Questions about abdominal pain during early pregnancy

  On the one hand, it is caused by the fact that after pregnancy, the uterus starts to fill with blood and enlarge in order to adapt to the needs of the growing fetus, and presses on the surrounding tissues and organs, such as the bladder and rectum, etc. On the other hand, it is related to abdominal distension and abnormal bowel movements caused by the reduced digestive function of the mother and the slowed gastric emptying after pregnancy.  Do I need to deal with this condition? Since this is a normal reaction to pregnancy, most people can tolerate it, so there is no need for special treatment, nor is there a need to rush to the doctor. If you feel uncomfortable, you can take a break and the discomfort will soon pass. If you have bad stools with acid reflux and frequent hiccups, you must pay attention to your diet, eat fewer and more frequent meals, increase your fiber intake, and toileting regularly, as your stools improve, the abdominal discomfort will also improve accordingly.  So what is real abdominal pain? On the one hand, subjectively, you should have the feeling of pain, at the same time, you may have frowning, cold sweat, dizziness, blurred eyes, can’t stand upright, need to bend down, even squat or lie down, can’t continue what you are doing, such as work has to be forced to stop, can’t listen to good music, wake up in pain in sleep, etc., and people around you can feel that you are not comfortable, these situations are real pain, not only in the verbal expression of “pain”, and there are expressions and signs of pain, this is when there is real abdominal pain and you really need to see a doctor. The next reaction is likely to be to run to the doctor with a nervous face and ask “doctor, am I having an ectopic pregnancy, am I having a miscarriage”. With all the information and advice available, everyone knows about ectopic pregnancy, miscarriage, fetal abortion, and even trophoblastic disease, and some of the discomfort is thought of as such. I would say that the presence of significant abdominal pain may be related to these conditions, but as a patient, it is more important to focus on how uncomfortable you feel, which is what your doctor says “what symptoms you have”, rather than needing you to diagnose what exactly is wrong with your patient.  The doctor expects you to come in with a detailed medical history, including: 1. your last menstrual period, previous menstrual periods, pregnancy and childbirth, contraceptive status; 2. the specifics of the abdominal pain, such as when it started, the degree of pain, how it was relieved, or under what circumstances it was relieved or worsened, any accompanying conditions such as bleeding, dizziness, cold sweats, panic attacks, etc.; 3. previous relevant medical history, such as allergies, surgery and family history. 4. Bring the records of previous visits and laboratory test reports so that the doctor can help you make a judgment and give treatment recommendations as soon as possible.  If the pain is obvious, accompanied by panic, cold sweat, dizziness and other manifestations, it means that the condition is serious and there may be intra-abdominal bleeding, so you need to get an emergency number to see a doctor as soon as possible.  Through the above, pregnant mothers have a certain understanding of abdominal pain, do not put themselves into the abdominal pain team, most of them belong to the lower abdominal discomfort, is a normal pregnancy performance, appropriate rest, improve diet and bowel movements, I believe that we will successfully pass this stage.