emptying the intestines. In Kale, you can see traces of blood or mucus. Pains are localized (
) At the bottom of the abdomen, in the left side or near the navel. Some patients can make complaints of general weakness, loss of appetite, nausea and vomiting. Irritable intestinal syndrome An irritable bowel syndrome is a functional disease of the intestine, which is not related to its organic lesion and continues over three months. The development of irritable bowel syndrome is associated with hormonal restructuring during pregnancy. Also, this state may be caused by stress, unbalanced nutrition, disruption of intestinal microflora. From clinical manifestations, pain in the lower abdomen, meteorism ( excess gas formation, bloating ), constipation or diarrhea ( diarrhea ). Pains at the bottom of the abdomen can be captured ( spastic ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
), less likely - nover or stitching. These symptoms appear, as a rule, after meals and pass after defecation (
Emptying of the intestine Appendicitis Appendicitis is the inflammation of a worm-like procession ( appendix ) blind intestine ( Initial Department of Tolstoy ). It is the most common non-obstetric cause of pain at the bottom of the abdomen. According to statistics, one of 500 - 2000 pregnant women in any trimester of pregnancy occurs. During pregnancy, acute appendicitis is often developing in severe destructivical ( destructive ) form. This contributes to the shift of the black-shaped process up and the dust due to the magnified in the sizes of the uterus. As a result, Appendix is inflamed and stretched, its emptying is disturbed and blood supply will deteriorate. Stagnation of the bowel content arising against the background of frequent constipation during pregnancy increases the risk of infection ( infection ) Different microorganisms of their own microflora and, accordingly, provokes the development of appendicitis. A hormonal shift has a certain role, which leads to the functional restructuring of lymphoid tissue. Appendicitis always begins with the development of pains that appear in the right iliac region ( On the right below the abdomen ). Also possible are nausea, vomiting, pulse cheating ( Heart rate frequency ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
more than 100 shots per minute
), an increase in body temperature ( Urolithiasis disease Urolithiasis is a chronic disease, which is characterized by the formation of salt and organic sediments ( stagnation stones
) In the urine system of the body. This disease occurs at one of the thousands of pregnant women. Urolithiasis develops even before the occurrence of pregnancy and in the absence of clinical manifestations is not dangerous. However, pregnancy can provoke the movement of stones and exacerbation of the disease. During pregnancy, ureters (
) Expands and in the event of fatting stones in the early periods, the disease can be asymptomatic. At later dates, the enlarged uterus squeezes the ureters, and the teaching of the stones can be difficult. It is clinically manifested by a sharp intense pain in the lower back, which often gives to the abdomen and groin, nausea and vomiting, increased sweating and general weakness. In some cases, there is an increase in temperature and chills. Intestinal obstruction Intestinal obstruction is a syndrome that is characterized by a violation ( Partial or full ) Promotion of contents on the digestive tract. This is due to a mechanical obstacle or impaired intestinal motor function. Intestinal obstruction is quite frequent surgical ( Neakuschorskaya ) The reason for pain at the bottom of the abdomen. It develops at one of 5,000 pregnant women. Intestinal obstruction can occur on any gestation. In 70% of cases, this is connected with the presence of adhesions ( Arrangement of connective tissue ), about 25% with intestinal breakdown ( turn a part of the intestines around its axis ) and very rarely with hernia, invagination ( the introduction of one part of the intestine to another ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
) or oncology. The intestinal obstruction is characterized by pain in the abdomen, which is an early sign and occurs, as a rule, suddenly. Pains wear grabs and repeated with an interval of 10 - 15 minutes. In addition to abdominal pain, such symptoms as the latency of the chair and gases can be noted, the bloating, vomiting (
Multi-time Diagnostics Diagnostics is an important point with pain at the bottom of the abdomen during pregnancy. Timely treatment of a pregnant woman to the doctor allows you to retaliate ( distinguish ) Hazardous conditions and prevent the development of any complications ( The threat of interrupts and others ). To set the correct diagnosis, the doctor may assign certain surveys. The diagnosis of any disease is based on a combination of anamnesis data (
