Nagging pain in the lower abdomen during breastfeeding can be physiological in nature. Sometimes they indicate the development of certain pathological conditions. In the latter case, there are indirect symptoms by which the doctor is able to recognize and establish a specific disease. A woman should be able to identify and describe them.

The main causes of abdominal pain during breastfeeding

The weight of the uterus after childbirth decreases by 10-20 times

In most cases, the appearance of discomfort is associated with the restoration of the uterus. Immediately after the baby is born, it begins to shrink and gradually return to its previous size. This process usually lasts two to three months. The intensity of pain increases during feeding. This is explained by the fact that lactation stimulates the production of the hormone oxytocin, which is responsible for the contraction of smooth muscles - the myometrium of the reproductive organ. The more often a woman puts the baby to her breast, the more hormone is produced, the faster the uterus is restored.

At first you feel severe pain lower abdomen. In nature, they resemble contractions before childbirth. The spasm weakens during pauses between feedings. Such discomfort is present for two weeks after discharge from the maternity hospital. Full bladder can increase discomfort, so women are advised to empty it when the first urge appears.

If a caesarean section was performed, aching pain in the lower abdomen will last longer. On initial stage scarring is pronounced, then becomes periodic. Complete tissue fusion occurs within two to three months. All this time, one way or another, discomfort will make itself felt. If there are no signs of suppuration or suture dehiscence, there is no need to worry. If there is oozing or discharge of ichor, you should immediately contact medical care.

Strict adherence to personal hygiene rules, restriction physical activity, following the recommendations of doctors allows you to speed up the healing process.

Digestive disorders

If after two months the aching pain in the lower abdomen has not disappeared on its own, but has become more intense and pronounced, you should be examined for diseases associated with the gastrointestinal tract. Very often they occur against the background of hormonal changes, which begin again after childbirth. It causes a violation of the acidity of the stomach, this leads to the formation of dysfunction of the liver and pancreas, to the development inflammatory reactions. They have characteristic symptoms:

heartburn,
increased gas formation,
bloating,
nausea,
vomiting after eating,
decreased appetite.

One more possible reason appearance pain syndrome– constipation. They occur in most women who breastfeed due to forced dietary restrictions. The consumption of fruits and raw vegetables is limited, the secretion of milk dries out the body, so the described problem is familiar to many. The pain is caused by distension of the abdomen, severe bloating and flatulence. These are constant companions of constipation. Even after bowel movement, women do not experience relief: the feeling of rectal blockage persists. This causes some concern.

Overeating also often causes pain in the lower abdomen. Girls who followed a diet during pregnancy, after its completion, begin to eat more varied foods, which causes indigestion.

When preparing a diet, a nursing mother must find a clear balance that will allow her to receive the necessary useful substances and provide them for your child.

Inflammatory diseases

If a nursing woman's body temperature rises, spotting, endometriosis may be suspected. This dangerous pathology, occurs due to infection of the inner walls of the uterus by bacteria during caesarean section or scraping.

Another pathology is salpingitis - inflammation of the fallopian tubes. It develops when pieces of amniotic membranes remain. They begin to rot, the woman’s condition rapidly deteriorates, and she must be hospitalized immediately.

A nagging pain in the lower abdomen that radiates to the back may indicate damage to the spinal column or tailbone. This often happens after difficult birth. Trauma does not manifest itself immediately, but after some time. Only an instrumental diagnostic examination can detect it.

There is a set alarming symptoms, which should force you to seek medical help: pain in the lower abdomen has been bothering you for more than two weeks, its intensity is constantly increasing, weakness occurs, and body temperature rises. Delay in such situations poses a threat to life.

Is it possible to use analgesics for breastfeeding?

Doctors reason like this: if you can endure the discomfort, it is better to give up the pills. If not, you should know which drugs are strictly prohibited for breastfeeding mothers:

"Analgin" and its analogues "Sedalgin", "Tempalgin".
"Aspirin" and "Acetyl acid".
"Citromon" and its substitutes "Citropak", "Askofen".

Medicines in this group can cause severe allergic reactions, they negatively affect internal organs baby.

Relatively safe, approved painkillers for a nursing mother are drugs that contain active substance ibuprofen (Advil, Nurofen) or paracetamol (Strimol, Panadol). They are prescribed for the treatment of children from the moment of birth, so mothers can also use them as an ambulance.

It is periodically allowed to take “No-shpu”, “Ultracaine”. The latter drug is used for pain relief after caesarean section. Before use, be sure to consult a doctor.

How to get rid of abdominal pain during lactation

To eliminate discomfort, you need to clearly understand what could have caused it.

Stomach pain is relieved with Smecta or Enterosorbent. Taking them helps eliminate heartburn and remove toxins from the body. Almagel relieves heaviness and the feeling of fullness well.
If you have symptoms of pancreatic dysfunction (nausea, vomiting after eating, impaired bowel movements), you need to take an enzyme preparation. Pancreatin is allowed for breastfeeding women. Maximum dose- three tablets. Exceeding doubles the likelihood of constipation or diarrhea in infants.
Relieve symptoms intestinal colic Dill water and Espumisan help.
You can fight constipation with Regulax. This laxative does not pass into breast milk.

It is important to create a menu correctly and include safe products in it. During lactation, a woman should eat:

lean meat;
sea fish (except sturgeon and caviar);
cereal porridge.

You cannot eat onions and garlic, marinades and spices, spicy and salty foods, fatty and fried foods, confectionery, drink tonic drinks. Only by following a diet can you improve digestion and get rid of nagging pain lower abdomen.

