Why Does My Upper Abdomen Hurt Under My Ribs While Pregnant?

During pregnancy, many women experience various aches and pains as their bodies undergo significant changes to accommodate the growing baby. One common discomfort that pregnant women may encounter is upper abdominal pain under the ribs. This type of pain can be distressing, but understanding the reasons behind it can help alleviate concerns and provide some relief.

Uterine Expansion and Rib Pain

As pregnancy progresses, the uterus expands to accommodate the growing fetus. The expanding uterus puts pressure on the surrounding organs and structures, including the ribs. This pressure can lead to discomfort and pain in the upper abdomen, particularly under the ribs. The ribs may feel sore or tender to the touch, and the pain can range from mild to sharp and stabbing.

Diaphragm Displacement

Another reason for upper abdominal pain under the ribs during pregnancy is the displacement of the diaphragm. The growing uterus can push the diaphragm upwards, causing it to put pressure on the rib cage. This pressure can result in a feeling of tightness or discomfort in the upper abdomen, especially under the ribs.

Gas and Indigestion

During pregnancy, hormonal changes can slow down digestion and lead to increased gas production. This can result in bloating, gas, and indigestion, which may contribute to upper abdominal pain under the ribs. Gas trapped in the digestive system can cause discomfort and even sharp pains in the rib cage area.

Round Ligament Pain

Another potential cause of upper abdominal pain under the ribs is round ligament pain. As the uterus grows, the ligaments that support it stretch and thin out, leading to sharp, shooting pains in the abdomen, including under the ribs. This type of pain is often more pronounced with sudden movements or changes in position.

Posture and Body Changes

During pregnancy, the body undergoes significant changes to accommodate the growing baby, including shifts in posture and changes in the center of gravity. These changes can put strain on the muscles and ligaments around the ribs, leading to discomfort and pain in the upper abdomen under the ribs.

Braxton Hicks Contractions

Braxton Hicks contractions, also known as “practice” contractions, can sometimes cause discomfort in the upper abdomen under the ribs. These contractions are usually mild and irregular but can be mistaken for true labor contractions. The tightening sensation in the abdomen can sometimes be felt under the ribs.

Referral Pain

It is also possible for pain originating from other areas, such as the lower abdomen or back, to be referred to the upper abdomen under the ribs. This type of pain, known as referral pain, can be confusing as the source of discomfort may not be where the pain is felt.

When to Seek Medical Attention

While upper abdominal pain under the ribs during pregnancy is often due to normal changes and discomforts associated with pregnancy, it is essential to be aware of any symptoms that may indicate a more serious issue. If the pain is severe, persistent, accompanied by other symptoms such as fever or vomiting, or if you have concerns about your condition, it is important to seek medical advice.

Managing Upper Abdominal Pain

There are several ways to help manage upper abdominal pain under the ribs during pregnancy. Practicing good posture, taking frequent breaks, using pillows for support, and applying warm compresses to the area can provide some relief. Gentle stretching exercises and prenatal yoga may also help alleviate discomfort and promote relaxation.

Why Does My Upper Abdomen Hurt Under My Ribs While Pregnant?

Conclusion

Upper abdominal pain under the ribs during pregnancy is a common discomfort experienced by many women. Understanding the reasons behind this pain, such as uterine expansion, diaphragm displacement, gas and indigestion, round ligament pain, posture changes, Braxton Hicks contractions, and referral pain, can help expectant mothers manage their symptoms effectively. While most cases of upper abdominal pain during pregnancy are harmless, it is important to seek medical advice if the pain is severe or accompanied by concerning symptoms.

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Nancy Sherman

Nancy Sherman has more than a decade of experience in education and is passionate about helping schools, teachers, and students succeed. She began her career as a Teaching Fellow in NY where she worked with educators to develop their instructional practice. Since then she held diverse roles in the field including Educational Researcher, Academic Director for a non-profit foundation, Curriculum Expert and Coach, while also serving on boards of directors for multiple organizations. She is trained in Project-Based Learning, Capstone Design (PBL), Competency-Based Evaluation (CBE) and Social Emotional Learning Development (SELD).