After a medical termination of pregnancy, the lower abdomen hurts - a symptom considered normal. The reason for going to the hospital may be its intensification and increase in duration for more than 7 days. There may be complications that require treatment.
How long have you had this pain syndrome?
- Several days (26%, 1,057)
- First day (21%, 865 Votes)
- Several months (13%, 514)
- Week (10%, 414)
- Several weeks (9%, 384)
- About a month (8%, 344)
- Chronic form (6%, 256)
- About a year (6%, 227)
Total voters: 4 062
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Consult a doctor!
The site provides reference information . Adequate diagnosis and treatment of the disease is possible under the supervision of a conscientious doctor . Any medications have contraindications. Consultation with a specialist and detailed study of the instructions is necessary! Be sure to make an appointment with your doctor .
Why does the lower abdomen hurt after medical termination of pregnancy?
An abortion performed with the help of medications is the safest, but it also leads to discomfort in the form of pain in the lower abdomen, which is prickly, pulling, and cramping in nature.
The first manifestations appear within 2 to 4 hours after taking hormonal pills. Their provoking factor may be incomplete abortion. In 5% of cases, the procedure ends with the preservation of a living fetus, in 7% of cases it is interrupted without expelling the fertilized egg from the uterine cavity, as a result an inflammatory process and sepsis can develop.
Pathological symptoms should cause concern and serve as a reason to consult a doctor. Intervention can lead to chronic endometritis, which often causes infertility. It is not always possible to cure it completely even with the use of antibiotics.
The presence of pain after the use of drugs with an abortifacient effect is considered a completely physiological reaction; the body responds to external intervention. Its intensity depends on the characteristics of the female body and the state of the immune system.
Discomfort can radiate to the back; the cause of such sensations can be physical overload.
Symptoms of pain after medical abortion
There are situations when pain in the lower abdomen after an abortion is provoked by complications that appeared during the manipulation: various microbes can penetrate into the injured uterine cavity from the outside, causing an infection. Scientifically speaking, the infection provokes endometritis (inflammatory process of the uterine mucosa). In this case, pain is almost inevitable, so going to the doctor cannot be postponed.
Of course, medical abortion is relatively safe, but no one is immune from possible unpleasant consequences in the form of discharge and pain.
Cramping pain after medical termination of pregnancy
are often a consequence of a pharmacological method. How can this be explained? The answer is simple: due to the medications, the muscles begin to contract, thereby pushing the fetus out of the vagina. Usually the pain is tolerable and is rather similar to menstrual pain. However, if severe pain is observed after medicinal termination of pregnancy and continues for more than 2 days, you should immediately consult a doctor.
There are characteristic symptoms that an infection could have entered during the expulsion of the fetus. If the patient complains of general weakness, chills, tenderness of the cervix, pain in the back and abdominal region, this indicates the likelihood of infection in the uterus.
Pain after medical termination of pregnancy
may appear due to the fact that the fertilized egg is not completely released. Yes, this can also happen. Fragments of the fertilized egg prevent normal contractions of the uterus, so pain in the lower back and abdomen, as well as fairly heavy bleeding, usually accompany the patient after a pharmacological abortion.
It should also be noted that the cause of painful sensations in the patient’s lower abdomen after termination of pregnancy may be premature strong physical activity, for example, active sports or early resumption of sexual life.
How many days does discomfort last after medical abortion?
The pain syndrome may bother you for a week; its presence is explained by contractions of the uterus, which occur until its size decreases to its initial parameters. The pain does not interfere with your normal lifestyle.
If it intensifies and becomes unbearable, you should consult a doctor as soon as possible, because symptoms may indicate:
- Development of hematoma. Blood may accumulate in the uterus due to remnants of the fertilized egg.
- An inflammatory process provoked by latent sexually transmitted infections. At the same time, body temperature may increase.
