The right side of the lower abdomen hurts during pregnancy: what to do

Why does the right side of the abdomen hurt, ache and ache?

Pain in the back of the right side occurs due to problems with the right kidney.
They can be caused by pyelonephritis and large stones. Painful sensations can be anything: pulling, cutting, stabbing, etc. No matter what, with this symptom you should urgently consult a doctor, as it will only aggravate the problem further. Any pain is a sign of dysfunction of internal organs. There are no exceptions when the right side begins to hurt from the back. Therefore, you should not ignore changes in your health: if you have any doubtful symptoms, consult your doctor. He will help to identify diseases in time and prescribe appropriate treatment.

Causes

One of the causes of pain appearing from the back on the right side is a disruption of the respiratory system. Thus, pleurisy, pneumonia, tumors affecting the bronchi or lungs appear.

Often the right back hurts in people whose digestive system is not in order. Pain can be a sign of cholecystitis, and it usually lasts up to several days. The disease is accompanied by fever, nausea, vomiting, and abdominal muscle tension. Unpleasant sensations can radiate to the chest and shoulder blade.

In some cases, pain occurs in the right side due to disturbances in the functioning of the urinary system. For example, with renal colic - blockage of the ureter with a stone, blood clots, as a result of the inflammatory process. It causes discomfort to the patient, since it is almost impossible to find a position in which the pain would ease.

All this causes swelling of the kidney and pain. If the right side hurts from the back, the right kidney is affected accordingly. As the stone moves through the ureter, the pain moves down the abdomen and back, spreading to the genitals and bladder area.

When the stone comes out, the sharp pain disappears; instead, the patient feels a dull pain in the right side, which is associated with damage to the urinary tract.

Pain felt in the side can be a sign of diseases such as pyelonephritis, tuberculosis, thrombosis of kidney vessels, kidney prolapse, etc.

Pyelonephritis in the case of damage to the right kidney is expressed by sudden and increasing sharp pain, localized from the top of the back in the right side. The chronic form is characterized by incessant nagging pain.

At the same time, the body temperature rises, swelling occurs, changes in the urine are observed - it becomes cloudy or acquires a red tint, and the process of urination is also disrupted.

Problems with the nervous system or spinal cord can also cause pain in the right side. The pain in this case has the character of a lumbago.

On the right under the ribs there is the liver, pancreas, and gall bladder. Pathology in these organs can lead to pain. If it is long-term, the liver should be checked first.

These are the main reasons why a person may feel pain in the right side. There are others - this is a fairly common symptom that can signal a variety of ailments. Some diseases can be very serious, so it is important to get a diagnosis and treatment promptly.

As a rule, pain is localized in the place where the diseased organ is located. But sometimes it can arise in a completely different area: it spreads to the most unexpected areas of the body.

Side pain can be different:

cramping - occurs with a sharp contraction of the muscles of the genital organs,
growing accompanies the inflammatory process,
acute may indicate rupture of internal organs, blockage of blood vessels, sudden bleeding,
shooting indicate disturbances in the functioning of the nervous system or spinal cord.

In addition, the pain can be nagging, dull, aching, short or long-lasting.

When the right side of the back hurts, first of all, you need to understand why this happened. In some cases, painkillers help, in others, immediately call an ambulance. Immediate intervention by a doctor is required if a sharp, severe pain is felt on the right side, which does not subside for a long time, accompanied by weakness, dizziness, and loss of consciousness.

Pregnant women should be sensitive to their health. Any pain that occurs during this period requires medical intervention. The female body is vulnerable during pregnancy, as a result of which chronic diseases often worsen.

Pain that occurs in the right side of the back can be a manifestation of hepatitis, pyelonephritis, pathology of the biliary tract and other diseases, each of which poses a danger to both the child and the woman. In addition to acute pain, there may be a frequent urge to urinate.

Pain may indicate an ectopic pregnancy.

During pregnancy, the right side of the back may hurt for other reasons:

osteochondrosis, poor muscle development,
lumbar radiculitis,
hormonal changes
incorrect posture due to a shift in the center of gravity,
pressure from the uterus on the nerve endings at the base of the spine.

