Stomach pain and bleeding in early pregnancy

Stomach pain and bleeding in early pregnancy may be a symptom of threatened miscarriage, ectopic pregnancy or physiological bleeding. Measures such as bed rest, drug treatment or emergency surgery need to be taken according to the specific cause. Common causes include insufficient luteal function, abnormal embryonic development, cervical lesions, etc. It is recommended to seek medical treatment immediately for a clear diagnosis.

1. Threatened abortion

Unstable embryo implantation or insufficient corpus luteum function may lead to uterine contraction bleeding, which is manifested as dull pain in the lower abdomen with a small amount of dark red blood. The doctor may recommend the use of progesterone capsules, dydrogesterone tablets and other drugs to protect the fetus, and at the same time absolute bed rest for 1-2 weeks. Avoid lifting heavy objects and strenuous exercise to keep defecation smooth.

2. Ectopic pregnancy

Implantation of the fertilized egg in the fallopian tube will cause severe tearing pain and bright red bleeding on one side, which may be accompanied by radiating pain to the shoulder. The diagnosis needs to be confirmed by vaginal ultrasound and blood HCG testing. In emergency cases, laparoscopic salpingectomy or methotrexate injection is required. People with a history of pelvic inflammatory disease are more likely to develop it.

3. Cervical lesions

Cervical polyps or cervicitis are prone to contact bleeding during pregnancy, manifesting as painless bright red blood stains. The doctor will conduct a colposcopy evaluation and, if necessary, use Baofukang suppository or laser treatment. Avoid sexual intercourse and vaginal douching, and review cervical cytology regularly.

4. Abnormal embryonic development

Chromosomal abnormalities may cause subchorionic hematoma, causing episodic abdominal pain and brown discharge. Ultrasound is used to monitor the heartbeat of the embryo. If fetal termination is confirmed, a uterine curettage is required. It is recommended to take folic acid supplements 3 months before pregnancy to reduce the risk.

5. Physiological bleeding

Some pregnant women will have a slight pink discharge when the fertilized egg implants, and it will heal itself in 1-2 days without any treatment. Overexertion or hormone fluctuations may also cause temporary abdominal pain. It is recommended to observe changes in bleeding volume and avoid using tampons.

If you experience abdominal pain and bleeding during pregnancy, you should lie down immediately and record the color, amount and duration of pain. Avoid taking painkillers or applying heat to the abdomen by yourself. All treatments must be performed under the guidance of an obstetrician. It is recommended to review progesterone levels every week before 12 weeks of pregnancy, pay attention to supplementing high-quality protein and vitamin E in the diet, and maintain a daily water intake of 1500-2000 ml. If you experience shock symptoms such as dizziness or cold sweats, call emergency services.