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Lower abdomen hurts after abortion, what to do
So, if your stomach hurts within a few days after an abortion, this is a normal, natural process for the female body. This may be due to surgery, disruption of the tissues and wall of the uterus, due to the process of the uterus returning to normal size.
Symptoms that should alert you:
- Increased body temperature, fever.
- Severe, persistent abdominal pain.
- Vaginal discharge with a strong odor.
- Continuous bleeding with large blood clots.
- Symptoms of pregnancy (nausea, engorgement of the mammary glands).
The risk of complications after an abortion is minimal if the procedure is performed in a hospital by a good specialist.
How classical music can help treat pain
Music has the ability to have a relaxing effect on the human body, distracting it from thoughts about pain. Listening to it, singing along, playing musical instruments is useful.
It has been proven that such treatment reduces the intensity of pain and eliminates anxiety in women who have undergone termination of pregnancy. Patients dissolve in the music, which makes it possible to relax and forget about pain.
The property is explained by the fact that the human brain has a limited ability to concentrate attention on several stimuli at the same time. Switching attention from painful stimuli to musical ones allows you to increase the level of the pain threshold.
Abortion is not an easy procedure from any point of view, but sometimes it cannot be avoided. If pathological symptoms are observed, it is recommended to seek medical help and not self-medicate, as it is fraught with the development of complications and serious consequences.
Examination of a woman’s body after termination of pregnancy
After medical termination of pregnancy, every woman needs to undergo a certain rehabilitation course in order to avoid quite unpleasant and sometimes disastrous consequences, for example, infertility or the development of cancer. Diagnosis of pain and other complications after termination of pregnancy implies:
- Ultrasound examination of the genital organs and mammary glands. This makes it possible to detect some changes in the structure of the patient’s uterus, ovaries, and mammary glands and, if necessary, prescribe a course of treatment.
- Diagnostic examination - colposcopy - which provides information about the condition of the mucous membrane of the vagina, uterus, and cervix.
- Laparoscopy if there is a suspicion of tubal obstruction.
What does dull, pulling, point or cutting pain in the abdomen indicate?
The presence of pain in any part of the body indicates the progression of the disease. The nature of the pain syndrome is classified into pathological and physiological (the case of pregnancy).
Nagging painful sensations can be a temporary ailment or appear suddenly with such intensity that the patient cannot cope with them (there may be a serious threat to health).
Painful sensations indicate:
- gastrointestinal disorders;
- kidney problems (pain radiates to the lumbar region);
- inflammation of the urinary and reproductive systems.
Any disorder of the gastrointestinal tract is a consequence of ongoing diseases; their carrier often has no idea about the presence of problems in the body.
Reasons why the normal functioning of the gastrointestinal tract is disrupted:
- Peptic ulcer: the intensity of pain varies - from moderately weak to unbearably strong. In case of acute cutting pain, urgent medical intervention is carried out, because probably the release of acidic stomach contents into the abdominal cavity.
- Inflammation of the mucous membrane (gastritis): manifests itself in dull, aching pain, heartburn (often after a person has eaten).
- Pancreatitis: pain begins in the upper abdomen, tormenting for several days, while eating, the discomfort intensifies (bloating is felt, the temperature may rise).
- Inflammation of the gallbladder: pain in the right hypochondrium, often radiating to the arm, chest and neck on the right side.
Diseases reveal themselves by tingling, nausea, vomiting, and fever.
Rare sources:
- Stomach polyps: diagnosis is difficult; the medical history consists of a dull aching pain on palpation, bleeding, nausea, and vomiting.
- Cancer: characterized by a constant, mild aching feeling in the stomach.
- Stress: great physical and emotional stress can cause disturbances in the functioning of the gastrointestinal tract, causing a feeling of pain in it (stool upset and vomiting may occur).
- Allergy: when an allergen enters the body, an aching feeling appears that does not have a clear localization.