In all these cases, it is necessary to abandon high-heeled shoes, use a bandage, and engage in physical therapy.

Remember that self-medication is unacceptable before a diagnosis is made; it is not advisable to take medications without consulting a doctor. The right side of the body contains important organs.

Therefore, you cannot do without the help of professionals. You can take a painkiller to quickly relieve the pain, but the problem will not go away.

Pain will leave you forever only if the disease that caused the pain is cured.

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The human torso contains vital internal organs. They provide all the necessary functions of the human body - breathing, nutrition, reproduction, excretion. The heart pushes blood through the vessels to provide cells with oxygen.

Liver – cleanses the blood of toxins and supplies bile for digestion. Intestines - digests food and makes it available for cell nutrition. Kidneys – separate and remove excess fluid.

Pain, tingling, numbness, heaviness, and any other discomfort occur when there is a disruption in their functioning.

What can hurt in the right side above (under the ribs) and below (behind the pelvic bones)?

Pain in the right side is formed due to pathological processes that occur in the internal organs. Let's turn to anatomy. There are two cavities in the human body (abdominal, thoracic). They are separated by a diaphragm.

The right side is part of the abdominal cavity, in which the organs of digestion, excretion, reproductive (genital) and endocrine systems are located.

Let us conditionally highlight the lower and upper (subcostal and pelvic) zones in the right side of the body. At the top right is the hypochondrium area.

Here are the liver and gallbladder, the diaphragm and the right kidney with the adrenal gland, as well as the final segment of the small intestine (ileum).

Bottom right is the pelvic area. Part of the intestine is located here (cecum with appendix and ascending segment of the colon), as well as in women - the right ovary.

If a person has pain on the right side, in most cases it is associated with pathology of the organs of the right hypochondrium or pelvis. Therefore, let us consider in more detail what type of discomfort sensations correspond to each of the listed organs.

Heaviness and discomfort in the right hypochondrium are often associated with stagnation of bile and inflammation. They form pain in the right side under the ribs in front.

Liver pain is accompanied by a bitter taste in the mouth. Yellowness of the skin and various rashes are also possible. Their reason is insufficiently effective blood purification as it passes through the liver, during which existing toxic components are removed from the blood through the skin.

Also, a distinctive sign of liver pain is that it intensifies during sudden movements and weakens at rest (especially lying on the right side).

Inflammation of the liver can be painless (only a feeling of heaviness) or accompanied by mild pulling sensations.

As the condition worsens and stones form in the bladder and bile ducts, severe pain occurs. Strong, sharp, stabbing sensations accompany the movement of stones along the ducts.

If the duct is completely blocked and the outflow of bile is blocked, severe bursting pain occurs.

The movement of stones creates attacks of contractions. The peak of pain comes when the duct is blocked by a stone. As soon as the stone moves and partially frees the duct, the attack decreases. Thus, cramping pain indicates gallstone disease.

The pancreas is one of the most important human organs, performing both digestive and endocrine functions.

It is located in the center and on the left, but with pathology it can create heavy sensations throughout the abdominal cavity. Pain may occur in the right side at waist level.

However, more often the pancreas produces unpleasant sensations localized on the left side (to the left of the navel) or girdle pain in the upper abdomen.

The ovary is the female reproductive organ where female reproductive cells (eggs) mature. The two ovaries are located to the right and left of the uterus and are connected to it by the fallopian tubes. When infected, inflammation of one or two ovaries (appendages) is possible.

When the ovary becomes inflamed, edema forms and fluid accumulates. This creates pain in the right side of the lower abdomen (near the iliac bones) and above the pubic bone. Also, the inflamed ovary “gives” to the lower back on the right (from the back below the waist).

When to worry about pain on the right side during pregnancy

Having realized that pain during pregnancy is not uncommon and occurs even during pregnancy without pathologies, we can easily track what kind of pain is considered normal. So, if pain occurs rarely and does not have accompanying symptoms, then this is due to the development of the fetus. The fetus increases in size and begins to move; all this can cause slight pain in the expectant mother. Thus, pain in the first trimester is associated with the restructuring of the body. In the third trimester, pain occurs more often due to the large size of the fetus and the fact that it is about to be born soon and begins its movement towards the exit. Pain accompanied by false contractions will become more frequent after the descent of the fetus.

