The feelings of a pregnant woman at 5 weeks of gestation can be varied. Some expectant mothers almost do not feel their special situation and generally lead the same lifestyle as before pregnancy, but with some limitations. Other women experience early toxicosis and other types 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 the discomfort to the gynecologist.
Early pain
If the lower abdomen is pulled during pregnancy (5 weeks), in most cases the causes are physiological. This symptom is noted by about half of women expecting a baby. Slight discomfort is associated with a gradual stretching of the muscles and ligaments. In a quarter of patients during pregnancy at 5 weeks, the lower abdomen aches due to pathology. This may indicate a risk of miscarriage or an ectopic pregnancy. In any case, if discomfort occurs (especially if it is supplemented by other disturbing symptoms, for example, bleeding from the genital tract), you need to consult a gynecologist. "Ambulance" should be called for with heavy bleeding from the genital tract, intense pain, or a sharp deterioration in well-being.
Causes of the symptom
The lower abdomen hurts during pregnancy at 4-5 weeks for physiological or pathological reasons. In the first case, unpleasant sensations are associated with an increase in the organ. The ligaments and muscles supporting the uterus are stretched, which is accompanied by slight discomfort: it hurts and tingles the lower abdomen. Pregnancy at 5 weeks and later is accompanied by various physiological sensations. In the future, the uterus will continue to grow and begin to exert 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 pulls for various reasons that pose a danger to the woman’s health and fetal life. In order to accurately diagnose and maintain a pregnancy, you need to contact your local or private gynecologist, the nearest gynecology department. An increased tone of the uterus, cessation of the development (freezing) of the fetus, inflammatory processes of the internal organs, abnormalities of the development of the reproductive system, and infectious diseases can be diagnosed. If the lower abdomen aches at the 5th week of pregnancy, the ectopic location of the fetal egg can be a no less dangerous cause of discomfort.
Sometimes the pain may not be related to the reproductive system. Often pulls the lower abdomen during pregnancy at 5 weeks in women who have previously experienced digestive problems. Drawing feelings often appear in patients with endometriosis or adhesions in the pelvic area, with severe hormonal imbalance, endocrine disruptions (e.g. diabetes mellitus), multiple pregnancy, appendage cysts, inflammatory diseases of the reproductive system, after abdominal injuries. Particularly attentive to their feelings should be pregnant women who have previously experienced miscarriages, an ectopic pregnancy or have had an abortion.
Possible risk factors
Lower abdomen hurts at 5 weeks of pregnancy more often in patients who are at increased risk. These are patients who have previously been diagnosed with endometriosis or adhesions in the pelvic organs, underwent artificial terminations of pregnancy or curettage of the uterus, gynecological operations, have a history of genital infections, heart and vascular diseases, blood formation, 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 are more likely to experience complications.
Physiological causes of pain
If the lower abdomen hurts during pregnancy (5-6 weeks), this does not always indicate pathology. Among the reasons that are not related to the danger to the woman and the fetus, one can list digestion problems, physiological stretching of the genital organ, or tension of the supporting ligaments. As pain in the lower abdomen, pregnant women are often determined by discomfort with constipation. In this case, it is enough to drink more water and increase fiber intake. A safe means that will help empty the intestines are glycerin suppositories. If the stomach slightly hurts at the 5th week of pregnancy, but no other disturbing symptoms are observed, most likely this is a physiological phenomenon and does not require treatment.
Pathological conditions
The stomach hurts at 5 weeks of pregnancy with an ectopic location of the fetal egg, an increased tone of the uterus, fading of fetal development and the threat of miscarriage, the presence of infectious diseases of the reproductive system or congenital malformations of the genital organs. Sometimes discomfort occurs due to an 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 contact the doctors 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 pains are usually not accompanied by other discomfort, but normally a woman in the early stages of bearing the fetus may experience weakness, drowsiness, and minor unpleasant sensations in the back. In the fifth week, some expectant mothers begin early toxicosis, which may be accompanied by pulling sensations in the abdomen and other characteristic signs: decreased blood pressure, poor appetite, morning sickness with vomiting, changes in body weight, increased salivation, nervous irritability, palpitations, dizziness.
At the 5th week of pregnancy, the lower abdomen is sipped and 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 your pregnancy. Alarming symptoms are dizziness, fainting, weakness in the legs, severe abdominal pains like menstrual pain, lower back discomfort. You need to consult a gynecologist in case of severe toxicosis, for example, with profuse and frequent vomiting, which does not bring relief.
Complications and consequences
If the lower abdomen hurts at 5 weeks of gestation, this can be a serious symptom that will lead to adverse effects. Fortunately, in most cases the discomfort is insignificant and is associated with physiological changes in the female body. Such a symptom usually poses no threat to the health of the expectant mother, nor to the fetus. But sometimes, if the lower abdomen is pulled in 4-5 weeks of pregnancy, the cause is some kind of pathology. The consequence may be a fading pregnancy or spontaneous abortion (miscarriage). Most often, such complications are diagnosed precisely in the fourth to sixth weeks of pregnancy.
Diagnosis for pain
To determine the cause of the pain, appropriate complaints will not be enough. To assess the situation, the doctor will refer the patient for tests. Mandatory minimum - urinalysis, general blood test, 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 diagnosis is often limited to ultrasound examination according to indications and laparoscopy. Ultrasound allows you to evaluate the location of the chorion, track the heartbeat of the fetus, see the ectopic location, diagnose a missed pregnancy and confirm or refute the increased tone of the uterus.