If the pain is physiological in nature, i.e. a woman is carrying a child, this is a natural phenomenon: the growing uterus puts pressure on nearby organs, resulting in a feeling of discomfort.
Discharge after the procedure
Immediately after an uneventful abortion, the discharge should normally be moderate, with a small number of clots. However, both the volume and duration of bleeding depend both on the duration of the terminated pregnancy and on the method of termination.
- Small and even scanty discharge is observed after a vacuum abortion. This is explained by the short duration of pregnancy, and, accordingly, minor trauma to the uterine mucosa.
- After a surgical abortion, especially at 10–12 weeks, the discharge will be more intense and prolonged.
How many days after an abortion does bleeding continue? The duration of bleeding after a well-performed procedure is normally 7, maximum 10 days. If the discharge continues for more than 10 days, the first thing to exclude is the placental polyp, which is removed by repeated curettage of the uterine cavity. That’s why it’s so important to see a gynecologist after 10–14 days, who will not only palpate the uterus and suspect subinvolution or placental polyp, but also prescribe a pelvic ultrasound.
When do you need to see a doctor urgently, and which doctor will help?
Of course, going to the clinic at the first sensation of pain is not necessary. Perhaps a hearty breakfast is poorly absorbed by the body, or the yogurt has expired.
But there are a number of cases when seeing the doctor on time means avoiding negative consequences:
- A strong, piercing pain that appeared for the first time.
- For a long time (up to a week) the feeling of discomfort and heaviness does not go away; if the feeling intensifies, then it is better not to wait a week, but to consult in time.
- Flatulence lasting a couple of days.
- Associated symptoms include frequent urination or a burning sensation that appears during the process.
- Stool disorder is observed for four or more days.
- An elevated temperature is added, which indicates an inflammatory process in the body.
- Pain radiating to the chest, neck, lower back.
If a woman is in an “interesting” position, then any deviation from the norm is a reason for urgent consultation with a specialist.
There are a number of accompanying symptoms that indicate that you cannot do without medical help:
- changes in the patient’s behavior: previously cheerful and full of energy, with the onset of the disease he becomes apathetic and lethargic;
- vomit;
- problems with stool;
- the abdominal wall is in a tense state;
- the pulse is quickened, the person feels hot and cold, and perspiration appears;
- pronounced pallor of the skin.
Doctors of different specializations help with existing problems. A gastroenterologist will help if we are talking about gastrointestinal disorders (usually related to food). If you suspect genitourinary problems, you should seek help from a urologist; women should visit a gynecologist. If discomfort is caused by the groin area, a proctologist will help.
If it is difficult for the patient to self-diagnose the condition (“It just hurts here, but I don’t know what”), it is best to start visiting the clinic with a therapist, who will prescribe the appropriate tests and tell you which specialist to contact. If a child needs help, a pediatrician will consult.
If your stomach hurts after an abortion
The main reasons for this may be the following:
- After an abortion, the enlarged uterus should return to its normal size, with the uterus contracting and cramping pain in the lower abdomen possible.
- Such pain normally goes away after a few days.
- Termination of pregnancy is accompanied by the formation of a wound on the surface of the uterine mucosa, where infection can enter and lead to endometritis - an inflammatory process in the uterine cavity.
- If your stomach hurts a few days after an abortion and there is an increase in body temperature, and discharge from the uterine cavity does not stop, then you can think about endometritis.
- During a surgical abortion, perforation of the uterus is possible (the uterus is pierced with a medical instrument), which is accompanied by sharp pain in the lower abdomen.
- In this case, there will also be complaints of dizziness, general weakness, possible paleness of the skin, and tachycardia.
- If your stomach hurts after an abortion and the pain is intense, you should urgently consult a gynecologist so that he can examine you and rule out the presence of dangerous complications.
Take care of your women's health!
In conclusion, we can say, of course, there are a huge number of other consequences of abortion, so in order to be on the safe side, it is better to have all reproductive organs checked by a gynecologist after a few weeks.