But we cannot say that pain is normal if, in addition to it, we feel other unpleasant signs: • Fever; • Nausea; • Sharp and constant character; • The pain does not go away within half an hour; • Bloody issues. These symptoms tell us that it is necessary to immediately contact a specialist and, even better, call an ambulance at home.

Etiology

If the right side hurts during pregnancy, this may be due to both pathological and physiological provocateurs. In the first case, the appearance of such a clinical sign is associated with internal organs located in this area, less often with other segments, but doctors talk about the occurrence of referred pain.

On the right side there are the following internal organs:

liver;
right lung;
appendix;
right side of the diaphragm;
right adrenal gland and kidney;
some parts of the stomach and duodenum;
gallbladder;
bile ducts.

Referred pain in a pregnant woman is such if it is associated with:

heart;
lungs;
pancreas;
organs of the female reproductive system;
spine.

A healthy kidney and one affected by pyelonephritis.
More rare reasons for aching pain in the right side during pregnancy are:

pneumonia and pleurisy;
abdominal form of myocardial infarction;
renal colic;
myositis and bursitis;
herpes zoster;
fatty liver hepatosis;
urethritis and lymphadenitis;
inflammation or blockage of the ureter;
pathologies of the pelvic organs.

Causes of pain in the right side during pregnancy may also include:

premature placental abruption;
ectopic pregnancy;
thrush;
torsion of the cyst or apoplexy of the right ovary;
endometriosis;
salpingitis;
spontaneous miscarriage;
acute or chronic adnexitis;
premature onset of labor.

In the process of establishing the correct diagnosis, clinicians take into account additional sources of pain. For example, if the right side of the back hurts during pregnancy, this may indicate:

urolithiasis;
pyelonephritis;
intercostal neuralgia;
wide range of injuries;
sudden change in body position.

In situations where a woman feels pain at the waist level, the source may be:

poor nutrition;
dysbacteriosis;
cystitis;
diseases of the genitourinary system and spine;
dorsopathy;
protrusion.

At the same time, when the right side of the lower abdomen hurts during pregnancy, this may be a consequence of:

intestinal obstruction;
internal bleeding;
ectopic pregnancy;
the course of the inflammatory process in the vermiform appendage of the cecum;
diseases of the pelvic organs;
gallstone disease.

If a female representative has pain on her right side when walking during pregnancy, this may be a consequence of:

appendicitis;
penetration of helminths or protozoan microorganisms into the body;
intercostal neuralgia;
osteochondrosis of the lumbar or thoracic spine;
radiculitis.

When pain occurs in the right side in the lower region while taking a deep breath, this may be a sign of:

pleurisy;
pneumonia;
renal colic;
pericarditis;
pulmonary embolism;
rib fracture;
inflammatory lesions of the intercostal muscles.

It is also worth considering that pain in the right side in pregnant women can be caused by situations not related to any of the above diseases. Such factors are called physiological sources and include:

the effect of cold temperatures on the body over a long period of time;
changes in hormonal levels;
active intrauterine growth of the fetus and an increase in the size of the uterus, which leads to displacement and compression of internal organs;
poor nutrition;
the expectant mother's addiction to bad habits;
excessive physical activity;
sudden change in body position.

Regardless of the etiological factor, pregnant women should not ignore such a clinical manifestation, but it is best to consult a clinician.

Self-treatment with improvised means or contacting a gynecologist?

Any pain is not normal, it shouldn’t be like that. But pain is not always a signal of alarm; often the stomach hurts in conditions of discomfort or as a warning that something needs to be changed (for example, posture or, more generally, diet). The most common causes of abdominal pain are digestive problems, as well as the result of the growth of the uterus and weight gain of the child.

