Almost all women experience a slight tug in the stomach during pregnancy, and sometimes pregnant women encounter this not the most pleasant sensation during quite a while. early stages. The feeling of pulling in the lower abdomen during pregnancy is especially frightening for expectant mothers. We have all heard that nagging pain, especially in the early stages of pregnancy, can mean a threat of miscarriage. But an experienced doctor will never rush to conclusions. The causes of this vague pain are many and varied, let's figure out why this happens and when you should panic. Where do nagging pains in the lower abdomen come from during pregnancy? Sources of pain can be divided into those that are associated with the child, and those that do not affect him and the obstetric situation as a whole. The second group of reasons is not at all dangerous. Why does the stomach pull during pregnancy for obstetric reasons? This sensation is generated by the contracting muscles of the uterus, and placing your hand on your stomach later, you can feel how he turns to stone. A hard belly and uterine tone can be dangerous for the baby. But much more often the reasons are not dangerous at all, and they are different depending on the different dates pregnancy. Many people even consider nagging pain in the lower abdomen as a sign of pregnancy. Signs of pregnancy, tummy tugging? 2 lines on a pregnancy test and nagging pain in the abdomen are so common that these sensations are regarded as the first signs of pregnancy. Why does the stomach feel tight during pregnancy in the first weeks? Responsibility for the baby that lives in the mother’s “belly” forces a pregnant woman to listen with special care to her own feelings and the slightest manifestation of pain or discomfort causes real panic - how is my baby? Is everything okay with him? Is there a threat to his comfortable existence? Early pregnancy, tummy tugging, causes In early pregnancy, the tummy usually feels tugging, like before menstruation; these vague sensations can cause anxiety about the risk of miscarriage. This fear is natural and has a basis if pink or brown discharge, it is quite possible that the baby is really in danger. Why is it normal for the lower abdomen to pull in the early stages of pregnancy? These pains are associated with a rush of blood to the uterus and increased blood circulation here. In most cases, they are physiological and can be regarded as signs of pregnancy; dangerous reason, but still, consultation with a gynecologist in the presence of these complaints is necessary. Despite the fact that the symptom of pulling in the lower abdomen is regarded by most as a sign of pregnancy, this can indicate not only the norm, but also pathology. Normally, there is a pulling in the lower abdomen during early pregnancy, not only due to the rush of blood to the uterus, but also due to swelling and stretching of the uterine ligaments. They need to have time to stretch following the rapidly growing uterus, which may cause discomfort. It is normal for the stomach to pull at the beginning of pregnancy not all the time; it is enough to just lie down and relax for the discomfort to go away. In what cases should you be wary? - If you are in the early stages of pregnancy, your stomach is tight, and the unpleasant sensations do not go away even while lying down, and are not relieved by a no-shpa tablet, this may indicate a threat of miscarriage. In this case, the nagging pain quickly increases and is also accompanied by bloody discharge. There is only one piece of advice - don’t wait a single extra minute, call an ambulance. - In the first weeks of pregnancy, the stomach feels tight in some cases due to the fact that the embryo has attached in the wrong place, for example, in the fallopian tube. This is an ectopic pregnancy. Since only one tube is affected, right or left, it pulls on the left or right in the lower abdomen. It is important that these pains are intense and constant. That is, if normally in the first trimester of pregnancy the stomach pulls almost imperceptibly, you can continue to go about your business, distracted from these sensations, but with ectopic pain it is intrusive and interferes with life. A rupture of the fallopian tube during an ectopic pregnancy is dangerous due to massive bleeding and even the death of the mother, therefore, the earlier the diagnosis is made, the better for you. If you are pregnant in the early stages and feel that your stomach is pulling, visit your doctor as soon as possible and make sure that the diagnosis of an ectopic pregnancy that threatens your life is 100 percent excluded. Agree, rather than guessing and suffering - is everything okay with me, is my stomach pulling normally during pregnancy - it’s easier and safer to undergo a simple medical examination, including an ultrasound, and dispel your own fears, continuing to calmly enjoy your interesting position, which, to Unfortunately, it doesn’t always spoil us with ideal well-being. - If at the beginning of pregnancy the lower abdomen pulls, and you notice any bloody issues(pink, brown, pale, it doesn’t matter), you need to see a doctor immediately, this happens with an ectopic pregnancy, a frozen pregnancy, or a threatened miscarriage. A tummy tug during pregnancy is not only due to obstetric reasons; there may be other problems not related to the ongoing pregnancy. Sometimes pain occurs for physiological reasons not related to the fetus and uterus. The fact is that with early toxicosis, intestinal function is often severely impaired, vomiting and nausea, flatulence are common phenomena, and intestinal spasms may well bother you. These causes of nagging pain are not obstetric and are not dangerous to the health of the baby and mother, of course, only if they do not increase and become very pronounced. Is tummy tugging at the end of pregnancy normal or pathological? Even if you manage to avoid discomfort in the early stages, as your belly grows you will inevitably find out whether your belly feels tight during pregnancy and how it happens. All women have to face this. The growth of the uterus and the increase in the weight of the child stretches the muscles of the anterior abdominal wall; if you are pregnant for the first time and they are elastic enough, they will cope with supporting the tummy for a long time, and you will only feel that the abdominal muscles are being pulled. During pregnancy with a second or third child, muscle tone is weakened, and this can cause the tummy to sag, this is especially noticeable if the pregnant woman has a narrow pelvis, and the sagging belly feels like it is being pulled down. During pregnancy, all women are recommended to wear prenatal bandage, it prevents excessive stretching of the abdominal muscles and relieves discomfort. A little later, when the pregnant uterus grows significantly and acquires impressive weight, discomfort can be caused by stretching of the ligaments that support the uterus. In this case, the pregnant woman will feel as if her abdominal muscles are pulling, and there may be pain on the sides of the uterus, which goes away when changing positions. Just in case, every expectant mother needs to know the signs of such a terrible condition as premature placental abruption, which can happen at a later date. Premature placental abruption is also characterized by a situation where the lower abdomen pulls during pregnancy. Most often, this may result in the appearance of bloody discharge - from very scanty to heavy. Take care of yourself - any brown, dark, or scarlet spotting, regardless of whether the stomach is tight or not, requires immediate medical attention. Sometimes the stomach feels a little tight during pregnancy due to a scar on the uterus after a previous cesarean section or another existing postoperative suture, for example, after a previous appendicitis operation. The last few weeks have been causing discomfort for literally everyone. The baby is already very big, so it is difficult for you to get out of bed, you cannot sit for a long time, the baby rests on the ribs and pulls the upper abdomen, and pulls the stomach when walking. Pregnancy is ending, and in the last weeks you may encounter such a phenomenon as harbingers of labor. If you are 37-40 weeks, your stomach regularly pulls, and it looks like contractions - you are about to give birth. Good luck to you.

