What causes stomach pain in the second month of pregnancy?

Pregnant women will experience varying degrees of discomfort in the early stages of pregnancy, the most obvious of which is unexplained abdominal pain. Mild abdominal pain in pregnant women is not a big deal. Pregnant mothers can do some other interesting things to divert their attention and relieve the abdominal pain. What causes abdominal pain in the second month of pregnancy? Based on the research of Chinese and Western medicine experts, the following identification has been made. We hope that pregnant mothers can understand the relevant knowledge and try to ensure safety throughout the pregnancy.

Disease identification:

Abdominal pain during pregnancy covers a wide range of conditions and the diagnosis of abdominal pain during pregnancy should not be made lightly. It often needs to be differentiated from ectopic pregnancy, fetal movement disorder, etc. In addition, it is also necessary to differentiate between internal and external diseases during pregnancy (such as epigastric pain and chronic appendicitis).

1. Ectopic pregnancy Both ectopic pregnancy and abdominal pain during pregnancy are associated with a history of amenorrhea, early pregnancy reactions, and positive hCG tests in urine or blood. Ectopic pregnancy also causes lower abdominal pain before rupture. Both can be distinguished by B-ultrasound examination to determine whether it is an intrauterine pregnancy or an ectopic pregnancy. After an ectopic pregnancy ruptures, the abdominal pain is severe and tearing, and there are symptoms of shock such as syncope, cold sweat, and palpitations. It can be distinguished by gynecological examination, B-ultrasound, posterior fornix puncture, and other examinations.

2. In addition to lower abdominal pain, fetal movement disorder also includes symptoms such as low back pain, lower abdominal distension, and vaginal bleeding.

3. Abortion and miscarriage are characterized by paroxysmal pain in the lower abdomen, vaginal bleeding from a small amount to a large amount, and finally the embryo or fetus is naturally aborted and delivered. It can be distinguished from pregnancy abdominal pain which only causes lower abdominal pain. In addition, it should also be differentiated from diseases such as pregnancy complicated with adnexitis, pregnancy complicated with ovarian cyst pedicle torsion, pregnancy carbuncle (pregnancy complicated with acute appendicitis), and abdominal pain caused by food stagnation during pregnancy.

The main causes and pathogenesis are blood deficiency, deficiency-cold, qi stagnation and blood stasis. The actual situation of abdominal pain should be differentiated according to the nature of the pain and concurrent symptoms. Pain caused by deficiency is often continuous, while pain caused by excess is often bloating. Generally speaking, continuous pain that is relieved by pressing indicates blood deficiency; cold pain in the lower abdomen that is relieved by heat indicates deficiency and cold; bloating and pain that is resistant to pressure indicates qi stagnation; stabbing pain that is resistant to pressure and the presence of masses indicates blood stasis.

Generally, physiological abdominal pain in early pregnancy will disappear on its own, so pregnant women do not need to worry too much. However, if the abdominal pain is pathological, it is recommended that the patient be hospitalized for treatment to ensure the health and safety of the fetus and mother. In addition, it is recommended that during pregnancy, pregnant mothers go to maternity schools for training and learning, and communicate more with other pregnant women. Simple problems can be solved at home by themselves to prevent unnecessary accidents to the fetus.