Abdominal Issues: Pregnancy Concerns and Symptoms Explained - Obstetrics and Gynecology

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Abdominal issues?


Q1.
Can we be 100% certain that there is no pregnancy given that both pregnancy tests on 2/28 and 3/16 showed a single line?
Q2.
Was the bleeding from 3/2 to 3/7 considered a menstrual period? (The previous menstrual period was from 1/22 to 1/28.)
Q3.
Is the bleeding on 3/14 (which lasted about a week) related to pregnancy?
Q4.
Are the abdominal pain, abdominal enlargement, sounds from the abdomen, and abdominal movement related to pregnancy?
Q5.
Why is the abdomen moving and making sounds? Is this normal?

Niming, 10~19 year old female. Ask Date: 2019/03/26

Dr. Huang Jianzhong reply Obstetrics and Gynecology


Q1.
Can the negative results from the pregnancy tests on 2/28 and 3/16 (both showing one line) confirm with 100% certainty that there is no pregnancy?
Ans: Yes.
Q2.
Is the bleeding from 3/2 to 3/7 considered a menstrual period? (The previous menstrual period was from 1/22 to 1/28)
Ans: It should be considered a menstrual period.
Q3.
Is the bleeding on 3/14 (lasting about a week) related to pregnancy?
Ans: No, it is not related.
Q4.
Are the abdominal pain, abdominal enlargement, sounds from the abdomen, and abdominal movement related to pregnancy?
Ans: No, they are not related.
Q5.
Why is the abdomen moving and making sounds? Is this normal?
Ans: These are normal physiological phenomena, often related to digestion and intestinal activity.

Reply Date: 2019/03/26

More Info


Understanding abdominal issues during pregnancy can be complex, especially when considering various symptoms and their implications. Let's address your questions one by one, while also providing some context regarding common pregnancy concerns and symptoms.

Q1: Can two negative pregnancy tests (on 2/28 and 3/16) confirm that I am not pregnant?
Generally, if you have taken two home pregnancy tests and both show a negative result (one line), it is a strong indication that you are not pregnant. Home pregnancy tests work by detecting the hormone hCG (human chorionic gonadotropin) in your urine, which is produced after a fertilized egg implants in the uterus. If the tests were taken after your expected period and both were negative, it is highly likely that you are not pregnant. However, if you still suspect pregnancy due to symptoms or missed periods, consulting a healthcare provider for a blood test may provide more definitive results.

Q2: Was the bleeding from 3/2 to 3/7 my menstrual period?
Given that your previous menstrual cycle was from 1/22 to 1/28, the bleeding you experienced from 3/2 to 3/7 aligns with the timing of your expected menstrual cycle. This suggests that it is likely your menstrual period. However, if the bleeding was significantly lighter or different in character than your usual menstrual flow, it could be worth discussing with a healthcare provider, as it may indicate other conditions, such as hormonal fluctuations or early pregnancy complications.

Q3: Is the bleeding on 3/14 related to pregnancy?
The bleeding you experienced around your ovulation period (3/14) could be related to ovulation itself, which can sometimes cause light spotting known as ovulation bleeding. This is typically normal and not a sign of pregnancy. However, if you are experiencing unusual bleeding or pain, it is advisable to consult with a healthcare provider to rule out any potential issues.

Q4: Are the abdominal pain, bloating, and sensations of movement related to pregnancy?
The symptoms you describe, such as abdominal pain and bloating, can occur for various reasons, including hormonal changes, digestive issues, or even stress. These symptoms are not exclusively indicative of pregnancy, especially given your negative pregnancy tests. If the pain is persistent or severe, it is important to seek medical advice to determine the underlying cause.

Q5: Why does my abdomen feel like it is moving and making sounds? Is this normal?
The sensations of movement and sounds in the abdomen can be attributed to normal gastrointestinal activity. The digestive system can produce sounds (borborygmi) as food and gas move through the intestines. Additionally, if you are experiencing bloating, it can create a feeling of fullness or pressure in the abdomen. If these sensations are accompanied by pain or discomfort, it may be worth discussing with a healthcare provider to rule out any gastrointestinal issues.

In summary, while some of your symptoms may be concerning, they do not necessarily indicate pregnancy, especially in light of your negative pregnancy tests. It is essential to monitor your symptoms and consult with a healthcare provider if you have any persistent or severe issues. Regular check-ups and open communication with your healthcare provider can help ensure a healthy pregnancy or address any other health concerns you may have.

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