Many expectant mothers during pregnancy and in the early stages note that they often have pain in their lower abdomen. Such symptoms can occur both during the normal development of pregnancy and signal that there is a pathology and urgent measures need to be taken.

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Many people are interested in the question: why does the stomach hurt during pregnancy, and what to do about it? To answer this question you need to understand the reasons. All the reasons why pain may occur are divided into several groups - obstetric (pain associated directly with your condition), non-obstetric (pain associated with exacerbation of chronic or unrelated to pregnancy or other diseases).

Reasons that are related to pregnancy (obstetric).

Ectopic pregnancy. A similar situation occurs when the fertilized egg attaches outside the uterus, on the fallopian tubes, on the ovaries, cervix or abdominal organs. This is a serious reason why the lower abdomen often hurts; such a pregnancy threatens the health and life of a woman. In the early stages, the abdomen begins to pull or ache, gradually the pain becomes intensified and is felt only on one side.
If there is a threat of miscarriage. The tone of the uterus increases, the pain is aching, and a feeling of heaviness appears, which can radiate to the lower back. When taking pills, the pain may go away for a while, but then everything starts again. Over time, the pain will become cramping and bleeding may appear.
Non-developing pregnancy.
When everything proceeds without complications, pain can be caused by disruption of the digestive tract.
Sprain of the abdominal ligaments. This occurs due to the fact that the uterus begins to increase in volume and pull all the ligaments along with it. This leads to unpleasant sensations in the lower abdomen.
Surgical pathologies.

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

The stomach often hurts during pregnancy due to a change in diet. When your diet changes, large amounts of salty, sour, sweet or other unusual foods can all lead to bloating. Intestinal motility is impaired, gastritis worsens - all these are causes of abdominal pain.

Changing your diet can affect your health

Reasons not related to position.

Cystitis. The immune system decreases during pregnancy. The pressure of the uterus on the bladder increases due to hypothermia and the use of inappropriate underwear. All this can provoke the appearance of cystitis, that is, inflammation of the bladder. Pain in the lower abdomen has a cutting and stabbing sensation, and frequent urination occurs. This occurs in early pregnancy.
Appendicitis may also develop.
Intestinal obstruction.
Cholecystitis.

All these diseases can be accompanied not only by pain in the lower abdomen, but also by a general deterioration of the condition. The temperature may rise, and some may begin to vomit.

The lower abdomen may ache

For such symptoms and severe pain, you should seek medical help.

