Postpartum Abdominal Pain: Causes and When to Seek Help

Abdominal pain two months postpartum?

More than two months postpartum, I experienced abdominal pain after my first menstrual cycle (currently four months).
Initially, the pain was intermittent, but it has been persistent for the past two weeks.
After a pediatric examination, I was treated for a urinary tract infection, but the abdominal pain continued.
I then visited the obstetrics and gynecology outpatient clinic, where it was suggested that I might have uterine inflammation.
I was prescribed suppositories, oral medication, and a stool softener.
However, after three days of treatment, the abdominal pain persisted, and I began experiencing abdominal cramping.
The pain is located in the lower abdomen and the left lower quadrant, accompanied by frequent urination and sharp, dull pain sensations.
What could be the issue? Which specialty should I consult? (I recently had blood tests for liver and kidney function, and the results were normal.)

jing, 30~39 year old female. Ask Date: 2008/03/09

Dr. Zhuang Zhijian reply Obstetrics and Gynecology

Hello, thank you for your inquiry.
In response to your question, I would like to provide the following advice: Based on what you have described, it is unclear whether your delivery was vaginal or cesarean.
I recommend that you visit our obstetrics and gynecology outpatient clinic for a more suitable examination.
Wishing you safety and happiness!

Reply Date: 2008/03/09

More Info

Postpartum abdominal pain can be a distressing experience for many women, especially when it persists for an extended period. In your case, it appears that you have been experiencing abdominal pain for about four months following your first menstrual cycle after childbirth. The pain has become more continuous over the last two weeks, and you have also been experiencing symptoms such as frequent urination, sharp pain, and a feeling of heaviness in the lower abdomen.

Given the timeline and symptoms you've described, there are several potential causes for your abdominal pain. One of the most common reasons for postpartum abdominal pain is uterine involution, which is the process by which the uterus returns to its pre-pregnancy size and position. This process can sometimes be accompanied by cramping and discomfort, especially after the first menstrual cycle. However, since your pain has persisted and worsened, it is essential to consider other possibilities.

1. Infection: You mentioned that you were treated for a urinary tract infection (UTI). UTIs can cause abdominal pain, frequent urination, and discomfort. If the infection was not entirely resolved, it could lead to ongoing symptoms. Additionally, postpartum women are at risk for endometritis, an infection of the uterine lining, which can cause similar symptoms, including abdominal pain and fever.

2. Pelvic Inflammatory Disease (PID): This condition occurs when bacteria from the vagina or cervix spread to the reproductive organs. PID can cause severe abdominal pain, fever, and abnormal discharge. It is crucial to rule this out, especially if you have had any risk factors, such as a history of STIs.

3. Ovarian Issues: Conditions such as ovarian cysts or even complications like ovarian torsion can cause localized pain in the lower abdomen. Given that you have left-sided pain, it might be worth investigating the status of your ovaries.

4. Gastrointestinal Issues: Sometimes, gastrointestinal problems can mimic gynecological pain. Conditions such as irritable bowel syndrome (IBS) or constipation can lead to abdominal discomfort. Since you mentioned being prescribed a stool softener, it may be worth considering if constipation could be contributing to your symptoms.

5. Musculoskeletal Pain: After childbirth, the body undergoes significant changes, including hormonal shifts and physical strain from labor and delivery. This can lead to musculoskeletal pain, particularly in the pelvic region.

Given your symptoms and the fact that you have already seen both a pediatrician and a gynecologist, it may be beneficial to follow up with a gynecologist or a maternal-fetal medicine specialist who can conduct a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess the uterus and ovaries for any abnormalities. Additionally, if an infection is suspected, further tests, including cultures, may be warranted.

In summary, while postpartum abdominal pain can be common, persistent pain, especially when accompanied by other symptoms like frequent urination and sharp pain, should not be ignored. It is essential to continue seeking medical advice until a definitive diagnosis is made. If your symptoms worsen or you develop new symptoms such as fever, chills, or severe pain, seek immediate medical attention. Your health and well-being are paramount, and it is crucial to address these concerns with a healthcare provider who can guide you through the appropriate diagnostic and treatment pathways.

Similar Q&A

Understanding Postpartum Abdominal Issues: Symptoms and Specialist Guidance

Six months postpartum, I recently discovered a hard lump about 1 to 2 fingerbreadths above my navel that pulsates like a heartbeat and is painful when pressed. It also hurts when I hold my baby, and I have suddenly lost 4 kilograms. Sometimes I have a decreased appetite, or I exp...

Dr. Chen Jiaming reply Surgery
It is recommended to first visit a general surgeon for a physical examination to further confirm the condition of the lesion, after which additional tests can be arranged.

Understanding Abdominal Pain After Childbirth: Causes and Solutions

Hello, I have been experiencing gastrointestinal issues since giving birth. I often have bloating, abdominal pain, and constipation. After a year, my bowel movements became daily, but sometimes I experience diarrhea, and bloating persists. Recently, I have also been experiencing ...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you have a cesarean section, it is more likely to experience intestinal adhesions, which can lead to changes in bowel habits. This is less common with vaginal delivery. If you experience pain upon pressure that does not improve, it is advisable to consult a gynecologist...

Postpartum Back Pain: Causes, Concerns, and Relief Strategies

Hello, I have received an epidural during labor, and it has been four months postpartum. I often experience lower back pain; could this be a residual effect? Are there any ways to improve this? Occasionally, I have abdominal cramps, but not frequently; is this a concern? I had a ...

Dr. Zhan Deqin reply Obstetrics and Gynecology
1. Postpartum lower back pain is common and can be improved with increased postpartum exercise. 2. If there is blood in the stool, it is advisable to consult a colorectal surgeon to determine if it is caused by hemorrhoids or other issues.

Post-Cesarean Bloating: Causes and Relief Strategies for New Moms

It has been over a year since I gave birth to my second child via cesarean section, and I often experience abdominal bloating. Is this due to the cesarean delivery? How can I alleviate the symptoms?

Dr. Lin Zhaopei reply Obstetrics and Gynecology
Common complications of cesarean delivery include significant bleeding, abdominal wall hematoma, wound infection, bladder injury, adhesions, and anesthesia-related injuries. Adhesions often lead to symptoms such as abdominal pain, bloating, and constipation. For long-term bloatin...