What causes a pulling pain in the middle of the lower abdomen during pregnancy, and what should be done about it?

Oct 30, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Cervicitis is generally an inflammation caused by infections of the cervix due to bacteria, viruses, or other pathogens. During pregnancy, this inflammation may lead to cervical congestion, swelling, and pain, resulting in a pulling pain in the center of the lower abdomen. Symptoms may include increased vaginal discharge, purulent discharge, or bloody discharge. It is important to follow a doctor's advice and use medications such as Baofukang suppositories, Cefixime dispersible tablets, or Zhidai Xiaomi suppositories for treatment.

In general, a pulling pain in the center of the lower abdomen during pregnancy may be caused by uterine expansion, ligament strain, acute gastroenteritis, cervicitis, ectopic pregnancy, or other reasons. It is recommended to seek medical attention promptly and receive treatment under a doctor's guidance through general management, medication, or other methods. The specific analysis is as follows:

1. Uterine Expansion

As pregnancy progresses, the uterus gradually enlarges, which can stretch surrounding tissues and nerves—especially in the central abdominal area—leading to a pulling sensation or pain in the lower abdomen. Adequate rest and proper positioning should be maintained, avoiding prolonged standing or sitting.

2. Ligament Strain

As the uterus grows, the surrounding ligaments are stretched. This tension may cause a pulling pain in the middle of the lower abdomen. Appropriate rest and local heat application can help relieve the discomfort.

3. Acute Gastroenteritis

Acute gastroenteritis during pregnancy is usually caused by hormonal changes and decreased immunity. If a pregnant woman develops acute gastroenteritis, intestinal spasms and pain may occur, manifesting as a pulling pain in the center of the lower abdomen. Symptoms may include diarrhea, nausea, and vomiting. Under a doctor’s guidance, medications such as Changyanning tablets, Compound Berberine tablets, or Montmorillonite powder may be used for treatment.

4. Cervicitis

Cervicitis is typically an inflammatory condition caused by bacterial or viral infections of the cervix. When a pregnant woman develops cervicitis, inflammation may lead to cervical congestion, swelling, and pain, resulting in a pulling pain in the lower abdomen. Symptoms may include increased vaginal discharge, purulent or bloody discharge. Treatment should follow medical advice and may include medications such as Baofu Kang suppositories, Cefixime dispersible tablets, or Zhi Dai Xiao Mi suppositories.

5. Ectopic Pregnancy

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. When implantation happens in the fallopian tube or another non-uterine site, embryonic development can cause distension and rupture of surrounding tissues, leading to the aforementioned symptoms. It may be accompanied by vaginal bleeding, shoulder pain, or fainting. Under medical guidance, laparoscopic surgery may be performed—making small incisions in the abdomen to locate and remove the ectopic embryonic tissue—to treat the ectopic pregnancy.

In daily life, attention should be paid to healthy eating; spicy and irritating foods should be avoided. Maintaining good lifestyle habits and a positive mental state is also important.

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