Woman's lifestyle

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

What should a pregnant woman do to avoid abdominal pain and other unpleasant consequences:

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

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

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

Getting enough sleep is essential

You should diversify your diet. Include foods that contain vitamins and microelements in your diet. Proteins, fats, carbohydrates, vegetables, fruits - all this should make up at least 50% of the diet.
Experts often recommend switching to four meals a day (in the first trimester). Try to consume more foods such as fish, meat, dairy products (natural), cereals, legumes, etc.
In order for a woman to feel better during this period, the body needs much more calcium, iodine, vitamins, iron, and zinc.

Products that are prohibited:

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

Common causes of pain are presented in the table.

Why does it hurt	Description	How often does it occur?
Gastritis	Often women eat a lot of salty, sweet, fatty foods. This contributes to the exacerbation of chronic diseases. Heartburn and discomfort in the stomach may occur.	From 15 – 25%
Cystitis	Failure to comply with the rules of personal hygiene and inattention to one’s health will worsen cystitis.	From 20 – 30%
Developmental pathology (ectopic pregnancy)	When the fetus does not enter the uterus, it begins to develop elsewhere. Since there is not enough space, the fetus enlarges and unpleasant pain in the lower abdomen begins. When tissue ruptures, the pain intensifies, at such moments the woman may lose consciousness.	From 20 – 30%
Sprain	During early pregnancy, the body begins to change, and pain is felt in the lower part of the body.	15%
Bloating	This is how taste preferences change, and something may not be suitable. Some people start eating everything. The stomach swells and discomfort appears.	10%

Complex condition/caption]

Appeal to traditional medicine

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

Required ingredients:

coriander 1 tsp;
boiling water.

Mode of application.

Take one spoon of coriander seeds and chop.
Pour a glass of hot water.
Boil for a few minutes.
Then strain and drink every time before meals.

Another recipe that will help avoid pulling sensations in the lower abdomen in the early stages of pregnancy. Required ingredients:

watch leaves;
boiling water.

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

Mode of application.

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

Application of preventive measures

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

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

It is worth clarifying whether you are at risk of an ectopic pregnancy or any other unpleasant consequences. If you have previously had an abortion, you should plan a repeat pregnancy with your doctor. It is also necessary to maintain healthy image life.

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Every second woman experiences pulling sensations in the lower abdomen during pregnancy. Often this is a needless worry, but we should not forget about the pathological conditions that can cause such a symptom. To protect your life and the health of your unborn child, you need to clearly know the main pathologies that can cause such pain.

Epidemiology

The epidemiology of this problem based on etiological factors is characterized by the fact that more than 65% of cases of such pain are caused by sprained ligaments and muscles, and therefore such pain does not pose a potential threat. But the remaining 35% is a very large number of complications that can cause such pain. According to statistics, only 88% of women with such symptoms end up in the hospital on time, which threatens termination of pregnancy. In 80% of women, nagging pain caused by a serious illness is accompanied by other symptoms, which proves the need for a full diagnosis and knowledge of these additional clinical manifestations.

Causes of nagging pain in the lower abdomen during pregnancy

There can be many reasons for nagging abdominal pain during pregnancy, but it is important not only to know about them all, but also to understand where the line is when this is no longer a normal phenomenon and it is necessary to seek advice. The duration of pregnancy is also very important, because depending on this, certain disorders occur that entail such pain.

Before understanding the reasons, we need to talk about the risk factors for this pathology. In women who will become mothers for the first time, the risk of developing such symptoms is higher only because the uterus and all the muscles of the abdominal press and pelvic floor are not ready for such a load. As pregnancy progresses, the uterus stretches, and since it is a muscular organ, this is the only thing that can cause such sensations. Along with the uterus, the abdominal muscles also stretch - this leads to lengthening of the muscle fibers, which is why a nagging pain may be felt. These phenomena are normal and can occur in every woman, and they do not pose any danger. The only question is to determine the pathological condition when it is worth intervening. Among such conditions, it is necessary to highlight inflammatory diseases of the internal genital organs. Women who have a history of chronic adnexitis or a cyst, or another source of infection, have very high risk factors for developing complications during pregnancy, and one of the manifestations of such complications may be just such a feeling in the lower abdomen. Moreover, such a symptom can often indicate an exacerbation of the disease. Therefore, one of the reasons that the lower abdomen feels tight during pregnancy may be infectious inflammation of the tubes or ovaries. The pathogenesis of the clinical picture is that the infectious process spreads to neighboring structures - this irritates the pain receptors of the peritoneum covering the uterus or ovaries, which causes nagging pain. But it should be noted that the inflammatory process may not always have a strong manifestation, and the symptoms may be sluggish - which, in addition to nagging pain, may not cause other symptoms.

