What causes abdominal heaviness and bloating at four months of pregnancy?
Apr 10, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
A feeling of heaviness and distension in the lower abdomen refers to a sensation of pressure and bloating in the lower abdominal area. A pregnant woman at four months gestation may experience this symptom due to physical fatigue or false uterine contractions, which usually improves with adequate rest. It could also result from inflammatory stimulation caused by pathogen infection; in such cases, cefixime tablets may be taken as directed by a physician to alleviate symptoms. Additionally, false uterine contractions triggered by adverse stimuli may require treatment with progesterone capsules under medical guidance.
Generally, a feeling of heaviness or distension in the lower abdomen clinically refers to abdominal bloating. Bloating in the lower abdomen at four months of pregnancy may be due to physiological causes or pathological conditions such as pelvic inflammatory disease or threatened miscarriage. The details are as follows:
I. Physiological Causes
At four months of pregnancy, as the uterus gradually enlarges, excessive physical activity or extreme fatigue may trigger false contractions of the uterus, leading to a sensation of bloating in the lower abdomen. This is considered a normal physiological phenomenon and usually improves with adequate rest.
II. Pathological Causes
1. Pelvic Inflammatory Disease (PID)
If a pregnant woman becomes infected with bacteria or other pathogens during pregnancy, resulting in pelvic inflammation, this can cause lower abdominal bloating due to inflammatory stimulation. It may also be accompanied by increased vaginal discharge. It is recommended to take anti-inflammatory medications such as cefixime tablets, cefaclor sustained-release capsules, or amoxicillin capsules under medical supervision to alleviate symptoms.
2. Threatened Miscarriage
At four months of pregnancy, if adverse factors or trauma stimulate uterine contractions, it may lead to threatened miscarriage, which may also present with symptoms such as vaginal bleeding. Prompt treatment under medical guidance with medications like progesterone capsules or dydrogesterone tablets is necessary to support the pregnancy.
In addition to the above common causes, acute gastroenteritis could also be responsible. It is advisable to seek timely medical evaluation at a hospital to determine the underlying cause and receive appropriate treatment. Adequate rest and emotional stability should be maintained during pregnancy to avoid excessive stress or anxiety, which might contribute to complications.