If your stomach is a little achy, it is important to evaluate the presence or absence of any other accompanying symptoms. Pain that lasts no more than a few minutes and does not recur is considered acceptable. Pain that goes away after the pregnant woman lies down or goes to the toilet. Please note that the most “safe” painful trimester is the third, because the fetus reaches its maximum size and its pressure on the organs is too great.

Unfortunately, it happens that abdominal pain is a symptom of pathology, so if you value this pregnancy, contact a gynecologist at the Diana Clinic. The doctor will perform an ultrasound of the pelvis and an ultrasound of the abdominal cavity. Usually these two inexpensive tests are enough to make a diagnosis and take action.

Nagging pain in the right side at different stages of pregnancy

Pulling pain in the right side during pregnancy often indicates inflammation of any organs. Pain syndrome may also be a consequence of the increasing pressure of the increasing size of the uterus on the internal organs.

In the very early stages, a particularly dangerous symptom is pain in the right side of the lower abdomen. The threat of miscarriage occurs when such pain syndrome is accompanied by bloody discharge and is of an increasing nature. This may indicate an ectopic pregnancy. In such a situation, urgent medical attention is needed. A ruptured fallopian tube is a threat to a woman’s life.

Since in the first trimester there are changes in the female body associated with changes in hormonal levels, this can lead to a malfunction of many organs and provoke pain. Early toxicosis also often causes nagging pain in the right side.

Pain in the second trimester is associated with an increase in the size of the uterus. This organ begins to put a lot of pressure on surrounding organs, which provokes a variety of disturbances in the functioning of the digestive system. This factor very often causes constipation and problems in the urinary system.

In the third trimester, the uterus increases in size even more, and the pressure increases. In addition, during this period the fetus becomes more active. When he turns over, he can strike individual organs. This causes pain in the right side during pregnancy, but it is usually short-lived.

Despite the fact that in most cases, pain at various stages of pregnancy is physiological, when pain occurs in the right side, you should consult a doctor. Sometimes the occurrence of pain may indicate the development of a risk of spontaneous abortion or miscarriage. In this case, the pregnancy can only be saved with inpatient treatment.

Painful sensations in the 2nd and 3rd trimesters

During the 2nd and 3rd trimester, the fetus is already sufficiently formed, the fertilized egg is attached to the wall of the uterus and is covered with membranes, which need as much space as possible. As a result of the active growth of the baby and the enlargement of the uterus, the pelvic organs may shift, leaving room for the child. The baby is already tossing and turning, pushing and moving. While walking, a pregnant woman may experience a nagging pain.

The uterus becomes larger to such an extent that there is significant pressure on the internal organs. If the ureter is compressed, the natural outflow of urine is disrupted, as a result of which it accumulates in the opening of the right kidney, which is why it begins to hurt in the right side.

On the physiological side, pregnancy may cause constipation as a result of compression of the small and large intestines. The uterus stretches, and its bottom presses on the diaphragm, displacing the stomach, pancreas and gall bladder. The functioning of organs deteriorates, pain appears in the right side or on both sides.

In the last trimester, the baby is so large that the pregnant woman experiences pain in the lower abdomen. Compressive and aching sensations in the side or back due to the fact that the child is displaced and pushed, hitting the internal organs.

Symptoms

Pain in the right side during pregnancy will almost never act as the only external manifestation. Often this symptom is the first in the clinic, against which additional symptoms arise.

Very often, pregnant women experience aching pain, which is considered quite normal, but there are situations when the pain syndrome can increase significantly. These include:

consumption of food, after which pain is expressed both immediately after the meal and after some time;
excessive physical activity;
brisk walking or running;
sudden change in body position;
deep breath or sharp exhalation;
severe cough or sneezing.

Symptoms are always of a purely individual nature, which is influenced by the main provoking factor. Nevertheless, clinicians identify a number of the most common symptoms that complement the main symptom. Among them:

increased body temperature;
fluctuations in heart rate and blood tone;
stool disorder;
discomfort during urination;
heartburn and burning behind the sternum;
hiccups and belching;
pallor or yellowness of the skin;
lack of appetite;
headaches and dizziness;
soreness in muscles and joints;
sleep problems;
general malaise;
decreased ability to work.

