Ab­dom­i­nal pain in women: when should you worry?

Chronicle (Zimbabwe) - - Fea­ture/opin­ion -

Pelvic in­flam­ma­tory dis­ease (PID) is the in­fec­tion of fe­male gen­i­tal tract af­fect­ing the uterus, fal­lop­ian tube and ovaries.

The dis­ease is caused by vi­ral, bac­te­rial or some­times, even worm in­fec­tions. If ig­nored, the dis­ease can form mul­ti­ple scars of pelvic or­gans, block the fal­lop­ian tubes caus­ing in­fer­til­ity and ob­struct ureters thus dam­ag­ing kid­neys.

Some pains are con­sid­ered com­mon dur­ing preg­nancy. Bloat­ing or con­sti­pa­tion com­monly causes ab­dom­i­nal pain dur­ing preg­nancy. The weight of the baby on the lig­a­ments can cause slight pain in the pelvic area at the be­gin­ning of the third trimester. But do not ig­nore se­vere ab­dom­i­nal pains or spot bleed­ing. It can mean an ec­topic preg­nancy, mis­car­riage or pla­cen­tal abrup­tion.

In an ec­topic preg­nancy, the fer­tilised egg is im­planted out­side the uterus. If the preg­nancy grows, it can stretch and rup­ture the fal­lop­ian tube caus­ing heavy in­ter­nal bleed­ing and pain and is a med­i­cal emer­gency.

A mis­car­riage or loss of preg­nancy can cause in­tense, sharp ab­dom­i­nal pain with se­vere cramps. Call your gy­nae­col­o­gist im­me­di­ately if your ab­dom­i­nal cramps are ac­com­pa­nied by vagi­nal bleed­ing with pass­ing of clots dur­ing preg­nancy.

Rush to your doc­tor if you have se­vere ab­dom­i­nal pain, vagi­nal bleed­ing, fre­quent con­trac­tions and no­tice a de­cline in fe­tal move­ment. These signs and symp­toms are com­monly as­so­ci­ated with pla­cen­tal abrup­tion, a con­di­tion in which the pla­centa peels away from the uter­ine walls be­fore the birth of the baby.

Spot­ting and ab­dom­i­nal pain along with a fre­quent tight­en­ing of the uter­ine mus­cles can be a sign of preterm la­bor. What should you do? Ob­vi­ously, rush to the hos­pi­tal! — the­health­site.com

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