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Date of last update: 10/14/2017.

Forum Name: Gynecology

Question: Lower abdominal pain and pregnancy

 ladygemini86 - Thu Oct 27, 2005 11:32 pm

Can a pregnancy cause lower left side abdominal pain?
 Dr. Tamer Fouad - Sun Jan 08, 2006 6:49 am

User avatar Hello,
The endocrinological, physiological, and anatomical alterations that accompany pregnancy give rise to symptoms and signs that provide evidence that pregnancy exists. These symptoms and signs are classified into three groups: presumptive evidence, probable signs, and positive signs of pregnancy.[1]

Presumptive evidence of pregnancy is based largely on subjective symptoms that include nausea with or without vomiting, a disturbances in urination, fatigue and the perception of fetal movement.[1]

Presumptive signs include cessation of menses, changes in the breasts, discoloration of the vaginal mucosa, and increased skin pigmentation and the development of abdominal striae.[1]

The probable signs of pregnancy include enlargement of the abdomen, changes in the shape, size, and consistency of the uterus, anatomical changes in the cervix, Braxton Hicks contractions, ballottement, physical outlining of the fetus and the presence of chorionic gonadotropin in urine or serum.[1]

The three positive signs of pregnancy are identification of fetal heart action separately and distinctly from that of the pregnant woman, perception of active fetal movements by the examiner and recognition of the embryo and fetus any time in pregnancy by sonographic techniques or of the more mature fetus radiographically in the latter half of pregnancy.[1]

Lower left side abdominal pain is usually associated with colonic distension and diseases of the colon.

1. Cunningham FG, Gilstrap LC, Gant NF, Hauth JC, Leveno KJ, Wenstrom KD, eds. Williams Obstetrics, 21st edition. New York, NY: McGraw-Hill; 2001.

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