5 weeks pregnant and lower abdomen hurts: causes, symptoms, possible consequences and recommendations from gynecologists

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Feelings of a pregnant woman at the 5th week of gestation can be varied. Some future mothers practically do not feel their special position and generally lead the same lifestyle as before pregnancy, but with some restrictions. Other women face manifestations of early toxicosis and other kinds of discomfort. If the lower abdomen is pulled, for example, then this is not always considered an unfavorable symptom. In any case, you need to report discomfort to the gynecologist.

Pain in the early stages

If the lower abdomen pulls during pregnancy (5 weeks), in most cases the causes are physiological. This symptom is noted by about half of women expecting a baby. Minor discomfort associated with gradualstretching of muscles and ligaments. In a quarter of patients during pregnancy at 5 weeks, the lower abdomen aches due to pathology. This may indicate a threatened miscarriage or an ectopic pregnancy. In any case, if discomfort occurs (especially if it is supplemented by other disturbing symptoms, such as bleeding from the genital tract), you should consult a gynecologist. An ambulance should be called in case of heavy bleeding from the genital tract, intense pain or a sharp deterioration in well-being.

Causes of symptoms

It hurts the lower abdomen during pregnancy at 4-5 weeks for physiological or pathological reasons. In the first case, discomfort is associated with an increase in the organ. The ligaments and muscles that support the uterus are stretched, which is accompanied by minor discomfort: the lower abdomen ache and tingle. Pregnancy at week 5 and later is accompanied by various physiological sensations. In the future, the uterus will continue to grow and begin to put pressure on nearby organs, and in the third trimester the body will prepare for labor.

At the 5th obstetric week of pregnancy, the lower abdomen is pulled for various reasons that pose a danger to the he alth of the woman and the life of the fetus. In order to accurately diagnose and maintain a pregnancy, you need to contact a district or private gynecologist, the nearest gynecology department. Increased uterine tone, cessation of development (fading) of the fetus, inflammatory processes of internal organs, anomalies in the development of the reproductive system, infectious diseases can be diagnosed.diseases. If the lower abdomen aches at the 5th week of pregnancy, the ectopic location of the fetal egg can be an equally dangerous cause of discomfort.

Sometimes the pain may not be related to the reproductive system. Often pulls the lower abdomen during pregnancy at week 5 in women who have previously experienced digestive problems. Pulling sensations often appear in patients with endometriosis or adhesions in the pelvic area, with severe hormonal imbalance, endocrine disruptions (for example, diabetes mellitus), multiple pregnancies, adnexal cysts, inflammatory diseases of the reproductive system, after abdominal trauma. Especially attentive to their feelings should be pregnant women who have previously experienced miscarriages, ectopic pregnancies or abortions.

Possible risk factors

The lower abdomen hurts at 5 weeks of pregnancy more often in patients who are at high risk. These are patients who were previously diagnosed with endometriosis or adhesions in the pelvic organs, had artificial abortions or curettage of the uterus, gynecological operations, had a history of sexual infections, heart and vascular diseases, hematopoiesis, hormonal disruptions. Unpleasant symptoms can occur with great physical exertion, after injuries and falls, with severe stress or depression. Pregnant women with Rh-negative blood or women expecting several babies face complications more often.

Physiological causes of pain

If the lower abdomen hurts during pregnancy (5-6 weeks), this does not always indicate a pathology. Among the causes that are not associated with a danger to the woman and the fetus, one can list digestive problems, physiological stretching of the genital organ, or tension in the supporting ligaments. As pain in the lower abdomen, pregnant women often determine discomfort with constipation. In this case, it is enough to drink more water and increase your fiber intake. A safe remedy that will help empty the intestines are glycerin suppositories. If the stomach hurts slightly at the 5th week of pregnancy, but no other alarming symptoms are observed, most likely this is a physiological phenomenon and does not require treatment.

Pathological conditions

The stomach hurts at the 5th week of pregnancy with an ectopic location of the fetal egg, increased uterine tone, fetal development fading and the threat of miscarriage, the presence of infectious diseases of the reproductive system or congenital anomalies in the development of the reproductive organs. Sometimes discomfort occurs due to exacerbation of chronic diseases or acute conditions, which include appendicitis, intestinal obstruction, acute abdomen. In this case, the pain is specific in nature, accompanied by fever, dizziness, nausea and general weakness. In this case, you need to seek medical help as soon as possible.

