Why Does the Lower Right Abdomen Hurt During the 4th Month of Pregnancy?

Pregnancy and Causes of Right Lower Abdominal Pain During the Fourth Month

Pregnancy refers to gestation. Right lower abdominal pain during the fourth month of pregnancy can be caused by various factors such as fetal development, threatened abortion, ectopic pregnancy, appendicitis, enteritis, and more. It is recommended to seek medical attention promptly and receive appropriate treatment measures under the guidance of a doctor. Details are as follows:

1. Fetal Development

The fourth month of pregnancy falls within the second trimester, during which the fetus continues to grow, leading to uterine enlargement. This enlargement can stretch the right uterine ligament, causing mild pain, which is a normal phenomenon. Adequate rest and adopting a left lateral position during sleep can reduce stimulation to the right abdomen and facilitate recovery.

2. Threatened Abortion

Excessive physical activity during pregnancy may stimulate the uterus, leading to threatened abortion accompanied by abdominal pain or vaginal bleeding. Timely measures to protect the pregnancy, including bed rest, maintaining a good mood, and possibly taking medications such as progesterone capsules, dydrogesterone tablets, or Baotailing tablets under a doctor's supervision, can help safeguard the pregnancy.

3. Ectopic Pregnancy

Ectopic pregnancy occurs when the fertilized egg implants and develops outside the uterine cavity, often resulting in symptoms like missed periods, abdominal pain, or vaginal bleeding. A B-ultrasound examination is necessary for diagnosis. Early termination of pregnancy is advised to prevent adverse effects on the mother's health, which can be achieved through surgeries like salpingotomy or salpingostomy. Postoperative wound hygiene is crucial to prevent infection.

4. Appendicitis

Neglecting personal hygiene during pregnancy can lead to bacterial infection, causing symptoms like lower abdominal pain, fever, nausea, and vomiting. Eating warm foods like soft noodles or rice porridge can reduce gastrointestinal irritation. In severe cases, antibiotics like cefixime dispersible tablets, azithromycin tablets, or roxithromycin granules may be prescribed by a doctor for antibacterial effects.

5. Enteritis

Ignoring food hygiene during pregnancy can lead to intestinal infections, manifesting as right lower abdominal pain, diarrhea, vomiting, or fever. Maintaining clean dietary habits and avoiding raw, cold, or spicy foods like chili or ice cream is essential. In severe cases, medications like cefixime capsules, Pudilan Xiaoyan Pian (an herbal anti-inflammatory), or acetaminophen may be prescribed by a doctor for antibacterial and antipyretic effects.

Additionally, gynecological conditions like adnexitis or cervicitis may also cause such symptoms and require examination by a gynecologist. If symptoms are severe, prompt medical attention is advised to avoid impacting fetal growth and development.