Other etiological factors of such pain syndrome are the threat of miscarriage or its onset. Premature termination of pregnancy is now a very common problem due to many reasons. This problem refers to complications in the first trimester of pregnancy, when the fetus is most vulnerable. For one reason or another, on the part of the fetus or mother, a nagging pain begins in the lower abdomen, which corresponds to the onset of a miscarriage. The pathogenesis of this disease is associated with rhythmic contractions of the uterus of the same nature as during childbirth, which causes gradual detachment of the fertilized egg and its release. This is a dangerous condition for a woman’s life and it is very important to diagnose it in time, because you can still save the child.

A very important cause of nagging pain in the lower abdomen is ectopic pregnancy. Under normal conditions, on the seventh day after fertilization of the egg, the embryo moves along the fallopian tube and is implanted into the uterine cavity, where it further develops. When for certain reasons the embryo cannot reach the uterus, it is implanted in the tube or comes out of it and ends up on the ovary or in the abdominal cavity, this is an ectopic pregnancy. Over time, the embryo grows and space becomes scarce, which leads to stretching of the tube and the appearance of symptoms. And the first symptom is most often a nagging pain in the abdomen.

The rupture of a cyst or simply its presence, which was not previously diagnosed or was asymptomatic, can cause pain in a similar localization. The cyst, located on the ovary, leads to its irritation, stretching and the appearance of symptoms. Then the cyst can behave quietly throughout pregnancy, or it can grow and progress.

Late pregnancy can pose a potential danger in the form of placental abruption, and this condition is often accompanied by nagging pain. But there are other symptoms, so you shouldn’t focus only on pain in order to diagnose this condition in time.

At any stage of pregnancy, such pain can be a manifestation of acute pathology of the urinary tract. In this case, one should think about renal colic or acute gestational pyelonephritis. Careful differential diagnosis is simply necessary for correct treatment tactics.

These reasons are only the most common, and in order to correctly assess the situation, you must first focus on the nature and intensity of the pain, which can predict a potential threat to life for both the mother and the child.

Symptoms of nagging pain in the lower abdomen during pregnancy

If the pain is caused only by stretching of the abdominal muscles and uterine fibers, then the clinical picture is limited only to a periodic feeling of heaviness in the lower abdomen, as during menstruation. As pregnancy progresses, these sensations may increase. But this is the only symptom in this case, which appears from time to time and is not constant. It does not disturb the general condition of the woman and does not entail any problems.

If, in addition to nagging pain in the lower abdomen, there are other signs of the disease, then you should think about organic pathology. For example, inflammatory diseases of the appendages during pregnancy can become more active, then pain appears, as well as an increase in temperature, which is inherent in any inflammatory process. The very rise in temperature and signs of intoxication may already indicate that this is serious. There may also be purulent vaginal discharge, or just a nasty discharge or discomfort.

If the lower abdomen feels tight in the first trimester of pregnancy, this may be a sign of a threat of premature termination. In this case, only spastic pains in the lower abdomen are observed, which are repeated. If this is accompanied by bloody discharge, then we are talking about a miscarriage, and then it will not be possible to save the child. That is why, if such intense pain occurs, you need to consult a doctor immediately, and not wait for the symptoms to go away.

If the lower abdomen pulls in the second and third trimester, then the cause may be either premature birth or placental abruption. The tactics are very different for all these pathologies. The first signs of premature labor are the same as during normal labor, that is, pain in the lower abdomen. Sometimes in the last weeks before giving birth, a woman may suddenly feel such a heaviness that it will not be accompanied by the breaking of water or the onset of labor. Then we are talking about a pathological preliminary period, in which false contractions do not lead to normal dilatation of the cervix.

If there is a strong pull in the lower abdomen during pregnancy and this is accompanied by bloody discharge in the later stages, then it is necessary to exclude placental abruption. But there may not be any bleeding, so you need to focus only on the intensity of the pain.

When walking, the lower abdomen pulls during pregnancy, more often due to physical activity, then it is recommended to rest, and the symptoms should go away.

If the lower abdomen and lower back are tight during pregnancy, then most likely the woman has pyelonephritis. This is an inflammation of the kidneys, which is also accompanied by urination problems. In this case, it can pull from one side - from the right or from the left. Other symptoms of this disease may include cloudy urine, fever, headache and muscle pain.

If the lower abdomen feels tight when urinating, then most likely it is inflammation of the lower urinary tract. Cystitis is a common disease in pregnant women due to compression of the bladder. There is also pain during urination, burning, frequent urination and frequent urge.

If you experience pain in the lower abdomen and diarrhea during pregnancy, then you need to rule out food poisoning. This may be accompanied by symptoms of vomiting and nausea, which will suggest poisoning.

Thus, nagging pain in the lower abdomen is only one symptom, and to fully characterize the condition, it is necessary to evaluate others in order to provide timely help.