), the general examination of the patient and the results of laboratory or instrumental research. Properly assembled history and general inspection will determine the need for appointing further surveys. Anamnesis Anamnesis is a combination of information that the doctor receives as a result of a patient's survey or his close relatives. This is one of the key methods for diagnosis. Anamnese data is necessary for appointing additional research methods, choosing treatment tactics and further prevention. If you have a pregnant pain at the bottom of the abdomen, it is necessary to find out all its characteristics, and whether any medicinal products were taken to relieve it ( Elimination of painful phenomena ). By putting trust relationships with the patient (
When the patient tells the truth and does not hide anything about his health
- ) In most cases, the doctor may diagnose without additional analyzes and research. When collecting anamnesis, it is necessary to find out the following points:
- Start and progression of pain - when it started and how it changed to the present moment; Localization ( Location On the side of the break ) Pain
- - where the strongest is felt, where it is irradiating ( ) that it enhances it or weakens;
- Character of pain - acute or stupid, constant or parotid, deep or superficial; Related symptoms - nausea, vomiting, bloating, constipation, diarrhea, dizuriy ( Violation of urination ), decrease in blood pressure, fever (
- temperature increase ), bleeding from the vagina; Data on menstruation - date of the last menstruation, regularity (
- periodicity ) menstrual cycle;
- contraception - What method of contraception was used, whether the desire was pregnant; Gynecological anamnesis - discharge from the vagina, transferred gynecological diseases (
- myoma ), problems with conception;
- Obstetric anamnesis - were there previously pregnancy, as their outcome and their outcome were prohibited; Transferred operations on the abdominal cavity - Cesarean section, Appendectomy (
- appendectomy );
- Sickle-cell anemia, porphyria. General inspection The general inspection is to assess the general condition of the patient ( Assessment of consciousness ), movements ( activity ), skin color ( Pallor, redness ), adopted poses and so on. In obligatory, the doctor explores the cardiovascular ( Pulse, cardiac frequency, blood pressure ) and respiratory system ( breathing rate ), after which goes to the study of the abdomen. The doctor asks to expose the belly and conducts surface palpation ( feeling ) and percussion ( Tapping ) At different points of the abdomen, to determine the degree of voltage ( Tone uterus ), as well as identify signs pointing to one pathology. In the case of hypertonus, the uterus (
Voltage at the bottom of the abdomen
) This may indicate the threat of miscarriage. Bimanual study Bimanual study is a study of female genital organs by palpation ( Turning ). Bimanual research is carried out on a gynecological chair, shining one-sided diaper. Nadya sterile gloves, the doctor with his left hand breeds sex lips, and in the vagina Introduces two fingers of the right hand ( Index and medium ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
) And evaluates the size, mobility and density of the cervix. Then the left hand of the doctor is located at the bottom of the belly of pregnant. By moving both hands, the doctor can try to try the uterine, uterine pipes, ovaries, and evaluate their characteristics (
position, shape, dimensions, density, mobility, soreness
This study is carried out at the first visit to the gynecologist, that is, in the early period of pregnancy. With pain at the bottom of the abdomen during pregnancy and the presence of bloody discharges, it is also necessary to inspect pregnant. At the same time, the doctor assesses the state of the cervix. A small disclosure can cause non-pending pregnancy. Research with mirrors A study with mirrors is a survey method in which a special device is introduced into the vagina (
Gynecological mirror ) And the walls of the vagina and the cervix are inspected. During the examination, the patient is located on a gynecological chair, pre-shined one-time diaper. The doctor gently spreads the floor lips with two fingers, introduces a gynecological mirror ( To expand the vagina ) And evaluates the state of the vagina and cervix. Mirrors can use plastic (
) or metal. This research method can be used in the case when it is necessary to expand the vagina to take an analysis. Vagina and cervical canal stroke The vaginal smear and cervical canal are a bacterioscopic method of studying microflora of the mucous membrane, the cervical channel. Taking a smear is painless and rapid (
within a few minutes
). The patient is located in a gynecological chair. The doctor sets a gynecological mirror and takes a fence of biological material with a disposable tool. Then this material is applied to special glass and sent to the laboratory for further research. This study is carried out to detect hidden sex infections. Ultrasound procedure Ultrasound procedure ( Ultrasound ) It is a modern, high-precision and secure diagnostic method. Conducting ultrasound examination is simply in performance and takes only a few minutes. Depending on the term of pregnancy, the study can be carried out transvaginally ( through vagina ) or transabdomomotable (
