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Stomach pain in early pregnancy may be a normal physiological phenomenon, or it may be related to pathological factors such as threatened abortion and ectopic pregnancy. The main reasons include changes in hormone levels, uterine enlargement and traction, threatened abortion, ectopic pregnancy, urinary system infection, etc. It is recommended to seek medical treatment promptly for a clear diagnosis.

1. Changes in hormone levels

Increased progesterone levels after pregnancy will inhibit the contraction of uterine smooth muscle, but some pregnant women who are sensitive to hormones may experience a slight feeling of bloating in the lower abdomen, similar to menstrual pain. This situation requires no special treatment, just be careful to avoid strenuous exercise and overexertion. Getting enough rest can help relieve discomfort.

2. Uterine enlargement and traction

As the embryo develops, the gradual enlargement of the uterus will stretch the surrounding ligaments, causing dull or dull pain on both sides of the lower abdomen, especially when the body position changes. You can rest on your side and use a maternity support belt to reduce the stretch. If the pain continues to worsen or is accompanied by bleeding, seek medical attention.

3. Threatened abortion

It may be related to factors such as embryonic chromosomal abnormalities and insufficient luteal function. It usually presents with paroxysmal lower abdominal cramps accompanied by vaginal bleeding. Immediate bed rest and medical treatment are required. The doctor may recommend the use of progesterone capsules or dydrogesterone tablets for miscarriage treatment. If necessary, hospitalization is required for observation.

4. Ectopic pregnancy

Implantation of the fertilized egg in the fallopian tube will cause severe tearing pain in the affected side of the abdomen, accompanied by irregular vaginal bleeding and a feeling of swelling in the anus. This situation requires emergency medical treatment. After diagnosis through blood HCG testing and ultrasound examination, methotrexate injection or laparoscopic surgery may be required.

5. Urinary system infection

Decreased immunity during pregnancy can easily lead to cystitis or pyelonephritis, which manifests as dull pain in the lower abdomen accompanied by frequent urination and urgency. The diagnosis requires routine urine examination. You can follow the doctor's advice to take safe antibiotics during pregnancy such as cefaclor dry suspension or amoxicillin and clavulanate potassium tablets, and drink more than 2000 ml of water every day.

If you experience abdominal pain in early pregnancy, you should avoid taking painkillers by yourself. It is recommended to record the frequency of pain and accompanying symptoms. Ensure 8 hours of sleep every day, and choose the left side sleeping position to improve the blood supply to the uterus. Pay attention to supplementing the diet with high-quality protein such as eggs and fish, and avoid spicy, cold and spicy foods. If the pain lasts for more than 2 hours or is accompanied by fever or bleeding, you need to go to the obstetric emergency department immediately. Regular prenatal check-ups can help detect abnormalities early.