Complications and consequences

The consequences of nagging pain depend on the cause and the urgency of the assistance provided. If there is a threat of miscarriage, you can save the child, but if the miscarriage has already begun, then, unfortunately, treatment will not help. Speaking of inflammatory diseases, untimely treatment of such processes can cause intrauterine infection and lead to further complications - chorioamnionitis, congenital fetal pneumonia, congenital defects. The consequence of untimely diagnosis of placental abruption may be a large retroplacental hematoma, which will ultimately lead to the need to remove the uterus.

Complications that arise from only one symptom - heaviness in the lower abdomen - can be very serious, what you should know in order to prevent them, rather than treat them.

Diagnosis of nagging pain in the lower abdomen during pregnancy

Diagnosis of nagging pain in the lower abdomen must be timely, then all complications can be prevented. Therefore, it is necessary to exclude all pathological conditions, and only then can we say that this is a normal phenomenon during pregnancy.

First you need to establish all the medical history and clarify the duration of pregnancy, the nature of the pain, and how they are related to the load. Sometimes the fact that pain goes away after rest may indicate its physiological nature. It is important to clarify whether the nature of the discharge has changed and whether the body temperature has increased.

Tests must exclude a pathological condition, and therefore general tests are sufficient for a general diagnosis. A general blood test helps to exclude an inflammatory process, otherwise there will be leukocytosis and a shift of the formula to the left. A general urine test helps determine kidney and urinary tract function. Any increase in white blood cells or protein may indicate inflammation. Then the diagnosis can be confirmed objectively - a positive Pasternatsky symptom indicates the benefit of pyelonephritis.

If placental abruption or threatened abortion is suspected, a vaginal examination is required, which helps to establish the stage of the process. The degree of opening of the internal uterine pharynx during a miscarriage indicates the stage of the abortion and whether it is necessary to continue the pregnancy or whether this will no longer be possible. In case of placental abruption, there may be no external bleeding; then the amount of blood loss needs to be determined using instrumental methods.

Ultrasound examination allows you to accurately determine the condition of the fetus, the location of the fetal egg, and you can accurately exclude one or another condition. You can also assess the condition of the kidneys and the presence of obstruction, that is, diagnose pyelonephritis and urolithiasis. In late pregnancy, the main method for diagnosing the condition of the uterus and child is cardiotocography. This method allows you to establish the tone of the uterus, which plays a major role in the appearance of such nagging pain. And after this we can judge about premature birth or simply an increase in the tone of the uterus. It is also possible to determine the fetal heartbeat and evaluate how such pain affects the fetus.

The main thing in diagnosing such a process is to compare all the symptoms and exclude emergency conditions.

Differential diagnosis

Differential diagnosis should be carried out between all pathologies that are accompanied by similar pain.

Treatment of nagging pain in the lower abdomen during pregnancy

The main principle of treatment of such pathology is etiological. Therefore, medications that are used for such pathologies should be prescribed only when the cause is determined.

If the cause of nagging pain is the threat of miscarriage, then they try to preserve the pregnancy with the help of tocolytic therapy. If a miscarriage is in progress, then it will not be possible to maintain the pregnancy in the first trimester. Tocolytic therapy uses drugs that reduce uterine tone.

Hexoprenaline is a drug from the group of selective sympathomimetics, which acts by binding to uterine receptors and leads to relaxation of muscle fibers. Therefore, the drug can be used to stop uncomplicated premature labor, which is accompanied by increased uterine tone and rhythmic contractions. The medicine cannot be used during pregnancy earlier than 22 weeks. The method of administration of the drug is intravenous, which allows you to quickly achieve the effect. Dosage – 10 micrograms of the drug should be administered slowly, and then switch to infusion use. Side effects are palpitations, heart rhythm disturbances, headache, feeling hot, increased blood pressure, tremor, diarrhea. Precautions - do not use the drug if congenital defects mom's hearts.

Utrozhestan is a hormonal drug that is used to further treat the threat of miscarriage. Often, hormonal disorders are the cause of the threat of premature birth, so progesterone therapy is mandatory after the elimination of symptoms. Utrozhestan contains progesterone, a natural hormone that stabilizes the activity of the muscle fibers of the uterus and reduces its tone. The drug helps normalize fetal trophism and improves uteroplacental circulation. It helps prolong pregnancy by increasing the level of natural progesterone. The dosage of the drug is determined individually. Directions for use: 100 or 200 milligrams per capsule every day or every other day. Side effects - dizziness, drowsiness, pain in the mammary gland, itchy skin, vomiting, fluid retention with the formation of edema. Precautions - it is important to monitor the dosage of the drug and the effect of a given dose.
If the cause of heaviness in the abdomen, according to accurate ultrasound data, is pyelonephritis, then it is necessary to use complex treatment, the main element of which is the restoration of urine outflow. In pregnant women, pyelonephritis is secondary due to the fact that the uterus compresses the ureters, so a mandatory element of treatment is stenting to restore the outflow of urine. Then you need to prescribe an antibiotic that is suitable for pregnant women. Such approved antibacterial agents include unprotected aminopenicillins and cephalosporins. If we are talking about an exacerbation of chronic adnexitis or oophoritis, then it is necessary to use an antibiotic in treatment. Antipyretic and antispasmodic medications can be added to complex treatment.

