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Symptoms of disease - pain in the second trimester of pregnant

The second trimester of pregnancy, which lasts from the beginning of the 13-th weeks before the end of the 27-th of the week, sometimes called the golden period. Why? Because many of the unpleasant parts of early pregnancies decreased, and the complexity of the third trimester have not begun yet. During the second trimester, you will probably experience less toxicosis, you have more time to rest and a lot of energy and forces.

In this period you are really going to feel your baby. At approximately 13 weeks, you can hear the beating of your heart baby. On the ultrasound, which is performed in 19 weeks, you first see her baby. And somewhere between 16 and 20 weeks, you will feel the first movement of your child.

The second trimester of pregnancy, however, is not always runs smoothly and quietly. There is a lot of different difficulties that accompany the second trimester.



Which diseases there is pain in the second trimester of pregnant

Causes of pain in the second trimester pregnant women:

1. Pain when walking

During pregnancy, the joints between the pelvic bones begin to soften for preparation for the baby. In the second trimester of the uterus increases, in consequence of which varies center of balance and you have changed the gait. An attempt to compensate for this, and walk, as you have walked before, can lead to a sense of pain.

To prevent or ease the pain pay attention to the position of your body. For this, it is recommended when walking, take the shoulders back, moving the center of gravity on his heels, wearing a bandage (he would weaken the load from your stomach and relieve the tension in the back). Get plenty of rest sitting. If for this or other reasons, you spend a lot of time on your feet, try to relax sitting, at least every half-hour.

2. Pain in the abdomen

- Lower abdominal pain, often associated with stretching the muscles around increasing uterus. Although it is not clear your pregnancy under threat, in the case of severe pain, should consult with your doctor. Lower abdominal pain may testify and the displaced pregnancy, ectopic pregnancy or other problems.

- Quite a common cause of pain in the abdomen or in the groin in the second trimester, is a round ligament that supports the uterus. In the process of pregnancy she stretched and can cause severe pain or cramps in the lower abdomen. The discomfort usually lasts a few minutes and then leaves.

- If you have an operation in the field of abdominal cavity or surgically treated with infertility, it can be pain in the area of operating seams. Increasing the size of the uterus can make these seams stretch or even diverge (if the operation took place recently, and the fabrics have not yet formed).

- Quite often the pain in the abdomen in the second trimester of pregnancy occurs on the background of malnutrition. This leads to spasms of the organs of the digestive system and responds aching pain in the lower abdomen. Pain in the lower abdomen during pregnancy can be formed on the background of the existing first colitis and infusions of the intestines. A supper, insufficiently cooked or not at all fresh food provide additional burden on the intestines, which can lead to increased gasing and a sensation of heaviness in the lower abdomen. Such pain end upon the completion of the process of digestion, but can occur again under similar conditions. The most important weapon in the fight against such pain - proper nutrition.
The growing uterus compresses the intestine, which without it on the background of hormonal feels out of sorts: reduced motor skills, violated the peristalsis, constipation become a frequent occurrence. It is constipation often cause pain in the lower abdomen during pregnancy. To reduce the risk of constipation you need to drink plenty of fluids, type in the diet of a lot of crude fiber (fruits, vegetables, wholemeal bread), often go for a walk.

- Pain in the abdomen in the second trimester of pregnancy also arises because of the stretching of the ligaments that support the uterus. As the growth of the fruit of the uterus, increases in size, and pressure on the ligaments increases. Sprains are very pronounced in case of sharp movements, sneezing, a change of position. The pain is sharp, but short-term.

- Pain in the abdomen in the second trimester of pregnancy may also occur because of the surge abdominal muscles. The pain of these occur during exercise, stretching. To the pain subsided enough simply to have a rest and relax.

- Extremely rare during pregnancy may be exacerbated diseases such as appendicitis, pancreatitis, intestinal occlusion. The pain in these diseases is specific: it is growing, is accompanied by increased body temperature, nausea, dizziness. It is not excluded, that it can take prompt surgical intervention. Therefore, it is best as soon as possible consult a physician or call an ambulance.

- Pain in the abdomen in the second trimester of pregnancy can mean and gynaecological problems character. The pain may be the result of and troubled course of pregnancy, and the state of health of a pregnant as a whole.

If you feel pain in the abdomen in the second trimester, you will help the various exercises on relaxation or a warm bath. One way or another, pain in the abdominal cavity inevitably accompany pregnancy, we should not worry much about it. But if the pain become strong and regular, should contact a doctor immediately.

3. Leg cramps

Cramps in her legs quite often occur in the second and third trimesters. They usually occur at night and, thereby, prevent restful sleep. The precise cause of the seizures is not known, but they may occur because of the inadequate amount of calcium in your diet, fatigue or the pressure of the uterus on the nerves.

If convulsions bring you pain and discomfort, try to do various exercises on stretching the muscles. Wearing a bandage - especially if You do a lot of standing in a day - also, can help. Try not to overdo things, plenty of rest.

If leg cramps occur frequently enough and with considerable pain, tell your doctor. In rare cases, seizures may indicate blood clots in the veins, in this case, it is necessary to separate treatment.