Associated symptoms

If the lower abdomen hurts during pregnancy at 5-6 weeks, you need to pay attention to the accompanying symptoms. Physiological pain is usually not accompanied by other discomfort, but normally a woman in the early stages of gestation may experience weakness, drowsiness, and minor discomfort in the back. At the fifth week, some expectant mothers begin early toxicosis, which may be accompanied by pulling sensations in the abdomen and other characteristic signs: a decrease in blood pressure, loss of appetite, morning sickness with bouts of vomiting, changes in body weight, increased salivation, nervous irritability, increased heart rate, dizziness.

At the 5th week of pregnancy, the lower abdomen sips in case of serious pathologies. You can determine the dangerous condition by the presence of bleeding. With bloody discharge from the genital tract, you should definitely consult a doctor to save the pregnancy. Disturbing symptoms are dizziness, fainting, weakness in the legs, severe abdominal pain like menstruation, discomfort in the lower back. You should also consult a gynecologist in case of severe toxicosis, for example, with profuse and frequent vomiting, which does not bring relief.

Complications and consequences

If your lower abdomen hurts at 5 weeks pregnant, this can be a serious symptom that will lead to adverse consequences. Fortunately, in most cases, the discomfort is minor and is associated with physiological changes in the female body. Such a symptom usually does not pose a threat to either the he alth of the expectant mother or the fetus. But sometimes, if it pulls the lower abdomen at 4-5 weekspregnancy, the cause is any pathology. The consequence may be the fading of pregnancy or spontaneous interruption (miscarriage). Most often, such complications are diagnosed precisely at the fourth to sixth weeks of pregnancy.

Diagnosis for pain

To determine the cause of the pain, corresponding complaints will not be enough. To assess the situation, the doctor will refer the patient for tests. Mandatory minimum - urinalysis, complete blood count, biochemistry. In case of metabolic disorders, an increased content of sodium and calcium in the blood, urea and creatinine, ALT and AST can be detected. In the urine with pathology, protein, acetone and ketone bodies are found. Additional diagnostics is often limited to ultrasound examination according to indications and laparoscopy. Ultrasound allows you to assess the location of the chorion, track the heartbeat of the fetus, see the ectopic location, diagnose missed pregnancy and confirm or refute the increased tone of the uterus.

Differential Diagnosis

Pain can be caused by several conditions, so it is important to first make an accurate diagnosis, and then begin the appropriate treatment. In acute appendicitis, for example, pulling sensations turn into intense pains localized in the navel. Discomfort gradually moves to the iliac region. Acute inflammation of the uterine appendages is accompanied by high fever and soreness of the inflamed area on palpation. With ovarian apoplexy, pain occurs from the affected ovary.

Threatened miscarriageaccompanied by such a symptom as bloody discharge from the vagina. With heavy bleeding, in most cases it is a miscarriage or other serious condition that requires urgent medical attention. At the same time, the tone of the uterus is increased, the woman experiences intense pain and weakness, the temperature may rise, blood pressure changes dramatically, dizziness appears, and fainting sometimes occurs. In an ectopic pregnancy, pulling sensations can radiate to the external genitalia and rectum, resulting in a false urge to defecate.

Treatment of pain in the lower abdomen

If the stomach hurts at 5-6 weeks of pregnancy, treatment should only be carried out under medical supervision. In some cases, therapy is not required. If necessary, an integrated approach to treatment is used, that is, various medications and auxiliary measures are prescribed (lifestyle correction, diet, bed rest, physiotherapy, etc.). In some cases, it is recommended that a pregnant woman consult a psychologist, because early terms are often accompanied by excessive emotional stress and fears.

Medications

If the lower abdomen hurts at 5 weeks of pregnancy, various groups of drugs are prescribed. The doctor chooses the medicine depending on the results of the tests, instrumental methods of research and differential diagnosis. Most often, special vitamin complexes are prescribed for expectant mothers, sedative drugs, antispasmodic drugs, hormonal drugs ordrugs to stop bleeding. You need to take medicines according to a clear scheme and only under the supervision of a gynecologist. Otherwise, there will be no positive effect.

