I'm 4 months pregnant and my stomach is always hurting

For pregnant women, the most feared thing is that some physical conditions may affect the health of the baby in their belly during pregnancy. For women in the early stages of pregnancy, they generally experience abdominal pain, but as the pregnancy progresses, the abdominal pain will gradually decrease. Some women still experience frequent abdominal pain after being pregnant for more than four months. What should they do in this situation?

Four months pregnant stomach pain

After four months of pregnancy, the growth and development of the fetus will cause the uterus to enlarge and the round ligament of the uterus to be stretched, causing 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. In addition, if you use too much force during sexual intercourse when you are four months pregnant, it may also cause abdominal pain. On the other hand, ectopic pregnancy can cause abdominal pain in the fourth month of pregnancy. Ectopic pregnancy refers to a situation where the embryo implants and develops outside the uterus, such as in the fallopian tube, ovary, abdominal cavity, etc. Symptoms of ectopic pregnancy include partial abdominal pain, irregular bleeding, pelvic tenderness, decreased blood pressure and rapid heartbeat, and a pelvic mass. Uterine fibroids may also cause abdominal pain during the fourth month of pregnancy. Uterine fibroids may grow during pregnancy, and the impacts on pregnancy include fibroid degeneration and necrosis, fibroid torsion, and direct interference with fetal development or obstruction of delivery. This type of pain usually comes suddenly, and the pain point is fixed, which is local pain.

Causes of abdominal pain during pregnancy

1. Physiological stomach pain. Around 4 months of pregnancy, the uterus enlarges and the round ligament of the uterus is stretched, causing many expectant mothers to 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. Expectant mothers don’t need to worry, the symptoms can be relieved by resting in bed more. Exercising too hard during sexual intercourse during the second trimester can also cause stomach pain in pregnant women.

2. Pathological abdominal pain. In the second half of pregnancy, the baby gradually grows and the pressure in the expectant mother's abdominal cavity also increases. If the expectant mother's esophageal hiatus (the hole through which the esophagus descends to connect to the stomach) widens, she may develop a hiatal hernia and suffer from abdominal pain. At this time, abdominal pain is often accompanied by symptoms such as chest tightness, shortness of breath, chest pain, acid reflux, and hiccups. The incidence of hiatal hernia during pregnancy is about 30-50%, and the symptoms are sometimes more obvious in the late pregnancy. Therefore, expectant mothers are advised to: eat small and frequent meals, eat less sweet, spicy, or sticky food; do not lie flat on the bed or lie too low after meals, and try to bend over as little as possible to reduce acid reflux; keep bowel movements open. If you find symptoms of gastric reflux, you can raise your upper body about 20°.

The impact of abdominal pain in four months of pregnancy

Abdominal pain during pregnancy is a common physical reaction among pregnant women. Some of the pain is physiological and does not require treatment, while others are pathological and require vigilance and timely treatment. If it is not treated in time, it will have more serious consequences. So what are the effects of abdominal pain in four months of pregnancy?

As the baby grows, the expectant mother's uterus also gradually expands. The enlarged uterus constantly stimulates the lower edge of the ribs, which can cause dull rib pain in expectant mothers. Generally speaking, this is physiological and has no adverse effects on either the expectant mother or the fetus. However, if the abdominal pain in the fourth month of pregnancy is caused by pathological reasons, expectant mothers need to pay attention, as it will not only cause harm to the mother, but also affect the growth of the fetus. Pathological abdominal pain is mainly caused by uterine fibroids. For pregnant women, uterine tumors will grow further due to the stimulation of pregnancy. Sometimes they may hinder fetal development due to insufficient blood supply or narrowing of the uterine cavity, causing miscarriage and premature birth. When the pregnancy is full-term, the uterine cavity may be deformed to the point of malposition of the fetus, and the fibroids may hinder uterine contractions, causing dystocia and postpartum hemorrhage.

What to do if you have stomach pain during your fourth month of pregnancy

During pregnancy, some abdominal pain is physiological, that is, a normal reaction caused by pregnancy, but some is pathological and may indicate the occurrence of crises such as miscarriage. Whether it is physiological or pathological abdominal pain during pregnancy, expectant mothers should take positive action and work hard for the growth of the fetus. Now, let's talk about what to do if you have stomach pain during your fourth month of pregnancy?

During the first four months of pregnancy, I had cramps in the middle of my lower abdomen accompanied by bleeding and pain. This may be a sign of miscarriage and you should seek medical attention immediately. When pain occurs, lie down or sit down with your feet elevated. If possible, try to relax. If a pregnant woman has crampy abdominal pain and heavy bleeding, call 120 emergency number or go to the nearest emergency center. I had abdominal cramps and heavy bleeding in my fourth month of pregnancy. It is usually caused by aging of the placenta or illness or trauma of the pregnant woman. Call 120 emergency number or go to the nearest emergency center. Follow your doctor's instructions. Cramping occurs in the fourth month of pregnancy and is accompanied by pain and tenderness, usually starting on one side and then spreading to the entire abdomen. This is because the fertilized egg implants outside the uterus, which may be in the fallopian tube, ovary, abdominal cavity or cervical cavity. Pregnant women should go to the hospital immediately. If left untreated, an ectopic pregnancy can be life-threatening.