Cefpodoxime– beta-lactam antibiotic of the 3rd generation, especially effective when acting bactericidal on gram-positive and gram-negative flora. The drug has a bactericidal effect on possible anaerobic pathogens of urinary tract infections, so it can also be used for cystitis. The dosage of the drug is 200 milligrams twice a day, for at least ten days. Side effects are possible if they affect the stomach - colitis or dysbacteriosis develops, which is manifested by bloating and stool disturbances. Precautionary measures - do not use the drug if you are allergic to penicillin antibiotics, as well as with congenital enzymopathies.

Paraverin- This combination remedy, which includes the antipyretic drug paracetamol in a dose of 500 milligrams, as well as the antispasmodic drotaverine in a dose of 40 milligrams. This drug, due to its complex action, can not only reduce body temperature during inflammatory reactions, but also relieves headache And increased tone uterus in pregnant women. The dosage of the drug is a 10-milligram tablet, which can be taken in case of fever or headache with an interval of at least 40 minutes. It is not recommended to take more than three tablets per day. Side effects occur in the form of stomach pain, dizziness, and decreased blood pressure. Precautionary measures - do not use in combination with other drugs of the same group and take with caution in case of liver diseases.

Vitamins for a pregnant woman in any case, they will be beneficial, given the increased need for various microelements. When choosing a vitamin supplement, you should give preference to those preparations that contain not only vitamins, but also microelements.

Physiotherapeutic treatment nagging pain in the lower abdomen can be widely used, for example, if there is a scar on the uterus that can cause similar symptoms. For this purpose, electrophoresis with papaverine and dimexide, as well as thermal procedures, are used. You need to undergo at least ten sessions if there are no undesirable effects of such treatment.

Alternative treatment for nagging pain during pregnancy

Alternative treatment for this type of pathology during pregnancy can be used in cases of threatened miscarriage or normal miscarriages. In this case they use different means and herbs that not only reduce the tone of the uterus, but also soothe nervous system women, relieve stress and improve blood circulation in the mother-fetus system.

To prolong pregnancy, use yarrow powder. To do this, you need to take the dry leaves of this plant, grind them in a mortar to a powder and take a teaspoon of this powder in dry form in the morning every day for twenty-two weeks of pregnancy.
Calendula tincture is an excellent tocolytic agent, and in addition it also has properties to reduce bleeding activity, therefore, if there is a threat of miscarriage, to further normalize hemostasis, you need to take medicine from this plant. To prepare medicinal tea, you need to take the flowers and fruits of calendula, add half a liter of water, and then after it has steeped for twenty minutes, strain and drink. Dosage – about a liter of tea should be drunk per day, monitoring other liquids in case of swelling.
Viburnum with sugar has a very good effect on the general condition of a woman, improves blood circulation of the placenta and has antioxidant and immunomodulatory properties. To do this, it is enough to take viburnum ground with sugar throughout pregnancy, especially in the first trimester. It is also an additional source of vitamin C.

The use of herbs and herbal teas also helps to normalize the tone of the uterus and calm increased nervous excitability.

To prepare medicinal tea, you need to take 50 grams of stinging nettle and the same amount of erysipelas, boil this over low heat for five to ten minutes and then strain. You need to drink this tea three times a day, half a cup, after which you need to lie down for a while, as you may feel dizzy due to a decrease in blood pressure. This is not a side effect, but on the contrary, the complex action of the two plants helps to increase blood flow in the placenta area.
You need to take 100 grams of cinquefoil and marigold herbs, make tea from a liter of water and drink in small sips throughout the day. The course of treatment is four weeks after the onset of nagging pain, then all processes should normalize and the symptoms will subside.
Licorice root, elecampane root and pine leaves need to be poured with dill and boiled for fifteen minutes. Then you need to add currants and let the infusion cool. After half an hour, you can drink this tea up to five times a day.

Homeopathy in the treatment of threatened miscarriage has its advantages, since the drug is selected individually and the dose is always adjusted. In addition, long-term use of such homeopathic medicines is possible even before pregnancy.

