Two weeks pregnant, stomach cramps

Many pregnant women will feel abdominal pain in the early stages of pregnancy, or even have a feeling of dysmenorrhea, which is quite uncomfortable. They may even worry that their abdominal pain is caused by threatened abortion. In this case, it is necessary to do a detailed examination first, because if the abdominal pain is severe, it may cause miscarriage, so you must pay attention.

1. Threatened abortion

Termination of pregnancy before 28 weeks of gestation and when the fetus weighs less than 1000g is called abortion. Depending on the progression of the disease and the severity of symptoms, spontaneous abortion can be divided into threatened abortion, inevitable abortion, incomplete abortion, complete abortion, and missed abortion.

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, and if it is accompanied by vaginal spotting or a noticeable feeling of abdominal heaviness, it may indicate threatened abortion.

2. Ectopic pregnancy

If you experience severe unilateral lower abdominal pain, vaginal bleeding, or fainting, you may have an ectopic pregnancy. Ectopic pregnancy usually causes sudden tearing pain in the lower abdomen 6 to 8 weeks after the menstrual period ends. The amount of vaginal bleeding may be more or less, and the abdominal pain may occur before, after, or simultaneously with the vaginal bleeding.

3. Ovarian Corpus Luteum Cyst

Some pregnant women experience persistent severe pain in the lower abdomen in the early stages of pregnancy after the corpus luteum is formed due to torsion or rupture of the corpus luteum or of ovarian cysts that existed before pregnancy.

4. Hydatidiform mole

A hydatidiform mole is a benign tumor during pregnancy. Due to the rapid growth of hydatidiform mole and excessive and rapid expansion of the uterus, there may be paroxysmal lower abdominal pain, with abdominal distension or dull pain. It is generally tolerable and often occurs before vaginal bleeding. It may also be accompanied by vomiting of pregnancy. It usually starts around 6 weeks after menstruation, and is accompanied by dizziness, fatigue, drowsiness, loss of appetite, picky eating, aversion to greasy food, nausea, and vomiting in the morning. The symptoms are severe and last for a long time, or there are signs of gestational hypertension such as high blood pressure, lower limb edema, and white flocculent precipitation in the urine.

5. Pregnancy complicated by appendicitis, cholecystitis, and pancreatitis

Acute appendicitis is a common surgical complication during pregnancy, manifested by abdominal pain, nausea, vomiting, and low-grade fever. As the pregnant uterus gradually grows, the position of the appendix continues to rise, and the pain location is not as typical as in the non-pregnancy period. Acute cholecystitis usually has a history of previous attacks. The pain radiates from the right rib to the right shoulder. The pain is severe, and there is colic, nausea, and vomiting. Jaundice may occur when the bile duct is blocked. The patient should go to the surgery department immediately for treatment. Although acute pancreatitis is uncommon, it is a serious condition and the pain is similar to that of cholecystitis.