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06.12.2012

Shoulder pain in early pregnancy, neck shoulder pain - Try Out

Author: admin
During pregnancy, shoulder pain can be a symptom of something as simple as a bad night’s sleep. As pregnancy progresses a woman’s body produces chemicals to relax the ligaments in the body and prepare for childbirth. An ectopic pregnancy occurs when the embryo is located outside the uterus, usually in the fallopian tubes or cervix. In pregnancy, ongoing shoulder pain or shoulder pain, which occurs in conjunction with other symptoms, should always be reported to your healthcare provider. Most women experience the same symptoms as in a normal pregnancy until the ectopic pregnancy has ruptured.
Shoulder pain: Pain in the shoulder, especially on lying down is very specific for ectopic pregnancy. People who use fertility treatments like In Vitro Fertilization (IVF) to become pregnant are also at risk of developing an ectopic pregnancy but they are usually under their physician’s surveillance. To rule out ectopic pregnancy as the cause, any women arriving in the emergency room with abdominal pain is first given a urine pregnancy test. The next test after positive urine pregnancy test is quantitative hCG test which analyses the levels of human chorionic gonadotropin (hCG) hormone produced by the placenta.
Along with the ultrasound, the doctor might also do an abdominal examination to check for any mass, enlarged uterus, or pain causing areas.
Despite the use of ultrasound machines and the best equipment, a pregnancy in initial stages is difficult to visualize.
In early ectopic pregnancy, an injection of methotrexate can help stop the cells from dividing. Ectopic pregnancy associated with ruptured tube or extensive hemorrhage might need an emergency laparotomy (surgery through the abdominal incision). Once you have had an ectopic pregnancy, the likelihood of the next pregnancy also being ectopic is increased by 15 percent. In a usual, healthy pregnancy, an egg released by your ovary is fertilised by sperm in one of your fallopian tubes. The pregnancy may end by itself or it could continue to grow and split open (rupture) the fallopian tube. If you have missed a period or could be pregnant and have any of the symptoms described here, seek urgent medical attention. If your pregnancy test is positive, or your symptoms strongly suggest you have an ectopic pregnancy, your GP will refer you to a specialist. An ectopic pregnancy may either get smaller and end by itself, or get bigger and eventually split (rupture) your fallopian tube. You might not need any treatment for an ectopic pregnancy because sometimes the pregnancy ends by itself. If you find out you have an ectopic pregnancy early on in the pregnancy, your doctor may give you an injection of a medicine called methotrexate. It’s important not to get pregnant again within three months of having a methotrexate injection or within six months if you need two injections.


It’s important to recognise that an ectopic pregnancy can affect you emotionally as well as physically. No, ectopic pregnancies aren’t able to develop properly so it would never be possible for one to survive. If the pregnancy implants in your fallopian tube, there is a risk it will cause your fallopian tube to split open (rupture). Because an ectopic pregnancy can’t survive, the most important thing to consider when deciding on treatment is your health. The risk of becoming pregnant when you have had an intrauterine contraceptive device (coil) fitted is lower than if you don’t use any contraception. Most women can get pregnant again after an ectopic pregnancy although it will depend on the type of treatment you had.
It is thought that about 40% of pregnant women suffer from shoulder discomfort during their pregnancy. As the ligaments of the knees, hips, back, neck and shoulders loosen there is an increased risk of injury through ligament strain and sprain. A pregnancy is referred to as ectopic pregnancy when instead of implanting into the uterus, the egg implants at another site. Such incidents of tubal, abdominal or cervical pregnancies are associated with a lot of hemorrhage and are a danger to the mother’s life. Usually shoulder pain is observed when there is hemorrhage and this internal bleeding irritates the nerves going to the shoulder. Although there are many other causes of abdomino-pelvic pain, it is a pretty common symptom of ectopic pregnancy and therefore should not be ignored. If the pregnancy is early, a trans-vaginal or trans-pelvic ultrasound may be performed by placing the ultrasound wand in the vagina. If you experience abdominal pain within 5 weeks of your last menstrual period, then the cause might be an ectopic pregnancy but it is difficult to diagnose.
However, some women still find it difficult to become pregnant again if they had fertility problems before ectopic pregnancy. This is because if the ectopic pregnancy bleeds into your abdomen, this can in turn affect nerves that run to your shoulder. This will stop the growth of the embryo cells and the pregnancy will gradually be absorbed by your body. You may need to have blood tests and further ultrasound scans to ensure the pregnancy has ended.
Your surgeon may remove the pregnancy by using a device to suck (aspirate) it out of your fallopian tube.
However, if the coil fails and you do get pregnant, there is a greater risk of an ectopic pregnancy. However, even though it’s very unlikely, if you have had a coil fitted, you may still become pregnant. Even if you had your fallopian tube removed to treat the ectopic pregnancy, your chance of conceiving may only be slightly reduced.


About one in 10 women will have another ectopic pregnancy and this rises to a quarter of women who have two or more ectopic pregnancies. You’ll need to have an ultrasound scan six to seven weeks into your pregnancy to check the embryo is developing in your womb.
This can result in the formation of gallstones, which cause sharp abdominal pain and pain in the right shoulder. The abdominal pain can be sudden and severe with accompanying nausea and vomiting or dull and persistent. To be absolutely sure about ectopic pregnancy, you might have to go to your doctor every few days for some blood tests as well as an ultrasound so that diagnosis can be made with surety.
If you have severe symptoms of an ectopic pregnancy, your GP may refer you straight to hospital as an emergency. If the scan shows your womb is empty but your blood test shows high levels of hCG, it's very likely you have an ectopic pregnancy. Your treatment will depend on how severe your symptoms are, how advanced your pregnancy is and whether or not your fallopian tube has ruptured. This is because if you have an ectopic pregnancy, one of your fallopian tubes is likely to have been damaged or even removed. This is really not surprising when we consider the fact that we use our shoulders constantly.
An ectopic pregnancy is when a fertilised egg implants outside your womb (uterus), most often in one of your fallopian tubes.
If you have the symptoms of an ectopic pregnancy, a negative pregnancy test doesn’t rule out the possibility but does make it highly unlikely. A pregnant woman’s body is undergoing many posture, weight and physiological changes at a rapid rate.
Pregnant women can try sleeping on their back with a pillow propped under their right side as an alternative sleep position.
If you have shoulder pain be sure to request your doctor check your blood pressure at every visit.
The coil is good at stopping pregnancies from implanting in your womb but isn’t as good at preventing conception in your fallopian tubes. As surgical methods have advanced and treatment with methotrexate is becoming more common, fewer women are having problems with later pregnancies.
Other symptoms include swelling in your face or hands, sudden weight gain, nausea, lower back pain, changes to vision, anxiety, racing pulse and mental confusion.



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