However, these are not all the clinical manifestations that may occur in women. The occurrence of one or more additional signs is an impetus for visiting a medical facility.

What does sharp pain mean?

Severe pain during pregnancy is considered a reason to immediately consult a doctor. Among the diseases accompanied by sharp pain on the right side, it is worth noting appendicitis. The acute form of the pathology is the most common reason for surgery during pregnancy.

Appendicitis is accompanied by acute pain in the abdomen, turning into constant aching pain, gradually shifting from the central part of the abdomen to the right side. There is a decrease in appetite, nausea, vomiting, rise in temperature, etc. During pregnancy, Taranenko's symptom is detected (it hurts more when turning from the left to the right side).

Pathological causes, nature and localization of pain

If during pregnancy a representative of the weaker half of humanity is worried about a similar symptom, then first of all you should consult an obstetrician-gynecologist and gastroenterologist. This necessity lies in the fact that often the sources of such manifestations are precisely diseases of the gastrointestinal tract.

However, based on a wide variety of provoking factors, specialists from various fields of medicine should participate in the process of establishing the correct diagnosis, for example:

endocrinology and pulmonology;
nephrology and vertebrology;
neurology or oncology;
general therapy;
cardiology and traumatology.

The search for the primary source should always have an integrated approach, which is why the first step in diagnosis is aimed at ensuring that the physician personally carries out several manipulations. It follows that primary diagnosis may include:

studying the medical history to determine the most likely provoking factor;
familiarization and analysis of life history to confirm the influence of physiological causes;
gynecological examination;
a thorough physical examination;
measuring body temperature and pulse, heart rate and blood tone;
study of the condition of the skin and mucous membranes;
a detailed survey of the patient to obtain detailed information from the doctor regarding the symptoms.

After this, the following laboratory tests are indicated:

general clinical analysis of blood and urine;
blood biochemistry;
coprogram;
serological and PCR tests;
hormonal and immunological studies.

As for instrumental examination, in this case it is limited to ultrasound, CT and MRI - these are the procedures that are allowed for women during pregnancy.

Ultrasound of the abdominal cavity during pregnancy

Physiological pain is considered normal during pregnancy. They are usually short-lived and mildly expressed. Their duration is no more than a quarter of an hour. Such pain is associated with hormonal changes in the body. This affects a variety of processes, which causes discomfort.

In addition, pain in the right side associated with a significant increase in size of the uterus is considered harmless. In this case, pressure is exerted on nearby organs, which can disrupt their normal functioning. Usually the pain is localized in the lower abdomen and is aching for a long time. As a rule, pain syndrome occurs in the last stages of pregnancy. Such pain intensifies when the baby moves.

If intense pain occurs in the lower abdomen, then the pathology can be diagnosed by other additional symptoms:

When the pain radiates to the groin, there is a high probability that the increasing size of the uterus puts strong pressure on the ureter, which provoked the movement of the stone.
With an ectopic pregnancy, severe pain occurs in the first trimester. Against the background of an increasing pain syndrome, nausea and vomiting appear. An additional dangerous sign is the onset of bleeding. If you do not provide urgent medical assistance, there is a real threat to life.
With appendicitis, pain occurs in the iliac region on the right. After some time, it may become vague, but not disappear. Very often, the temperature also rises and vomiting occurs. At the slightest suspicion of the development of appendicitis, you should urgently call an ambulance.
With pancreatitis, girdle pain occurs. It may begin on the right side and is often accompanied by nausea and deterioration.
If hepatitis develops, then in addition to acute or dull pain on the right side, yellowness of the skin and whites of the eyes appears, and the urine darkens.
With cystitis, a prolonged aching pain occurs, which intensifies when urinating.

If an ovarian cyst was diagnosed before pregnancy, then during pregnancy there will be a constant nagging pain. When a cyst ruptures, the pain syndrome becomes acute. An additional sign is increased pain when pressing on the abdomen and pain in the anus, and in severe cases, loss of consciousness may occur.

