Uncertain Lower Abdominal Pain After Miscarriage

Uncertain lower abdominal pain?

Dear Doctor: Since my embryo naturally miscarried, I have been experiencing intermittent pain or a feeling of heaviness in my lower left abdomen (the embryo was only formed for about two weeks).
Sometimes, the sensation seems to be near my intestines, and it slightly alleviates after passing gas, but at times it feels closer to my ovaries and takes a while to improve.
Since I'm uncertain about the exact location and this situation occurred after a natural miscarriage, I'm unsure which specialty to consult.
What would be the best course of action for me?

chuchu, 30~39 year old female. Ask Date: 2015/10/09

Dr. Liao Yaopan reply Family Medicine

Hello, for lower abdominal pain in women, it is still recommended to seek evaluation from both gastroenterology and obstetrics and gynecology to understand the underlying cause.
Changhua Hospital cares about you.

Reply Date: 2015/10/09

More Info

Experiencing uncertain lower abdominal pain after a miscarriage can be distressing and confusing. It is essential to understand that after a miscarriage, the body undergoes various physical changes, and some discomfort can be expected. However, it is crucial to differentiate between normal post-miscarriage symptoms and those that may indicate a more serious issue.

Firstly, the pain you are experiencing in the left lower abdomen could be attributed to several factors. After a miscarriage, the body is in a state of recovery, and the hormonal changes can lead to various physical sensations, including cramping or pulling sensations. The pain you describe as feeling like it is near the intestines or ovaries could be related to residual uterine contractions as the body expels any remaining tissue. Additionally, the pain may also be associated with gas or bloating, which can occur after a miscarriage due to changes in digestion and hormonal fluctuations.

It is also important to consider the possibility of complications following a miscarriage. For instance, if there is retained tissue in the uterus, it can lead to continued cramping and pain. In some cases, this may require medical intervention to ensure that the uterus is clear. Furthermore, if you experience severe pain, heavy bleeding, fever, or any signs of infection, it is crucial to seek medical attention immediately.

Given the uncertainty of your symptoms, it would be advisable to consult with a healthcare provider. You may want to start by seeing an obstetrician-gynecologist (OB-GYN), as they specialize in women's reproductive health and can provide insight into post-miscarriage recovery. They can perform a physical examination, possibly including an ultrasound, to assess the condition of your uterus and ovaries and rule out any complications.

In the meantime, there are a few self-care measures you can take to help alleviate discomfort. Gentle heat application, such as a heating pad on the abdomen, can help relax the muscles and reduce cramping. Staying hydrated and maintaining a balanced diet can also support your recovery. If gas is contributing to your discomfort, consider gentle movements or stretches that may help relieve bloating.

It is also essential to monitor your symptoms closely. If the pain persists or worsens, or if you develop any new symptoms, do not hesitate to seek medical care. Your health and well-being are paramount, and it is always better to err on the side of caution when it comes to your body.

In summary, while some discomfort after a miscarriage can be normal, it is essential to be vigilant about your symptoms. Consulting with a healthcare provider, particularly an OB-GYN, will provide you with the best guidance and care tailored to your situation. Remember, you are not alone in this experience, and seeking support is a crucial step in your recovery.

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