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What causes a tearing-like pain in the lower left abdomen at 38 weeks of pregnancy, and what should be done about it?

Apr 10, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
At 38 weeks of pregnancy, a tearing-like pain in the lower left abdomen may be caused by factors such as uterine enlargement, false labor contractions (Braxton Hicks contractions), placental abruption, intestinal spasms, or gastritis. Pregnant women can receive symptomatic treatment based on the specific underlying cause. At 38 weeks, which is in the late stage of pregnancy, the uterus has enlarged and the uterine fundus has risen, potentially stretching the round ligaments of the uterus and causing pain or discomfort.

In general, during week 38 of pregnancy, pain in the lower left abdomen resembling a tearing sensation may be caused by factors such as uterine enlargement, false labor contractions (Braxton Hicks contractions), placental abruption, intestinal spasms, or gastritis. Pregnant women can receive symptomatic treatment based on the specific cause. The details are as follows:

1. Uterine Enlargement

Week 38 of pregnancy falls within the third trimester, during which the uterus enlarges and the uterine fundus rises. This may stretch the round ligaments of the uterus, causing discomfort or pain. Additionally, the significant increase in uterine volume can stimulate the abdominal skin, leading to a tearing-like pain in the lower left abdomen. This is considered normal and does not require special treatment. It is recommended that pregnant women rest more often and avoid excessive fatigue.

2. False Labor Contractions (Braxton Hicks Contractions)

False labor contractions mainly occur due to intense physical activity or excessive mental stress in pregnant women. When these contractions occur, they may pull on the skin of the lower abdomen, resulting in pain and other discomforts. Pregnant women should stay relaxed, avoid anxiety, get adequate rest, and refrain from strenuous exercise.

3. Placental Abruption

Placental abruption refers to the premature separation of the placenta from the uterine wall before delivery. It may be caused by trauma, hypertension, smoking, or other factors. Early symptoms of placental abruption may include abdominal pain, uterine tension, vaginal bleeding, and possibly induce uterine contractions. Under medical guidance, pregnant women may be treated with medications such as misoprostol tablets or methylergonovine maleate injection.

4. Intestinal Spasms

Intestinal spasms refer to irregular and intense contractions of the intestines. These may be triggered by various factors including food poisoning, intestinal infections, stress, anxiety, or gastrointestinal disorders. Symptoms may include abdominal pain, bloating, diarrhea, or constipation. Under medical supervision, pregnant women may use medications such as belladonna extract tablets or raceanisodamine tablets.

5. Gastritis

Gastritis is commonly associated with excessive gastric acid secretion, infections, food poisoning, stress, medication use, or other inflammatory conditions. Pregnant women with gastritis may experience symptoms such as stomach pain and bloating. Under a doctor's guidance, medications such as hydrotalcite chewable tablets or Jianwei Xiaoshi tablets may be used for treatment.

If abdominal pain occurs during pregnancy, it is recommended to seek timely medical evaluation to determine the underlying cause and receive appropriate treatment.

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