Guide | Abdominal Pain During Pregnancy: Common Causes and When to Seek Care



Guide | Abdominal Pain During Pregnancy: Common Causes and When to Seek Care


Pregnancy brings major physical changes and sometimes unexpected discomfort. Abdominal pain ranges from normal physical responses to serious conditions requiring urgent treatment.


Young woman with stomach pain


Common Causes

As the fetus grows, added weight and pressure on other organs may cause manageable pain that often resolves:


Digestive problems

Pressure on the stomach and intestines, especially later in pregnancy, can cause gas, bloating, or constipation. Water and fiber may help.


Muscle strain

Weight gain of about 25-35 pounds and looser muscles and ligaments can strain the back, sides, or abdomen.


Uterine cramps

Rapid uterine growth can cause menstrual-like cramps, especially early and mid-pregnancy. They often resolve or improve with warmth.


Braxton Hicks contractions

These “practice contractions” are usually milder and less regular than labor and often stop after changing position or activity.


Causes Requiring Attention

Some pain needs prompt medical assessment:


Appendicitis

Symptoms may include right-sided or periumbilical pain, nausea, poor appetite, vomiting, fever, and fatigue.


Gallstones

Symptoms include sharp upper-right pain, nausea, vomiting, reduced appetite, and fever.


Preeclampsia

This pregnancy-specific hypertensive disorder may damage the liver and kidneys. Symptoms include upper-right pain, blurred vision, severe headache, shortness of breath, nausea, and reduced urination.


Miscarriage

Severe lower-right pain with spotting may indicate miscarriage. Contact a doctor immediately.


When to Be Concerned

Seek care promptly for:


Persistent or severe abdominal or back pain

Pain worsening at night or while lying down

Abdominal redness, swelling, or fever

Painful urination

Contractions every 10 minutes before 37 weeks

Markedly reduced fetal movement after 28 weeks

Persistent vomiting, nausea, or diarrhea

Severe or persistent headache

Vaginal bleeding or fluid leakage

Fever or blurred vision


Contact a doctor if any symptom concerns you.


Source:

Collected online

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