Top medications to reduce abdominal pain, painkillers
The course of treatment is selected by the doctor. But if it is not possible to visit a doctor, and it becomes unbearable to endure, the use of painkillers is allowed.
No-shpa
Dispensing in pharmacies is made without a doctor's prescription. The main active ingredient is drotaverine, which has an antispasmodic effect.
Indications for use: spasms associated with disruption of the gastrointestinal tract, with disorders of the digestive system.
Use with caution in children and pregnant women.
An antispasmodic can significantly reduce blood pressure, therefore, people with hypotension are advised to monitor their condition when taking No-shpa. Taking the drug for more than two days without a doctor's prescription is not recommended.
Metoclopramide
The drug is not available in pharmacies without a doctor's prescription. The main active ingredient is metoclopramide, it stops vomiting, normalizes the gastrointestinal tract, and eliminates pain.
The drug is strictly contraindicated for pregnant women and children. Also not allowed for use by women during lactation.
The use of the drug together with alcohol is unacceptable. It is recommended to stop driving a car for the next 24 hours after taking Metoclopramide.
Maalox
The drug is available in the form of chewable tablets and suspension. Can be purchased at any pharmacy without a prescription. The drug is based on algeldrate and magnesium hydroxide, which have an enveloping effect and cope with pain in the upper abdomen. Actively fights heartburn, a feeling of heaviness and bloating.
Not recommended for use by pregnant and nursing mothers, children under 15 years of age, persons with diabetes mellitus, or kidney disease.
It is permissible to take no more than 12 tablets per day.
Duspatalin
The release form of the drug is tablets. Can be purchased in pharmacies without a prescription. Mebeverine is the main active ingredient, which has an antispasmodic effect, fights colic and heaviness.
Not recommended for women expecting to give birth.
Motilium
Lozenges. Available without a prescription. The drug is based on the substance domperidone, which has a reducing effect on the walls of the stomach. Eliminates nausea, vomiting, and discomfort in the epigastric area. Effective against overeating.
There are contraindications for persons under 10 years of age and pregnant women.
Preventive measures to avoid abdominal pain
There are a number of measures aimed at preventing gastrointestinal diseases:
- avoid evening snacks and overeating before bed;
- Strictly limit or eliminate the consumption of foods high in fat, flour, and sweets;
- coffee is an enemy to health, try to give it up completely;
- food products made with the help of deep processing of meat (sausages, sausages) are one of the possible causes of the development of colon cancer: by refusing to eat them, you will not lose anything; eating natural meat is more beneficial;
- after eating, avoid any stress on the abdominal area for two hours;
- The most banal, but most useful advice of all - do not forget to wash your hands after visiting the toilet and before eating.
Although these recommendations seem primitive, their effectiveness has long been proven. It is not difficult to follow them, and the effect will be obvious.
What causes sudden abdominal pain?
Pain is explained by the body's response to irritants. By its nature one can determine the original source.
cutting
If the abdominal cavity seems to be cut into pieces, most likely the problem lies in the upper parts of the gastrointestinal tract: the stomach, duodenum, pancreas.
The appearance of pain: hydrochloric acid, which is part of the gastric juice, has an aggressive effect on the mucous membrane, which is already damaged.
This is where pain of a burning nature arises. If a person is sick with pancreatitis, then damage to the solar plexus becomes quite possible.
Intestinal colic also reveals itself as a cutting pain. They appear against the background of stress, overwork and other reasons. If a person has acute gastritis, to which food poisoning is added, then such symptoms cannot be avoided.
Stabbing
For various intestinal problems, the most common complaint among patients is stabbing pain in the navel area. Various damaging factors affect the smooth muscles of the intestinal wall, thereby causing its sharp contraction.
Intestinal spasms can simultaneously manifest as stabbing and cutting pain, especially when it comes to food poisoning.
