Beware! Abdominal Pain in Pregnant Women May Signal Illness
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Typical manifestations include a history of amenorrhea, dull lower abdominal pain, and a sensation of heaviness. Especially after experiencing one-sided tearing pain, sudden fainting may occur, accompanied by significant weakness, palpitations, dizziness, nausea, vomiting, cold extremities, pallor, and other shock symptoms.■ Hydatidiform Mole
Symptoms include markedly enlarged abdomen inconsistent with gestational age, dull or distending abdominal pain, often accompanied by vaginal bleeding, severe morning sickness, and anemia. Diagnosis is confirmed by ultrasound examination.
■ Pregnancy Complicated by Appendicitis
Pregnant women often have a history of chronic appendicitis. Due to the upward and lateral displacement of the appendix during pregnancy, clinical presentation may be atypical, though abdominal pain, muscle guarding, elevated temperature, and positive peritoneal irritation signs remain present. Pelvic congestion during pregnancy accelerates inflammation, and inflammatory stimulation can readily cause miscarriage or premature labor.
■ Miscarriage and Premature Birth
Abdominal pain may be intermittent or persistent, accompanied by a distinct sensation of heaviness in the lower abdomen. Vaginal bleeding occurs, often with discharge of necrotic tissue resembling decayed flesh.
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■ Placental Abruption
Often occurs within the last three months of pregnancy. The severity of abdominal pain depends on factors like the extent of abruption and whether the uterine muscle layer is ruptured. In severe cases, the abdomen becomes board-like hard, accompanied by vaginal bleeding, loss of fetal movement, restlessness, dizziness, nausea, vomiting, severe anemia, and shock.
■Threatened Uterine Rupture
During threatened rupture, the pregnant woman experiences persistent lower abdominal pain, extreme restlessness, and may cry out. She may exhibit flushed face and rapid breathing. At the moment of rupture, excruciating pain occurs, followed by a decrease in pain as the uterus collapses, leading to shock.
However, some pregnant women experience abdominal pain due to blood deficiency, qi stagnation, or deficiency cold, which obstructs or impairs the nourishment of the uterine vessels, leading to impaired qi and blood circulation. Treatment should focus on regulating qi and blood according to the specific pattern, restoring smooth flow to the uterine vessels, thereby naturally alleviating the pain.Dietary care should emphasize light, warm foods while ensuring adequate nutrition to prevent anemia or blood deficiency. Avoid raw, cold, fishy, or greasy foods.
For pathological abdominal pain, pregnant women should seek prompt medical attention to avoid delaying treatment.
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