Will I have abdominal pain one week into my pregnancy?

After sexual intercourse, the sperm and egg combine to produce a fertilized egg, which is the first step towards becoming a fetus. During this process, there is generally no pain. If pain occurs, you need to consider the possibility of ectopic pregnancy or accidental miscarriage. In addition to paying attention to rest and avoiding unexpected situations, you also need to go to the hospital for examination to ensure the normal development of the fertilized egg and prevent certain accidents from happening. Let’s learn more about it through the following article.

Abdominal pain during first trimester of pregnancy is a common symptom encountered by pregnant women. Abdominal pain may be a normal physiological reaction or it may be a disease warning from the body. Pregnant women should treat it with caution and not take it lightly. In early pregnancy, some abdominal pain is physiological, that is, a normal reaction caused by pregnancy. But some are pathological and may indicate crises such as miscarriage and should be handled properly.

Causes

1. Physiological abdominal pain in early pregnancy, many pregnant women always feel some stomach pain, sometimes accompanied by vomiting and other early pregnancy reactions, which is mainly caused by increased gastric acid secretion in early pregnancy.

2. Pathological abdominal pain If you experience abdominal pain in early pregnancy, especially pain in the lower abdomen, 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 during the first few months of pregnancy, and if this is accompanied by vaginal spotting or a noticeable feeling of abdominal heaviness, this may indicate threatened abortion.

(2) If there is severe unilateral lower abdominal pain, accompanied by vaginal bleeding or fainting, it may be an ectopic pregnancy.

Clinical manifestations

1. Physiological abdominal pain in early pregnancy, there is a feeling of falling in the lower abdomen, which compresses the posterior spine of the pregnant woman and makes her feel sore in the waist. The pain initially occurred two or three times every half an hour, each lasting 45 seconds, and later became twice every 10 minutes, each lasting 2 to 3 minutes.

2. Pathological abdominal pain If you experience abdominal pain in early pregnancy, especially in the lower abdomen, be alert to pregnancy complications.

Differential Diagnosis

1. Threatened abortion: Termination of pregnancy before 28 weeks and fetal weight 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 there is severe pain in the lower abdomen on one side, accompanied by vaginal bleeding or fainting, it may be 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 because the corpus luteum or the ovarian cyst that existed before pregnancy twists or ruptures after the corpus luteum is formed.

4. Hydatidiform mole 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 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.