4. Pain in the lower back in the second trimester of pregnancy.

- Pain in the lower back in the second trimester of pregnancy is observed in almost half of the women. Most often, this pain is associated with increased load on the spine and relaxation of the muscles of the abdomen because of their distension. Usually such pain appears after the 5th month of pregnancy, and is reduced and is only after the delivery. The pain sometimes "gives" in his leg, and increases after physical load, long distance, long periods of standing, sitting in an uncomfortable position. Pain in the area of symphysis joints (vulva) , and the sacro-iliac joint (felt in the hip joints and on the front of the thigh) is caused by a slight softening of the ligaments, due to a change in hormonal levels in pregnant women and the negotiation of the hormone relaxin.
Cope with pain in the back you can with the help of a diet rich in calcium, which includes dairy products, nuts, fish, meat, greens. If the pain in the lower back and pelvic bones bother regularly, you should be taken carbonate or calcium lactate. Pregnant women should also avoid movements that increase the load on your back. Picking up something from the floor, to sit down on his haunches and strain the muscles of the shoulders and legs, but not back. Sit should be leaning on the back of the chair, and in any case can not sit down "with a flourish", sharply, as in this case suffer intervertebral disks. To sleep you should choose a mattress, semi-rigid and elastic. Pillows should be of medium size, better - anatomic form, takes account of the natural curvature of the spine. Shoes must be comfortable with a low and stable heel. And of course, indispensable physical exercises that strengthen the muscles of the abdomen, back, thighs and buttocks: aerobics, aqua-aerobics, swimming.

- Various neurological diseases, for example, a herniated disc, lumbar radiculitis can also be the cause of pain in the lower back in the second trimester of pregnancy. The treatment in this case implies a confinement to bed, soft corset or bandages, medical gymnastics, occasionally, use of pain medications. Long-term pain in symphysis joints of the violation and gait - signs of simphisiatic, hereditary diseases, associated with considerable stretching and softening of the symphysis joints and bleeding in him. In this case the treatment is performed in a hospital, and the pregnancy is under the constant supervision of a physician.

- If the pain is accompanied by fever, the appearance of edema, headaches and increased blood pressure, frequent urination, when the urine becomes turbid and changes color, it should be sure to consult a doctor. These symptoms are typical for kidney disease that requires treatment in a hospital environment, as have an adverse effect on the pregnancy, the fetus, women's health, cause severe complications. Most of the time when such symptoms is found pyelonephritis - inflammation of kidney tissue and upper urinary tract, caused by infection.

- Sharp, intense, cramping pain in the lower back, accompanied by a violation of urination, may indicate renal colic in urolithiasis. Passing through the ureters, stone hurt them, there arises a spasm and pain. That is why for nephrolithiasis appoint antispasmodic and analgesic drugs. Treatment of holds a doctor. In the future, it is necessary to diagnose the stones (there are several varieties) , and depending on the correct diet and treatment.

5. The pain in his side in the second trimester of pregnancy.

Often pregnant women have reported the emergence of pain, a sense of gravity, bursting open in the right hypochondrium.

These feelings are growing stronger with increasing duration of pregnancy. In most cases it turns out that there is dyskinesia of the gall bladder and bile ducts.

Dyskinesia biliary tract is not as innocuous as it may seem at the first glance, as it contributes to the development of the inflammatory process kamneobrazovaniu. And on the contrary - dyskinesia may be one of the manifestations of cholelithiasis, chronic cholecystitis, anomalies of development of the biliary tract.

Between biliary system and other organs of the digestive existence of various anatomical, functional and hormonal communication, they have a substantial impact on the operation of the system. So, for example, intake of food in the stomach is not the only cause mechanical irritation of the receptors of the stomach, but often also increases the choleresis and motor activity of the biliary tract.

The motor function of the gall bladder and bile ducts to a large extent depends on the state of the nervous system: so, dystonia of the autonomic nervous system can violate the consistency of reduction of muscles of the gall bladder and relaxation of the tone of sphincters and cause a delay secretion. An important role in causing psoriasis may also play a psychogenic factors, as it is often the result and one of the clinical manifestations of the general neurosis.

Muscle weakness biliary tract sometimes is constitutional (associated with the peculiarities of the constitution) the nature, sometimes provoked by unbalanced nutrition, or may be the result of hormonal imbalance.

For pregnant women is characterized by “giper-motor” (i.e., associated with a reduction of motion activity) breach of the functioning of internal organs, caused by general changes, hormonal background.

A woman's body in the second trimester of pregnancy produces a large amount of progesterone. The main physiological point of the action of progesterone in this period is to relax the uterus, preventing miscarriage and premature delivery. However, "in passing" relax and other smooth muscle bodies, including the gall bladder. In the basis of “giper-motor”  dyskinesia is weak, inadequate emptying of the gall bladder, leading to its strain and the pain.

The occurrence of psoriasis may be connected with the pure mechanical reasons: the growing uterus puts pressure, "pinching" the organs of the thoracic cavity, including the liver and gall bladder, as a result can disrupt the normal process of secretion.

A woman is usually bother dull aching pain in the right hypochondrium (which may apply to epigastric region), feeling of heaviness, a feeling of pressure in this area, often accompanied by loss of appetite, nausea, a feeling of bitterness in the mouth, the hangover of air, heartburn, abdominal distention. The pain can be multiplied by perturbations fruit, depend on its position in the uterus.

Excessive emotions, emotional stress, and sometimes the errors in the diet reinforcing or provoke pain and a feeling of expansion in your hypochondrium. May experience pain in the heart, palpitation, headache, numbness of limbs, sweating, sleep disturbance - doctors call these symptoms of a picture of vegetative crises.

6. Pre-Eclampsia. Symptoms of pre-eclampsia include increased blood pressure, headaches, swelling of the feet, hands and face, as well as the presence of protein in the urine. Without timely medical intervention may end eclampsia (convulsions), however, the regular antenatal care implies its early diagnosis and effective treatment or control its development.



Which doctor should I contact if there is a pain in the second trimester of pregnant

  • Obstetrician-gynecologist
  • Gynaecologist


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Do you feel pregnant hurts in the second trimester? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.