What are the causes of mild pain in the lower right abdomen during four months of pregnancy?
Sep 12, 2023
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, mild pain in the lower right abdomen at over four months of pregnancy may be related to factors such as uterine enlargement, threatened miscarriage, enteritis, appendicitis, or adnexitis. Patients are advised to follow medical instructions for symptomatic treatment. Additionally, conditions such as uterine fibroids or kidney stones may also be possible causes. It is recommended that patients promptly visit a hospital for examination and treatment to prevent worsening of the condition.
Generally, mild pain in the lower right abdomen at around four months of pregnancy may be related to factors such as uterine enlargement, threatened miscarriage, enteritis, appendicitis, or adnexitis. Patients are advised to follow medical advice for symptomatic treatment. Specific analysis is as follows:
1. Uterine Enlargement
As the fetus grows, the uterus also expands. This expansion can cause slight tearing of muscle fibers, leading to mild pain in the lower right abdomen. This is a physiological phenomenon and usually not a cause for concern.
2. Threatened Miscarriage
Threatened miscarriage refers to a state in which pregnancy may end due to various causes. In the early stages, there may be no significant symptoms; the pregnant woman might only feel slight discomfort. However, as time progresses, one-sided abdominal pain and vaginal bleeding may occur. It is recommended that patients rest in bed as much as possible, avoid prolonged standing or sitting, and remain relaxed, as symptoms often gradually improve.
3. Enteritis
Digestive function and immunity naturally decrease during pregnancy. Combined with congestion and edema in the gastrointestinal tract, this makes pregnant women more susceptible to conditions like enteritis, which can trigger abdominal pain. If necessary, medications such as cefdinir dispersible tablets or azithromycin tablets may be taken orally under medical guidance.
4. Appendicitis
Often caused by bacterial infection due to unhygienic eating habits, appendicitis results in abdominal pain. In severe cases, abscess formation may occur, causing significantly intensified pain. Patients may take metronidazole tablets or amoxicillin capsules orally as directed by a physician.
5. Adnexitis
If a woman had adnexitis before pregnancy, the growing fetus may compress the right fallopian tube and ovary, causing pain in the lower right abdomen. Regular ultrasound examinations at the hospital are recommended. If symptoms are not severe, observation is usually sufficient. When necessary, medications such as amoxicillin capsules or Gynecological Qianjin tablets may be taken orally under medical supervision.
In addition, lower right abdominal pain may also be associated with uterine fibroids, kidney stones, or other factors. Patients are advised to seek timely medical evaluation and treatment to prevent worsening of the condition.
