Four months pregnant, the belly feels tight and hard when walking

Jan 26, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
The term "abdomen" generally refers to the belly. In most cases, if a pregnant woman at four months' gestation experiences a tight and hard abdomen while walking, it may be related to factors such as uterine contractions, uterine enlargement, indigestion, threatened miscarriage, or placental abruption. It is important to promptly visit a hospital where a doctor can perform examinations to establish an accurate diagnosis and provide appropriate treatment. Pregnant women should actively maintain adequate nutrition and avoid strenuous physical activity in daily life.

The term "belly" generally refers to the abdomen. In most cases, if the abdomen feels tight and hard when walking at four months of pregnancy, it may be related to factors such as uterine contractions, uterine enlargement, indigestion, threatened miscarriage, or placental abruption. It is important to seek timely medical evaluation at a hospital where a doctor can make a clear diagnosis and provide appropriate treatment. The specific analysis is as follows:

1. Uterine Contractions

During pregnancy, excessive activity or walking may cause mild contractions of the uterine muscles, leading to a tight and hard feeling in the abdomen. This phenomenon is relatively common at four months of gestation and is usually normal, requiring no special treatment.

2. Uterine Enlargement

As the fetus develops, the uterus gradually enlarges and exerts pressure on surrounding tissues and organs. When a pregnant woman walks, movement may make the uterus more prominent, causing the abdomen to feel tight and hard. If there are no other abnormal symptoms, this is typically normal. Pregnant women are advised to rest in bed appropriately to prevent worsening discomfort.

3. Indigestion

Hormonal changes during pregnancy often affect normal gastrointestinal motility, slowing down intestinal movement and leading to indigestion, which may result in the aforementioned symptoms. Some pregnant women may also experience increased bowel movements, constipation, or bloating. It is recommended that pregnant women take medications such as Jianwei Xiaoshi Tablets, Lactase Tablets, or Baohe Pills under medical guidance for treatment.

4. Threatened Miscarriage

If there are issues such as abnormal fetal development, abdominal trauma, or severe malnutrition, a threatened miscarriage may occur, resulting in the symptoms described above. Some women may also experience abdominal pain. In such cases, medications like progesterone capsules, Baotai Ling capsules, or Baotai Wuyou tablets may be used under a doctor's supervision for fetal preservation.

5. Placental Abruption

Placental abruption refers to the premature separation of the placenta from the uterine wall, which may cause abdominal pain and a sensation of tightness. However, placental abruption is usually accompanied by other symptoms such as vaginal bleeding. If the condition is severe, prompt medical attention at a正规 hospital may be required, and delivery via cesarean section might be necessary.

Pregnant women should actively maintain adequate nutrition and avoid strenuous exercise, which helps promote healthy fetal development.


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