Differential diagnosis
Several conditions can be the causes of pain, so it is important to first make an accurate diagnosis, and then begin appropriate treatment. In acute appendicitis, for example, pulling sensations pass into intense pain 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 during palpation. With ovarian apoplexy, pain occurs from the affected ovary.
The threat of spontaneous abortion is accompanied by a symptom such as spotting from the vagina. With heavy bleeding, in most cases we are talking about a miscarriage or other serious condition that requires urgent medical intervention. At the same time, the tone of the uterus is increased, the woman experiences intense pain and weakness, the temperature can rise, blood pressure changes sharply, dizziness appears, and sometimes fainting occurs. With an ectopic pregnancy, pulling sensations can be given to the external genitalia and rectum, in connection with which there are false urges to defecate.
Treatment of pain in the lower abdomen
If the stomach hurts at 5-6 weeks of pregnancy, treatment should be carried out only under the supervision of a doctor. 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 and the like). In some cases, a pregnant woman is recommended to consult a psychologist, because the early stages 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 analyzes, instrumental methods of research and differential diagnosis. Most often, special vitamin complexes are prescribed for expectant mothers, sedative drugs, antispasmodic drugs, hormones, or drugs to stop bleeding. You need to take medicine in a clear manner and only under the supervision of a gynecologist. Otherwise, there will be no positive effect.
Among the sedative drugs in early pregnancy, motherwort extract in tablets (Motherwort forte + magnesium B6, dietary supplement Motherwort) or valerian (Valerian forte, Valdispert) is allowed. Route of administration: from one to three tablets one to three times a day. Antispasmodics are often prescribed: Papaverine, Drotaverin, No-shpa, Magnikum, Magne-B6. Such drugs have a good effect with an increased tone of the uterus. Drugs are prescribed in the form of tablets, injections (intramuscularly or intramuscularly) or suppositories (Papaverine). "Magnesium-B6" additionally normalizes the functioning of the nervous system and eliminates night cramps.
If necessary, apply hormonal agents. "Duphaston", "Utrozhestan", "Prajisan", "Iprozhin" replace the main hormone that ensures the preservation and normal course of pregnancy. Duphaston is usually taken one tablet every eight hours or according to the scheme developed by the gynecologist individually for a particular patient. "Utrozhestan" is enough 100-200 mg daily. Medications are fairly well tolerated by the body, but in some cases can cause a change in appetite or digestive upset. Glucocorticosteroids (Dexamethasone, Metipred) are prescribed after a blood test, if necessary. The dosage regimen and dosage are individual.
Medicines to stop bleeding are necessary in the presence of spotting. Vitamin K, Dicinon (Etamzilat), Ascorutin, which reduce vascular permeability, improve blood circulation in the capillaries and have a positive effect on coagulation processes, can be prescribed. Vitamin complexes are prescribed not only for preventive purposes, but to ensure the normal development of pregnancy and the fetus in case of any disorders. 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.
Physiotherapeutic treatment
Physiotherapeutic procedures can be prescribed as part of adjuvant therapy in addition to medications. Electroanalgesia eliminates minor pulling sensations in the lower abdomen and soothes, electrophoresis with magnesium normalizes the increased tone of the uterus, reflex electrorelaxation contributes to the rapid relaxation of the uterus muscles, which effectively removes hypertonicity. The hyperbaric oxygenation method is sometimes used. This procedure improves blood circulation and helps to remove toxic substances from the body. Reflexotherapy and acupuncture stabilize the uterine tone, reduce psychoemotional stress, improve sleep and normalize blood pressure.
Lifestyle change
If the lower abdomen hurts at 5 weeks of gestation, the doctor will definitely recommend a change in lifestyle. In some cases, strict bed rest is recommended. Then the woman is offered to go to the hospital under the supervision of doctors. General recommendations are:
- normalization of the diet (nutrition should be full and nutritious, fractional, with toxicosis, the first light food is better to take without getting out of bed);
- good rest (at least 8 hours of nighttime sleep and additional daytime rest if necessary);
- decreased physical activity and psycho-emotional stress, lack of stress;
- sexual rest (this is especially important in the presence of spotting from the genital tract).
It is not recommended to eat dark chocolate, black tea and caffeinated drinks, carbonated drinks, harmful 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 (inhale the aromas of valerian, peppermint, thyme, lemon balm, hop cones well).
Healing Herbs
Medicinal herbs during pregnancy are used very carefully and only under the supervision of a doctor. If the lower abdomen pricks during pregnancy (5 weeks), the attending gynecologist may recommend such infusions:
- St. John's wort and calendula in equal proportions (in general, one tablespoon of the dry mixture is needed) is poured with boiling water and left under the lid for half an hour, the resulting composition must be drunk per day, you can add a little honey to taste;
- dandelion rhizomes (half a tablespoon) pour a glass of water and keep for five minutes on fire, after cooling, drink the composition three times a day for a quarter glass;
- 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 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.
Surgery
The operation is carried out only in emergency cases, for example, with neoplasms requiring urgent intervention, or an ectopic pregnancy. Laparoscopy is indicated - this is a gentle intervention, involving minimal tissue damage and quick recovery. If possible, laparoscopic surgery (if the need for intervention is justified by diseases of the non-reproductive system) is postponed to the second trimester so that the process of laying the internal organs of the fetus comes to an end.