In addition to natural causes, pain in the right side can be explained by conditions unrelated to pregnancy. In women expecting a child, appendicitis often worsens. A sharp, cutting pain occurs, which is localized in the epigastric region on the right below the ribs. The body temperature rises, nausea, and vomiting begin.

Then the pain spreads wider, down to the inguinal-iliac region. Patients try to curl up into a ball and find it difficult to straighten up. The process cannot be started, since inflammation of the appendix threatens to develop into peritonitis, significantly increasing the threat to the life of the pregnant woman. You need to call an ambulance immediately.

Causes of pain on the right side during pregnancy

In order to understand what can cause pain on the right side during pregnancy, you need to go a little deeper and understand what is in the body in that very place. So, the abdominal cavity can be conditionally divided into 4 sectors, but now we are only concerned with 2, which are on the right:

1. The upper right sector contains: • Gall bladder; • Liver; • duodenum; • right kidney; • a piece of the large and small intestines. 2. Right lower sector: • Ovary together with appendages; • Oviduct; • Part of the uterus; • Part of the bladder; • Small and large intestine. Only a qualified specialist will determine the exact cause of your pain, and we will only try a little to explain to you what causes the pain.

During pregnancy, the activity of organs decreases, this is caused by stress and a complete restructuring of the body.

So, during pregnancy, the blood supply to the body is significantly disrupted, and immunity is also reduced, which can cause not only pain, but also exacerbation of chronic diseases. Thus, we can identify two possible causes of pain: • Inflammation of one of the organs located on the right side; • The second reason is more common. This is when your baby develops and increases in size and begins to put pressure on any of the organs.

How to relieve pain yourself

If the pain is acute, then, of course, it is necessary to call an ambulance. Before the doctor arrives, you should not take any medications. Any medications can alleviate symptoms and make diagnosis difficult.

It is recommended that if you experience severe pain in the right side during pregnancy, try to calm down and lie down in a comfortable position. This will help you relax. These actions can relieve increased abdominal muscle tone in case of severe pain. The optimal position is on your side with your knees bent. It is strictly forbidden to try to relieve pain using a warm heating pad.

If the pain is mild, then you can try to analyze the symptoms. You need to remember the last time you had a bowel movement. This will allow you to understand whether the pain syndrome is associated with constipation.

If you manage to cope with the pain on your own, then you need to adjust your daily routine and review your diet. It is important to select products in such a way as not to provoke constipation. During pregnancy, it is recommended to rest more and walk in the fresh air. In addition, if pain occurs while walking, you should start wearing a bandage.

Women expect pleasant sensations from the period of waiting for a baby, dream of a family and a rosy, rosy baby, but pregnancy often gives many unpleasant discoveries. This includes toxicosis in the 1st trimester, swelling, aching lower back or increased nervousness. The growing load on the body, which falls on a woman at this time, forces all hidden and sluggish processes to appear. One of the manifestations is pain in the right hypochondrium.

Pain in the lower abdomen causes fear for the life of the baby developing in the womb, and this further worsens the condition of the pregnant woman. However, if there is no high body temperature and other signs of acute illness, these pains may be natural.

When a pregnant woman experiences aching pain in her right side, it is important to provide rest, lay her down and assess her condition and the need for emergency care. If problems with the pancreas or appendicitis are suspected, it is allowed to take No-shpu, but pregnant women need to consult a doctor. The patient can find a position in which the pain is felt less, and then wait for the doctors.

If the pain is caused by physiological reasons, and not by a serious illness, rest and diet should relieve this symptom. In the future, it is necessary to adjust the diet, try to systematize bowel movements, for example, with the help of laxatives, and use means to eliminate flatulence. Walking in the fresh air, restful sleep, and wearing a special bandage will help normalize the functioning of the digestive system. For edema, you need to reduce fluid intake.

What to do if your stomach hurts?

To understand what causes pain, a woman is advised to lie down. If the symptom is due to the growth of the uterus or fetal movement, the pain will subside. Do not worry if the pain appears periodically, it is not very pronounced and there are no other signs of pathology (fever, vomiting, abnormal bowel movements, frequent urination, jaundice, heaviness after eating).

