Diarrhea with abdominal pain at 38 weeks of pregnancy

Jan 26, 2024 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Diarrhea, commonly referred to as "loose bowels," during week 38 of pregnancy accompanied by abdominal pain may be related to signs of labor, poor diet, a cold abdomen, false labor contractions (Braxton Hicks), or acute gastroenteritis. Pregnant women are advised to seek timely medical evaluation at a正规 hospital and receive appropriate treatment based on the specific condition. In late pregnancy, it is important to maintain a light diet, relax the body, and avoid prolonged periods of stress, anxiety, or other negative emotions.

Diarrhea, commonly referred to as "having loose bowels," during week 38 of pregnancy accompanied by abdominal pain may be related to signs of labor, poor diet, cold exposure to the abdomen, false labor contractions (Braxton Hicks contractions), acute gastroenteritis, and other factors. Pregnant women are advised to seek timely medical evaluation at a正规 hospital and receive appropriate treatment based on their specific condition. Detailed analysis is as follows:

1. Signs of Labor: By week 38, pregnancy is considered full-term and approaching the due date. If regular uterine contractions occur, cervical dilation and increased contraction frequency may develop. The resulting increase in intra-abdominal pressure could lead to symptoms such as diarrhea and abdominal pain. If frequent contractions are observed, it is recommended to go to the hospital promptly for delivery preparation.

2. Poor Dietary Habits

Consuming excessive spicy, greasy, or highly irritating foods during week 38 of pregnancy may stimulate the gastric mucosa, leading to spasmodic pain and diarrhea. Symptoms typically resolve after adjusting the diet, and no special treatment is usually required.

3. Abdominal Cold Exposure

If a pregnant woman is improperly dressed or remains exposed to cold environments for prolonged periods, the abdomen may become chilled. This can cause abdominal muscle tension and reduced blood circulation, potentially resulting in mild abdominal pain and even diarrhea. Generally, no specific treatment is needed; maintaining warmth and drinking warm water can help alleviate symptoms.

4. False Labor Contractions (Braxton Hicks Contractions)

Week 38 falls within the third trimester, during which false labor contractions may occur. This is a normal phenomenon in pregnancy and is typically irregular and intermittent, accompanied by abdominal tightness and mild pain. Some pregnant women may also experience slight diarrhea. Changing body position, applying a warm towel to the abdomen, or using heat therapy may help relieve discomfort. However, care should be taken to avoid excessively high temperatures to prevent burns.

5. Acute Gastroenteritis

If a pregnant woman consumes food contaminated with bacteria or viruses during week 38, acute gastroenteritis may be triggered. Inflammation can lead to symptoms such as abdominal pain, diarrhea, and bloating. If symptoms persist, medications such as smectite powder, enteritis relief tablets, or lactase tablets may be used under medical guidance for symptom management.

During late pregnancy, it is important to maintain a light diet, stay physically relaxed, and avoid chronic stress or anxiety, as these may negatively affect fetal development.


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