Sabina is a homeopathic medicine that is used for abdominal pain of a pulling nature, especially when it radiates to the pubic area and bladder. It is available in the form of drops and is used in a dosage of eight drops per dose. Directions for use – the solution should be dripped into 100 milliliters of boiled water and drunk half an hour before meals. The course of treatment can be started before pregnancy with a dose of three drops, and then taken eight drops during the first trimester. Precautions - it is not recommended to use the drug in overweight women with arterial hypertension or gestosis. Side effects are rare, allergic skin reactions are possible.
Actea rakemosa is a homeopathic remedy that consists of herbal preparations that are more effective in patients with pain that is localized on one side of the abdomen or migrates from one side to the other, which causes weakness and asthenia. The method of using the drug is three drops three times a day, under control of the heartbeat; if tachycardia occurs, the dose can be reduced. Side effects not found. Precautionary measures - do not take if you are allergic to pollen.
Hydrastis is a homeopathic remedy based on the goldenseal plant, which is very effective in maintaining pregnancy due to its action, which is similar to the natural hormone progesterone. The drug reduces the tone of the uterus and normalizes blood circulation, preventing spontaneous contractions. The drug is especially effective in the presence of early gestosis, which is accompanied by nausea and constipation. The drug is available in granules and is dosed at six granules every six hours. Taking the drug before pregnancy is not recommended.
Plumbum is a drug of homeopathic origin from the group of inorganic drugs. Used to treat miscarriage with severe spasmodic abdominal pain. The method of use of the drug depends on the form. The dosage when taking drops is one drop per year of life, and when taking capsules – two capsules three times a day. Side effects are possible in the form of hyperemia of the skin of the hands and feet, as well as a feeling of heat. Precautions - do not use if body temperature rises.

Surgical treatment pathology, which is accompanied by nagging pain in the abdomen, is unfortunately used for miscarriage, which does not allow saving the life of the child. At the same time, if the uterine pharynx opens to a significant size, when conservative treatment is ineffective, it is necessary to stop the bleeding surgically. Then they resort to surgical removal of the fertilized egg by scraping out the uterine cavity. In the case of premature birth, which is not amenable to tocolytic therapy or there are indications from the fetus, surgical intervention is also performed - C-section. If abdominal pain is caused by placental abruption, then this is an indication for surgical treatment; sometimes it is necessary to remove the uterus if the hematoma is large.

If the lower abdomen is tight during pregnancy, this may not necessarily be a serious pathology, but you should not miss this symptom, since any changes in the body of a pregnant woman affect the child. You definitely need to tell the doctor about such pain, and he is already looking for the cause. In any case, if you are afraid for your health and the health of your baby, then you need to be examined and identify the cause.

From the first weeks of pregnancy, when a woman finds out that she is no longer alone and a future little person is growing inside her, she begins to listen more carefully to the sensations and changes that are happening to her. Particular concern and anxiety in pregnant women is caused by discomfort in the lower abdomen and nagging pain. The abdomen can ache and tug both in the earliest stages and in the last weeks before the onset of labor. It is worth remembering that nagging pain in the lower abdomen can signal the development of pregnancy pathology, spontaneous miscarriage or miscarriage, as well as uterine hypertonicity, and pose a threat to the fetus. In what cases should you calm down and treat unpleasant sensations as a natural physiological process, and in what cases should you sound the alarm and consult a doctor?

Breast swelling, changes in taste sensations, accompanied by nausea, aversion to certain smells, pulling in the lower abdomen are obvious first signs of pregnancy. The expectant mother feels unwell, feels a pull in the lower abdomen, as if during menstruation, mistaking the pain for premenstrual syndrome. The nature of pain is individual for each woman. For some, the pain is almost unnoticeable, while for others the pain causes discomfort and becomes a cause for concern. If at the beginning of pregnancy a pregnant woman feels tight in the lower abdomen, there is no need to worry, a natural process occurs associated with changes in her hormonal levels. During this initial period, everything is restructured female body- he is preparing to bear the unborn child.

Let's consider the physiological reasons for the appearance of nagging pain in the early stages of pregnancy:

For many women, the first week of a long-awaited pregnancy is accompanied by pain - pulling and aching in the lower abdomen. This is how the natural process of implantation of the fertilized egg occurs in the uterine mucosa, and before the fertilized egg is fixed in the uterine cavity, it “clears” a place for itself. This physiological process of pregnancy is accompanied by discomfort, pulling in the lower abdomen, small and weak discharge appears, sometimes bloody. Many women perceive them as scanty menstruation that began ahead of schedule.
Stretching of the lower abdomen in the first month of bearing a baby may be a consequence of changes occurring in the uterus. The uterus begins to rapidly increase and shift slightly due to the softening and stretching of the ligaments and tissues surrounding it. Blood circulation in the uterus increases, which ensures the delivery of nutrition and oxygen to the embryo. Due to hormonal changes and an increase in progesterone in the body, which is responsible for the normal development of the unborn baby and the course of pregnancy, women experience nagging pain in the lower back, lower abdomen, and upper legs.