Shingles in the abdominal area
Dull pain surrounding the abdominal cavity has not many causes. It all depends on its location. If it appears on both sides and extends to the top of the navel, then it may be inflammation of the pancreas, or acute pancreatitis. One of the factors in the manifestation and progression of diseases is considered to be excessive consumption of alcoholic beverages.
If the symptom appears on one side along the lower rib, then we can talk about damage to the spinal nerve. The lesion may be a consequence of a previous injury or intervertebral hernia.
Paroxysmal
If a painful feeling manifests itself in attacks according to the “let go-grabbed” principle, then most likely the problem is an intestinal disorder. The process is explained by intestinal peristalsis (complex movements that move a bolus of food).
Pulsating
Perhaps the most dangerous species. It may indicate a purulent process in the abdominal cavity. For example, it could be an abscess that appears as a result of acute appendicitis.
An inflamed pancreas manifests itself with the same symptoms.
What do various abdominal pains indicate when eating various foods?
According to medical statistics, a third of the world's population experiences discomfort in the abdominal area due to poor nutrition. Therefore, for those who have digestive problems, it is better to avoid some names.
Legumes
Belonging to the legume family, vegetables are rich in minerals and vitamins. But at the same time, the oligosaccharides they contain increase gas formation produced by the digestive system. This is where pain occurs, irritable bowel syndrome.
Soaking legumes overnight will improve their properties. But if this procedure is futile, it is better to switch to whole grains.
Carbonated drinks
If in the case of legume products, complete rejection of them is recommended only under extreme circumstances, then rejection of carbonated drinks is one of the prerequisites for a healthy stomach and intestines.
Any “soda” is characterized by a high level of carbon dioxide, which contributes to bloating and the appearance of pain. That is, with every sip of a carbonated drink a person consciously adds gases to the body, which is where the spasms begin.
Since “soda” does not have the slightest nutritional value, you can safely replace it with freshly squeezed juices and fresh juices.
Wheat
According to studies, gluten contained in wheat can contribute to digestive system disorders. But the usual diet of many people largely consists of this cereal.
If you are hypersensitive to gluten, it is recommended to completely avoid this crop, as well as similar ones that also contain gluten: rye, barley, oats, etc.
Eating products containing wheat grains can lead to pain, diarrhea, flatulence, and bloating.
Onion
Most people, even with their mother’s milk, learn the rule that onions are healthy, the more you eat, the better, you will get sick less.
But, if a person has problems with the gastrointestinal tract, then the sulfur compounds and fructans that make up raw onions will cause flatulence, bloating and pain. To avoid this, it is recommended to replace onions with other spicy herbs that do not have a similar effect.
Dairy
Due to the high level of lactose, contrary to the general opinion about their usefulness, they cause irreparable harm to health. Butter, cheeses, milk, and yogurt contain milk sugar, which causes discomfort in the stomach.
People who are lactose intolerant suffer from bloating, intestinal cramps, diarrhea and increased gas formation after consuming milk-containing products.
An excellent alternative to cow's milk is soy, rice, coconut or almond milk. They are also rich in beneficial microelements, but do not cause problems with the gastrointestinal tract.
Apples
“An apple a day and you don’t have to go to the doctor,” says a well-known proverb. But the high fructose and fiber content makes the apple a source of bloating, excess gas accumulation in the intestines and digestive problems.
If it is not possible to completely give up apples, you should try cooking them - this will reduce the pain of side effects.
Garlic
The fructans and sulfur contained in garlic cloves contribute to the appearance of bloating, cramps, and stomach pain. Garlic is also considered a powerful allergen. People with garlic intolerance experience painful flatulence and unpleasant belching after eating it.
Heat treatment of garlic usually helps to avoid unpleasant consequences after eating.
Don't rush to completely give up your favorite foods. Try reducing the amount of them in your diet and subjecting them to various treatments, which will reduce the likelihood of side effects.