I have a slight pain in my stomach at 5 months pregnant

Women should not relax in any aspect during every stage of pregnancy. Don't think that you will be safe after the first three months. In fact, this has a lot to do with the woman's own physical constitution. Women with weak constitutions will have a little stomach pain when they are 5 months pregnant. This may be due to the discomfort caused by the growing fetus and the enlarged uterus. However, monthly prenatal check-ups should still be done regularly. Women cannot be careless about their diet during the ten months of pregnancy, and the nutrition for both adults and fetuses must be adequate.

I am 5 months pregnant and my stomach hurts a little. What's going on?

1. Abdominal pain in early pregnancy may be due to the growth of the uterus, which is not a serious problem.

2. Women often complain of symptoms such as sourness, warmth, and upper abdominal pressure, which are the result of stomach pressure caused by the enlarged uterus. In addition, gastrointestinal motility weakens during pregnancy, the stomach muscle tension is low, especially the gastric sphincter is relaxed, causing the gastric contents to flow back into the lower esophagus, irritating the esophageal mucosa and producing a burning sensation in the stomach area.

3. Due to the enlargement of the uterus and pelvic congestion, the ligaments beside the uterus may be affected by the enlarged uterus, causing a feeling of soreness and dull pain in the lower abdomen, especially near the roots of the thighs on both sides, that is, near the groin. Abdominal pain in the early stages of pregnancy is generally not serious and does not affect the normal development of the pregnancy. If there is a history of cervicitis and chronic appendicitis, the irritation of the pelvic congestion symptoms on the inflamed area will also cause such discomfort.

Abdominal pain not caused by pregnancy:

(1) Acute appendicitis

It can occur in early, middle, or late pregnancy. Most people with acute appendicitis experience abdominal tenderness in the right lower abdomen. However, for pregnant women, due to the presence of the baby, the tenderness in the right abdomen gradually moves upward as the pregnancy progresses. Expectant mothers who experience abdominal pain due to acute appendicitis generally have a history of chronic appendicitis and are accompanied by symptoms such as increased body temperature. Because the disease will progress more rapidly after appendicitis occurs in expectant mothers, they should go to the hospital for examination and treatment in time.

(2) Intestinal obstruction

If the expectant mother has undergone abdominal surgery before pregnancy, intestinal adhesions that occur after the surgery are often the cause of intestinal obstruction during pregnancy. There are no typical symptoms for expectant mothers with intestinal obstruction, so if they feel abdominal pain accompanied by vomiting and diarrhea, they should go to the hospital for examination as soon as possible.

Reasons for abdominal pain in early pregnancy:

1. Physiological abdominal pain

After you become pregnant, you will feel your belly getting bigger day by day, and then your skin will feel tight. If you love sports, you may feel a dull pulling pain in your abdomen after hiking or playing table tennis, which is similar to normal stomach pain. For some expectant mothers, the enlarged uterus constantly stimulates the lower edge of the ribs, which may cause dull rib pain or pain due to the relaxation and separation of the pubic symphysis, and even lead to limited movement. However, these conditions are normal physiological reactions after pregnancy and do not require special treatment. The pain can be relieved by sleeping in the left side position. Expectant mothers don’t need to worry, the symptoms can be relieved by resting in bed more.

2. Pathological abdominal pain

If you experience abdominal pain in early pregnancy, especially lower abdominal pain, the first thing you should consider is whether it is a pregnancy complication. Common complications include threatened miscarriage and ectopic pregnancy.

1. If a pregnant woman experiences paroxysmal lower abdominal pain or regular abdominal pain, back pain, or pelvic pain in the first few months of pregnancy, the problem may be more complicated. If it is accompanied by vaginal spotting or a noticeable feeling of abdominal heaviness, it may indicate threatened miscarriage. Expectant mothers should move less, stay in bed more, avoid sexual intercourse, avoid lifting heavy objects, drink water, and seek medical attention promptly. If pain worsens or bleeding continues, seek medical attention immediately.

2. If you experience severe unilateral lower abdominal pain, accompanied by vaginal bleeding or fainting, it may be an ectopic pregnancy and you should go to the hospital immediately.

What to do if you have stomach pain in early pregnancy?

1. Ultrasound examination

In the early stages of pregnancy, if you have abdominal pain and bleeding before the fetus is implanted, your obstetrician or gynecologist will usually perform an abdominal ultrasound on you. Because of the advanced technology nowadays, it is possible to confirm whether the embryonic sac has implanted in the center of the uterus six to seven weeks after the last menstrual period; if an ultrasound examination is performed through the vagina, the embryonic sac can be seen a week earlier.

Therefore, when you have abdominal pain in the early stages of pregnancy, if you are more than seven weeks pregnant and you still can't see the embryonic sac in the uterus, plus there is abnormal bleeding, you should suspect it is an ectopic pregnancy. It is necessary to do further examination immediately to avoid the ectopic pregnancy from rupturing, causing massive internal bleeding and endangering your life.

2. Abortion treatment

Abdominal pain in early pregnancy, accompanied by abnormal vaginal bleeding, and accompanied by abdominal pain and discomfort in the lower abdomen, may be a sign of miscarriage. There are two main reasons why abdominal pain in early pregnancy may lead to miscarriage. One is that the embryo itself has chromosomal or genetic abnormalities. The other reason is probably due to the mother, such as thyroid disease, diabetes, progesterone deficiency, autoimmune disease, or taking substances that are harmful to the body such as smoking, drinking, taking drugs, etc.

In this case, if the miscarriage is caused by problems with the embryo itself, it will not recur. But if it is caused by the mother, we must find ways to treat it to avoid repeated miscarriages. If abdominal pain in early pregnancy causes three or more consecutive miscarriages, the solution to abdominal pain in early pregnancy is to analyze the chromosomes of the couple to determine whether the embryo cannot survive due to chromosomal mutability.

If the abdominal pain in early pregnancy is not a sign of miscarriage, but there is bleeding, we call it a scare miscarriage. In this case, the way to solve abdominal pain in early pregnancy is to take some pregnancy-protecting drugs and ensure that the pregnant woman has enough vacation time. Of course, the effectiveness of pregnancy-preserving drugs is not 100%, and miscarriage may still occur.

What is the difference between left and right abdominal pain during pregnancy?

1. Pain on the right side of the abdomen in early pregnancy

In the early stages of pregnancy, many pregnant women will feel abdominal pain, and may also experience early pregnancy reactions such as nausea and vomiting. This is caused by excessive secretion of gastric acid in the early stages of pregnancy. No special treatment is required, but you must pay attention to your diet, which should be light and easily digestible.

Generally speaking, the pain of an enlarging uterus is bearable and will only last for a dozen or twenty minutes at most. If the pain lasts for several days in a row, it is definitely abnormal. If it is in the lower right side, it is recommended to do a routine blood test to see if there is inflammation.

2. Pain on the left side of the abdomen in early pregnancy

If the embryo implants in the uterine cavity in the early stages of pregnancy, a small number of women will experience implantation pain. As the uterus grows and the round ligament of the uterus is stretched, many pregnant women will feel some abdominal pain. This type of pain is mostly located on one or both sides of the uterus in the lower abdomen, and is referred pain, dull pain or lack thereof. The pain becomes more obvious when walking a long distance or changing body position. These can cause left side abdominal pain in early pregnancy. If it comes out in the left groin, it is likely that the fertilized egg is implanting.