In what cases should you be wary and consult a gynecologist?

If in the first or second month of pregnancy there is a pulling in the lower abdomen, but the pain is not just nagging, but rather cramping, when the painful sensations grow, intensify, accompanied by the appearance of bloody discharge, this condition of the pregnant woman can pose a threat to the unborn child. If the pain becomes obsessive and does not go away, even if the pregnant woman takes horizontal position and takes a painkiller tablet (No-shpa), then it is not recommended to endure such pain - call a doctor. These may be alarming symptoms of an ectopic pregnancy.

Why does the lower abdomen feel tight in the last stages of pregnancy?

The last month of pregnancy is the most important and worrying month for pregnant women, because labor can begin at any time. Therefore, expectant mothers should be especially careful and attentive to their feelings. Stretching in the abdomen is an integral symptom of the last weeks of gestation, when the body is intensively preparing for childbirth and active production of progesterone occurs. Under its action, all the smooth muscles of the female body relax, which is very important for stretching the fibers of the uterus, which is actively growing and stretching. But, along with the uterus, the digestive organs relax, which is why pregnant women feel heaviness in the stomach, heartburn, belching and nagging pain.

In the last weeks before birth, the baby changes its position with its head down, the stomach drops and the pregnant woman feels a nagging pain both in the stomach and in the lower back. The fetus grows quickly and intensively, and, consequently, the size of the uterus increases, causing stretching of the uterine ligaments. The consequence of this process is nagging pain in the lower abdomen. Sometimes the pain occurs suddenly if a pregnant woman sneezes or starts coughing. A pregnant woman may feel that her abdominal muscles are being pulled, and there is pain on the sides, which goes away if you change position. If discomfort occurs, it is better to lie down and rest, taking a horizontal position (preferably on your left side).

To alleviate the condition and relieve nagging pain, pregnant women benefit from light physical activity and special exercises that are performed during yoga, water aerobics, swimming or Pilates. Such exercises also contribute to the overall strengthening of muscles and help to cope with childbirth more easily.

Last weeks of pregnancy, what to pay attention to

At 36 weeks of pregnancy Pregnant women may experience training contractions as the body prepares for an important event. The pain appears suddenly, pulls in the lower abdomen, and goes away after a short period of time. No-shpa helps to cope with cramping painful sensations. But, if the pain is sharp and cramping, this may be an alarming symptom of placental abruption. As a rule, placental abruption is accompanied by bleeding. The cause of placental abruption may be physical strain or a sharp increase in pressure. In this case, the pregnant woman urgently needs to be hospitalized. To save the baby, a caesarean section is performed.

If you are 37 weeks pregnant the uterus is too active, it pulls in the lower abdomen and the pain is similar to contractions - this is a symptom of a harbinger of premature labor, which may begin soon. Nagging pain is sometimes accompanied by cramps with short constant contractions in the lower abdomen, this is due to the gradual dilation of the cervix. If you have this symptom, as well as if spotting brownish discharge appears, immediately contact your gynecologist or call an ambulance. After the cervix dilates, the waters will break and childbirth will occur, so it is necessary to stop this process as quickly as possible, because it is too early for the baby to be born.

At 38 weeks of pregnancy There is a gradual opening of the cervix, so the lower abdomen pulls, unpleasant sensations arise, and labor will begin very soon. Depending on the structure of the uterus and the hormonal background of the pregnant woman, nagging pain may continue for several hours or days before the onset of labor.

When do you need to see a doctor urgently?

Let’s summarize in what cases pregnant women need to urgently seek help:

If the pain does not decrease, but only increases even after taking No-shpa, you should call a doctor. Before he arrives, try to relax and unwind.
If you feel pain in your lower abdomen and lower back during pregnancy and this interferes with your Everyday life- Visit a gynecologist.
The pain is localized in a specific area of the abdomen - you will need to undergo an urgent ultrasound.
If you experience discharge, which can be either pale pinkish or brownish, accompanied by stretching in the lower abdomen, consult a doctor immediately to maintain your pregnancy.
If you feel pain in your lower abdomen in late pregnancy, severe nausea and vomiting, see a doctor immediately.

Experienced gynecologists strongly recommend that expectant mothers, regardless of the stage of pregnancy, at the slightest suspicion of a particular type of pain, general malaise, or spotting, seek advice from their gynecologist and report even small changes occurring to them. Having assessed the situation and carried out the necessary examinations, the doctor will be able to recognize the pathology in time and maintain the pregnancy. If your alarms turn out to be false, and physiological processes occur in the body that are characteristic of a successful pregnancy, the doctor will dispel your fears, tell you how to improve your well-being and instill confidence that your pregnancy is normal and you will soon become a mother wonderful baby.

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