If a child hurts the liver, the pain appears dull, aching and lasts no longer than 15 minutes. To make it go away faster, it is recommended to take deep breaths while lying on your back. Sharp, prolonged pain in the lower abdomen on the right indicates a serious illness.

With appendicitis or apoplexy (rupture of a cyst), acute pain is felt and forces the body to take a forced position, and with inflammation of the pelvic organs, the pain is aching and tolerable. In any case, if a pregnant woman experiences pain in the right side that does not go away for more than half an hour, then you need to seek medical help and find out the cause of its occurrence.

If you suspect appendicitis, it is not recommended to take painkillers, as this will smooth out the symptoms and the doctor will not be able to quickly determine the cause of the pain.

You should not apply a heating pad to your stomach, as if there is inflammation, this will only accelerate the development of infection. Even if the lower abdomen hurts slightly, the obstetrician observing the pregnancy should know about it. Only a doctor will be able to determine why the symptom appeared and tell you how to eliminate it.

Treatment

To get rid of such a symptom as acute pain in the right side, you must first treat the underlying disease, and the treatment tactics will be selected individually for each patient.

However, there are several general recommendations regarding treatment:

taking medications with strict adherence to the recommendations of the attending physician;
physiotherapy;
massotherapy;
gentle course of exercise therapy;
diet;
the use of traditional medicine recipes, which is possible only after the approval of a physician.

Medical intervention in this case is carried out quite rarely and only in cases where the underlying pathology poses a danger to the life of the woman or fetus, as well as when complications develop. Regardless of the situation, therapy is strictly controlled by clinicians.

What causes pain on the right side of the abdomen in pregnant women?

While carrying a child, a woman experiences a lot of new sensations, including pain.

Pain in the right side should alert the expectant mother, especially if it is constant or acute.

In the right hypochondrium, lateral region, and groin on the right there are many vital organs, any pathological changes in which can lead to the development of chronic diseases and can also be life-threatening.

When to see a doctor

In any case, if pain occurs in the right side during pregnancy, you must inform your doctor. But, as a rule, if the pain occurs periodically, is not acute or prolonged, and the pregnancy proceeds calmly, then there is no threat to health. Pain is associated with physiological changes.

But there are certain situations when it is necessary to urgently consult a doctor or even call an ambulance when pain occurs in the right side. Urgent medical attention is needed if acute pain suddenly appears in any area of the abdomen. Usually this condition leads to a sharp deterioration in health.

If the pain does not increase but persists for several days, you should visit a doctor. It is especially dangerous if symptoms of intoxication appear simultaneously - chills, fever, severe weakness, increased sweating. You should also consult a doctor if mild pain occurs accompanied by dyspeptic disorders (vomiting, bloating, bowel movements).

Acute pain is an alarming sign; it may indicate rapidly occurring processes that threaten complications (for example, peritonitis), and aching or pulling pain can be the first sign of a pathological pregnancy. You need to urgently call a doctor if:

the pain is acute, paroxysmal in nature;
body temperature rises;
there is confusion, pre-fainting;
severe vomiting;
bleeding.

It is difficult for a woman to determine for herself how great the danger is when pain occurs. Severe, prolonged or paroxysmal pain, persistent body temperature and fever, nausea, vomiting, and fainting should be alerted. Also, pain on the right can be caused by inflammatory or infectious liver diseases that require urgent treatment:

gestosis;
toxic hepatitis;
viral hepatitis A, B or C.

Pain on the right side during pregnancy

It is in the right hypochondrium that there are a lot of vital organs, so no matter what the nature of these pains, this is always a reason to urgently consult a doctor, especially for expectant mothers. Pain can have several forms of manifestation: • Aching; • Pulling; • Sharp; • Acute. And even with different types of pain, the cause may be the same (we will talk about possible causes below). The thing is that until you identify the cause of the pain, it may occur again and at the same time you will feel pain in various parts of the body, from the lower back to the abdomen.

Prevention and prognosis

In order for the fairer sex to avoid a situation in which the right side hurts during pregnancy, it is necessary to adhere to general preventive measures, since specific recommendations have not yet been developed.

