Severe Abdominal and Rectal Pain During Pregnancy: Causes and Solutions - Gastroenterology and Hepatology

More Info

---

Severe abdominal and rectal pain during pregnancy can be concerning and may stem from various causes. Given your description of the symptoms, it is essential to consider both obstetric and gastrointestinal factors.
Firstly, the intense pain you experience in the lower abdomen and rectal area, especially before bowel movements, could indeed be related to your history of hemorrhoids (internal and external). Hemorrhoids can cause significant discomfort, particularly during pregnancy due to increased pressure in the pelvic area and hormonal changes that can lead to constipation. The pain you describe, akin to a toothache, may be a result of the strain on the rectal area when attempting to pass stool, especially if you are experiencing constipation.

Constipation is common during pregnancy, often exacerbated by hormonal changes that slow down the digestive system. The fact that you mentioned your stools resemble "sheep droppings" indicates that they are hard and difficult to pass, which can lead to straining and increased pain. The white color of your stools could be concerning as well; while it may not always indicate a serious issue, it is essential to rule out any underlying gastrointestinal problems, such as bile duct obstruction or liver issues, which can cause pale stools.

Given that you have already consulted a physician who prescribed medications for softening stools and muscle pain relief, it may be beneficial to seek a second opinion, particularly from a gastroenterologist. They can perform a more thorough evaluation, including possibly conducting tests like a colonoscopy or imaging studies, to rule out any other gastrointestinal conditions that may be contributing to your symptoms.

In addition to seeking medical advice, there are several lifestyle modifications you can implement to help alleviate your symptoms. Increasing your fiber intake through fruits, vegetables, and whole grains can help promote regular bowel movements. Staying well-hydrated is also crucial, as adequate fluid intake can soften stools and reduce the risk of constipation. Gentle physical activity, such as walking, can stimulate bowel function and help alleviate discomfort.

If hemorrhoids are indeed the primary cause of your pain, there are various treatments available, ranging from topical ointments to more invasive procedures if necessary. It is essential to address this issue, as untreated hemorrhoids can lead to complications such as thrombosis or infection.

Lastly, it is vital to monitor your symptoms closely. If you experience any additional concerning symptoms, such as significant bleeding, severe abdominal pain that does not improve, or any signs of infection (fever, chills), you should seek immediate medical attention.
In summary, while your symptoms may be related to hemorrhoids and constipation, it is crucial to consult with a healthcare professional who can provide a comprehensive evaluation and tailored treatment plan. Addressing these issues early can help improve your quality of life during pregnancy and ensure the health of both you and your baby.