Through the front abdominal wall ) Using a special device containing an ultrasonic sensor. This sensor is lubricated with a special gel for better contact with skin, ultrasonic waves, and, accordingly, transfer to the monitor. Trans-abortion is carried out in early pregnancy, and in later a transabdominal ultrasound study is used. The ultrasound study of the small pelvic organs is carried out to eliminate ectopic pregnancy, assessing the state of the uterus and the fetal egg, as well as to eliminate other gynecological pathology. Ultrasonic research allows you to identify the inflammatory processes of internal organs of the small pelvis ( ovaries, uterine pipes ). Makes it possible to identify benign neoplasms (
), cysts and malignant tumors of internal organs. General blood analysis Common blood test is a simple and fairly informative method of laboratory diagnostics. At the same time, cellular elements are determined (
Erythrocytes, leukocytes, platelets, erythrocyte sedimentation speed and others ), giving information about the state of the body. Common blood test is assigned prophylactically several times during pregnancy. If necessary, it can be assigned again to determine the general condition of the patient. According to the results of the overall blood test, the presence in the body of infection can be assumed ( Increased level of leukocyte ) miscarriage the patient's condition is accompanied by a strong headache, intense bleeding from the vagina, sometimes high temperatures and shock (
), inflammatory processes outside the reproductive system, as well as hidden bleeding (
Reduced hemoglobin General urine analysis Total urine analysis is a simple and affordable method of laboratory diagnostics. Before passing an analysis, it is desirable to abandon products that can paint urine ( Beets, carrots, various marinates ). Also exclude any drugs, coffee. On the eve of the evening and directly on the day of the collection of urine, the genital hygiene is carried out with warm water. For analysis, it is necessary to assemble the first morning urine in a plastic disposable container ( Special dishes ). To do this, the first portion of urine is missed ( about 50 ml ). Then, without interrupting urination, the container is collected second portion ( Middle ) urine (
About 100 - 150 ml ). After that, the container is closed with a lid and sent to the laboratory for further research. General urine analysis helps to identify urinary tract infections (
Treating pain at the bottom of the abdomen during pregnancy should be timely and efficient. With the sensation of strong pain at the bottom of the belly, a pregnant woman should immediately apply for a consultation to the doctor. It is very important to strictly adhere to all medical advice to prevent the development of complications and rather get rid of unpleasant pain at the bottom of the abdomen. In some cases, pain will indicate a premature pair of placenta, premature genera. In other cases, it may be that there is no threat to the future mother and baby. An independent purpose of drugs is unacceptable, as it can distort the picture of the disease and make it difficult to formulate the correct diagnosis. The decision on the need for medication is accepted only by a doctor. In cases where abdominal pain is caused by physiological causes (
Increase in the uterus, tensile ligaments, constipation
), Gynecologist may not prescribe any treatment. When revealing in pregnant inflammatory or infectious diseases, such drugs are prescribed that do not affect the intrauterine development of the fetus. When abdominal pain is associated with bloating or constipation, a woman is recommended to begin treatment with power correction. To do this, it is recommended to use easily durable products so as not to create an additional load on the organs of the gastrointestinal tract.
Treating the causes of pain at the bottom of the abdomen during pregnancy
Medical physical culture and respiratory gymnastics;
If necessary - hysterectomy (
does not require specific treatment;
With a progressive detachment, the placenta is carried out cesarean cross-section;
Sodium chloride solution 0.9%
hospitalization in hospital;
Conducting an urgent surgical operation.
Introduction of a flexible tube
Infectious inflammatory diseases of the small pelvis organs
), anti-inflammatory drugs, means that improve microcirculation;
Tactics of treatment is selected after receiving the results of the surveys;
In some cases, preparations such as microlax, duphalak, glycerin candles can be assigned with extreme caution.
Surgical treatment is better transferred in the second trimester of pregnancy;
Antispasmodics, antiharya drugs, soft laxatives may be assigned;
After the operation, treatment is carried out aimed at preventing pregnancy interrupt;
When attaching pyelonephritis - antibiotics;