Nevertheless, you can reduce the likelihood of such an unpleasant symptom, which reduces the quality of life of women, by following a number of simple rules, namely:

lead a healthy and moderately active lifestyle;
eat a full and balanced diet;
prevent hypothermia of the body;
avoid any injuries, bruises and wounds;
spend a lot of time outdoors;
provide yourself with adequate rest;
promptly diagnose and treat any disease;
Regularly visit an obstetrician-gynecologist, and, if necessary, specialists from other fields of medicine.

This clinical manifestation often has a favorable prognosis. This is due to the fact that it responds well to treatment with conservative therapeutic methods. At the same time, it should be noted that treatment will not be complete without eliminating the main problem, both physiological and pathological.

Useful video

The video will tell you why the right side may hurt during pregnancy:

Pain in the right side during pregnancy is a nonspecific clinical sign that can occur regardless of trimester. Ignoring it can lead to sad consequences for both the expectant mother and the fetus, which are associated with the course of the underlying disease.

The most common provocateurs of this manifestation are diseases of the gastrointestinal tract or genitourinary system. However, this does not mean that harmless reasons cannot serve as sources.

In addition to the fact that the right side hurts during pregnancy, the clinical picture will completely depend on the etiological factor. Most often expressed:

nausea and vomiting;
pale skin;
weakness and loss of strength;
bowel disorder.

The diagnostic process involves a wide range of laboratory tests. As for instrumental procedures, during this period of life their range is limited. In addition, the information obtained during the initial diagnosis is taken into account.

Complete elimination of such pain syndrome during pregnancy is possible only after complete cure of the underlying disease, and tactics for this are selected individually. Otherwise, frequent relapses of the described symptom will occur.

Diagnostics

Ultrasound is the main diagnostic method during pregnancy

During pregnancy, especially in the last stages, establishing the causes of illness is somewhat difficult: there are contraindications to the use of the latest instrumental techniques (MRI, CT). Much depends on the experience of the doctor examining the patient.

Abdominal ultrasound is used to detect diseases. It allows you to see characteristic changes in diseased organs, identify the presence of stones, determine their location, and assess the condition of the liver, kidneys, pancreas, and spleen. Dysfunctions can be confirmed by the results of a biochemical blood test for liver enzymes. A general blood test shows the degree of the inflammatory process.

How to strengthen your lower back

If you have lower back pain during pregnancy and are bothered by pain, you need to make your diet as rich as possible; it must contain various vitamins and microelements. Particular emphasis should be placed on the following food products:

nuts;
fresh fruits, vegetables;
greenery.

Can the lower back hurt due to a lack of calcium in the body of the expectant mother? Scientists have been able to establish that a deficiency of this element directly affects the occurrence of such problems. Even before pregnancy, it is recommended to drink at least 1-2 glasses of cow's or goat's milk, and also eat a portion of cottage cheese or natural cheese. To improve calcium absorption, you should spend time outdoors every day.

In case of lower back problems, you should spend less time at the computer, do not cross your legs and, if possible, change your body position every 10–15 minutes

In addition, the following recipes and recommendations will be useful for pregnant women:

The crushed shell of a boiled chicken egg is an excellent source of calcium, the digestibility of which is much higher than gluconate (its bioavailability is no more than 5%). The shell is calcined in a frying pan, before which the film is removed from the inner surface.
Without magnesium, normal calcium metabolism is impossible. Therefore, in the first and second trimester, it is important to consume a sufficient amount of dried apricots, lemons, seaweed, peas, beans, bananas, prunes and dates, which are record holders for magnesium content.

Signs of magnesium deficiency: high blood pressure, irregular heart rhythm and cramps in the lower extremities (mainly the calves or feet).

Preventive measures include: timely treatment of diseases of the spinal column, protrusion and internal organs. It is necessary to avoid physical overload, sudden movements, bending and jerking. Thanks to an active lifestyle before pregnancy, it is possible to strengthen the muscles of the back and abdomen, thus preventing pain in the lumbar region. It is strongly recommended to avoid high-heeled shoes.