From the number of soothing drugs in early pregnancy, motherwort extract is allowed in tablets (“Motherwort forte + magnesium B6”, “Motherwort dietary supplement”) or valerian (“Valerian forte”, “Valdispert”). Reception schedule: from one to three tablets one to three times a day. Antispasmodics are often prescribed: "Papaverin", "Drotaverin", "No-shpa", "Magnicum", "Magne-B6". Such drugs have a good effect with increased uterine tone. The drugs are prescribed in the form of tablets, injections (intramuscularly or intravenously) or suppositories ("Papaverine"). "Magnesium-B6" additionally normalizes the functioning of the nervous system and relieves night cramps.

If necessary, use hormonal agents. "Duphaston", "Utrozhestan", "Prajisan", "Iprozhin" replace the main hormone that ensures the preservation and normal course of pregnancy. "Dufaston" is usually taken one tablet every eight hours or according to the scheme developed by the gynecologist individually for a particular patient. "Utrozhestan" enough 100-200 mg daily. Medicines are fairly well tolerated by the body, but in some cases they can cause a change in appetite or indigestion. Glucocorticosteroids ("Dexamethasone", "Metipred") are prescribed after a blood test, if necessary. The regimen and dosage are individual.

Drugs to stop bleedingnecessary in the presence of bleeding. Vitamin K, Dicinon (Etamzilat), Ascorutin can be prescribed, which reduce vascular permeability, improve blood circulation in the capillaries and have a positive effect on coagulation processes. Vitamin complexes are prescribed not only for preventive purposes, but to ensure the normal development of pregnancy and the fetus in case of any violations. In addition to Magne-B6, folic acid, tocopherol (vitamin E), and B vitamins are often prescribed. In some cases, it is better to take complex preparations for pregnant women, for example, Elevit Pronatal or Vitrum Prenatal.

Physiotherapy treatment

Physiotherapy treatments may be prescribed as adjunctive therapy in addition to medications. Electroanalgesia eliminates slight pulling sensations in the lower abdomen and calms, electrophoresis with magnesium normalizes the increased tone of the uterus, reflex electrorelaxation promotes rapid relaxation of the muscles of the uterus, which effectively relieves hypertonicity. Sometimes hyperbaric oxygen therapy is used. This procedure improves blood circulation and promotes the removal of toxic substances from the body. Reflexology and acupuncture stabilize the uterine tone, reduce psycho-emotional stress, improve sleep and normalize blood pressure.

Lifestyle changes

If the lower abdomen hurts at the 5th week of pregnancy, the doctor will definitely recommend a change in lifestyle. In some cases, strict bed rest is recommended. Then the woman is offered to lie down inhospital under medical supervision. General recommendations are:

• normalization of the diet (food should be complete and nutritious, fractional, with toxicosis, it is better to take the first light meal without getting out of bed);
• full rest (requires at least 8 hours of sleep at night and additional daytime rest if needed);
• decrease in physical activity and psycho-emotional stress, lack of stress;
• sexual rest (this is especially important in the presence of bloody discharge from the genital tract).

It is not recommended to eat dark chocolate, black tea and caffeinated, carbonated drinks, unhe althy foods, dishes from peas, beans and cabbage (increase the tone of the uterus). You can not follow any diet for weight loss, soar legs, take a hot bath or shower, lift heavy objects (more than three kilograms), smoke and drink alcohol, go to the sauna. You need to fully relax and breathe fresh air, not be nervous and eat more plant foods. Many experts recommend aromatherapy (it is good to inhale the aromas of valerian, mint, thyme, lemon balm, hop cones).

Healing herbs

Medicinal herbs during pregnancy are used very carefully and only under medical supervision. If the lower abdomen colitis during pregnancy (5 weeks), the attending gynecologist may recommend the following infusions:

• St.half an hour, the resulting composition should be drunk in a day, you can add a little honey to taste;
• dandelion rhizomes (half a tablespoon) pour a glass of water and keep on fire for five minutes, after cooling, you need to drink the composition three times a day for a quarter cup;
• ground bark of viburnum (a tablespoon) is poured with a glass of boiling water and insisted for two hours; drink two tablespoons three times a day;
• viburnum color is poured with boiling water and insisted for a couple of hours, drink a quarter cup before each meal, but no more than three times a day.

Surgical treatment

The operation is performed only in emergency cases, for example, with neoplasms that require urgent intervention, or an ectopic pregnancy. Laparoscopy is shown - this is a sparing intervention, involving minimal tissue damage and rapid recovery. If possible, laparoscopic operations (if the need for intervention is justified by diseases of the non-reproductive system) are postponed to the second trimester so that the processes of laying the internal organs of the fetus come to an end.