Pregnant stomach pain

Introduction Stomach pain in pregnant women refers to a disease in which the stomach of the woman is often suffering from pain in the heart area or a strong burning sensation in the stomach. Mainly caused by pregnancy caused by sphincter relaxation of gastric acid reflux and gradually enlarged uterus compression of the stomach caused by gastric acid easy to reflux. Pregnant women with stomach pain should eat a reasonable diet, eat less and eat more, eat less hot and sour food, do not lie down within half an hour after a meal. Eat more fresh fruits and vegetables while paying attention to the balance of nutrition. At the same time, some antacids can be used, and the semi-sitting position can also relieve pain. When the pain is unbearable, taking a semi-sitting position can alleviate the pain. After 3 months of pregnancy, the symptoms will slowly disappear.

Cause

Cause:

1. Pregnancy causes sphincter relaxation, caused by acid reflux: After pregnancy, due to changes in hormones, the sphincter is relaxed, and the food that eats is easy to run up. (The sphincter is located at the junction of the esophagus and the stomach, which allows us to eat it. Things can only go down and can't come up). Causes the acidic contents of the stomach to flow back from the stomach to the esophagus, throat and mouth, stimulating the mucosa.

2. Gradually enlarged uterus oppresses the intestines and stomach, causing gastric acid to flow back more easily: in the third trimester of pregnancy, the uterus that increases month by month will also compress to the stomach, and the hormone will make the muscles separating the esophagus and stomach loose, resulting in stomach acid. It is easier to swell upwards and create a burning sensation in the chest.

an examination

Related inspection

Basal gastric juice secretion/maximal gastric acid output, gastric juice, lactic acid, basal gastric juice secretion

1. Normally, pregnant women usually have stomach pain, flatulence and strong burning sensation in the stomach in 3-6 months, but there are also very few pregnant women who will continue to labor. This is normal.

2. Stomach burning usually occurs in the early and middle stages of pregnancy:

CASE 1: At the 7th and 8th week of pregnancy, the stomach starts to feel uncomfortable. I feel the stomach blockage and stomach pain. I feel stomach support after eating.

CASE 2: At the fifth month of pregnancy, the left side of the stomach has been hurting.

CASE 3: From the 25th week onwards, the reaction in the first trimester seems to be back, the stomach is burning, the stomach is sour, and the stomach is flat.

Differential diagnosis

Abdominal pain in the third trimester: refers to the third trimester of pregnancy, as the fetus continues to grow, the mother's abdomen and body burden gradually increase, coupled with close to labor, the number of abdominal pain will increase significantly than the second trimester.

Abdominal pain in the first trimester: refers to the symptoms of abdominal pain in early pregnancy. In the first trimester of pregnancy, abdominal pain, especially in the lower abdomen, should first be considered as a pregnancy complication. Common complications include threatened abortion and ectopic pregnancy.

Abdominal pain in the second trimester: refers to the uterus enlargement at about 4 months of pregnancy, while the uterine round ligament is pulled, many expectant mothers will feel some abdominal pain. In the second trimester, the baby gradually grows up, and the intra-abdominal pressure of the expectant mother also increases. If the mother's esophageal hiatus (the esophagus is connected to the stomach through this hole) widens, there may be "esophageal hiatus" and abdominal pain. At this time, abdominal pain is often accompanied by chest tightness, shortness of breath, chest pain, back acid in the stomach, snoring and other symptoms. The esophageal hiatus hernia has an incidence of about 30% to 50% during pregnancy, and sometimes the symptoms are more obvious in the third trimester.

Pregnant women with small abdominal pain: during pregnancy, due to venous block or dystrophy, poor blood circulation and abdominal pain, known as "pregnancy abdominal pain." The pathogenesis of this disease is mainly blood deficiency, qi stagnation, deficient cold, etc., resulting in blocked or dystrophic veins, poor blood circulation, and thus abdominal pain. The lesion is only in the venous vein, and has not damaged the fetal element, but in severe cases, it can also affect the fetal element due to venous block, blood circulation, and dystrophic growth.

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