When diarrhea occurs in a nursing mother, whether it is possible to feed the baby at this time becomes the main question, because everything must be done to avoid harm to the baby.

Breastfeeding is the most happy moment in a woman's life when she and the child have a very strong emotional connection. Entire period breastfeeding assumes strict adherence balanced nutrition(especially in the first months of the baby’s life). It is necessary to completely eliminate alcohol, smoking, and medicines minimize. Moreover, taking medications must be accompanied by medical supervision.

However, unfortunately, no one can be insured against illness or pathology. So a nursing mother can catch a cold, get poisoned, or simply feel unwell. What is the cool season worth: viral infections and colds are his main companions. In the summer you can easily get upset gastrointestinal tract and even poisoning.

In view of everything, diarrhea in a nursing mother can be caused by numerous factors. This disease should not only be treated quickly, but also prevented in advance. In addition, it is important not only to put the mother on her feet, but also to eliminate the risk for the baby.

Reasons

Diarrhea is frequent bowel movements that can lead to severe dehydration. Therefore, drinking plenty and often is a guarantee quick recovery for mommy.

Diarrhea may be accompanied by weakness and general malaise. In this case, you don’t have to worry too much. However, the nature and frequency of stool should be controlled. If diarrhea during lactation is accompanied by increased body temperature, chills, inclusions of mucus and blood in the stool, it is necessary to urgently call an ambulance. Such symptoms may indicate the presence infectious disease. Moreover, the disease can be transmitted to the baby through mother's breast milk.

Some causes of diarrhea:

Irritable bowel syndrome. Diarrhea itself as an ailment can manifest itself due to irritable bowel syndrome. That is, there is no vomiting or nausea. The urge to loose stools does not bother you at night. When mom rests, the intestinal muscles are relaxed and diarrhea does not occur. After awakening, the pathology may begin again. Treatment of the syndrome is based on taking sedatives, relaxers. Moreover, these medications will not bring the baby any the slightest harm. Thus, lactation will be normal and there will be no need to wean the baby from the breast.

Food poisoning. At all intestinal poisoning It is very dangerous during breastfeeding. The baby can become infected from breast milk. Eating a stale product by a mother can cause serious intestinal problems. Enters the body large number pathogenic microorganisms, which causes vomiting, diarrhea and fever. The treatment regimen is complex, including taking antibiotics, strictly following a diet and drinking the proper amount of water.

Allergic reaction. As a rule, a mother’s diet includes foods that are allergens. This may cause diarrhea. Treatment boils down to eliminating the product that causes the allergy from the menu.

Intestinal infection. Sometimes a nursing mother may neglect the rules of personal hygiene. This leads to the appearance intestinal infection. Pathogenic microflora, entering the intestines, release toxins, which disrupts the functioning of the entire gastrointestinal tract. In this case, self-medication is not appropriate and even dangerous. Therefore, if signs of an intestinal infection appear, you should immediately consult a doctor.

First aid

Removing toxins from the body by taking sorbents.
Getting rid of frequent bowel movements using a decoction of rice or rosehip.

A nursing mother, due to her illness, may completely lose her appetite. However, completely giving up nutrition is not at all correct. It is necessary to prevent dehydration, otherwise it can negatively affect the baby.

Improving intestinal microflora is also a top priority. It is necessary to consume fermented milk products (kefir, natural yogurt, low-fat cottage cheese and sour cream). Porridges based on cereals such as oatmeal, buckwheat and millet will be the best components of mommy’s diet.

Treatment methods

Even before the doctor's visit or while waiting ambulance, mommy needs help in order to alleviate her general condition. The cause of the disease will only be determined by a doctor. Today there are a large number of drugs that can help the mother without harming the baby. However, taking sorbents and other aids It is better to postpone it due to the fact that they all pass directly into breast milk. That is, the baby will definitely receive a certain dose of medication. But it is possible to relieve a nursing mother from pathology without medications.

Huge number of methods traditional medicine may come in handy. These recipes, when used correctly, can eliminate diarrhea quickly and effectively.

Drink plenty of fluids, preferably clean and boiled water. You can use water-salt solutions, which should be in home medicine cabinet everyone. This is a well-known rehydron. The drug will help replenish the water-salt balance of the body and save from dehydration.
Drink a decoction of oak bark, chamomile tea, infusion of pomegranate peels or bird cherry fruits. Oak bark and chamomile will relieve pain and relieve inflammation of the intestinal mucosa. Pomegranate and bird cherry have astringent properties, which will normalize intestinal function and form proper stool.
Consuming rice water. Rice porridge and broth will quickly stop the occurrence of frequent, loose stools.
Walnut is an excellent fixative.
Drinking strong black tea.
Strict adherence to diet.

It is worth excluding fatty and difficult-to-digest foods and dishes. That is, the goal of the diet will be to slow down the contraction of the intestines. Preference should be given to porridges, first courses of lean meats and fish.

Is feeding acceptable?

Naturally, diarrhea in a nursing mother is an unpleasant condition and full of discomfort. The body instantly weakens, dehydration and weakness set in, and appetite disappears. Mothers are always worried that their baby may become infected through breast milk.

But the human body is designed in such a way that any disease provokes the production of antibodies to pathogens. That is, the baby will certainly receive his portion of antibodies through mother’s milk. According to pediatric experts, breastfeeding should not be stopped during diarrhea. Some doctors even recommend breastfeeding so that the baby receives everything useful for better development your immune system.

However, diarrhea while breastfeeding can be caused by a serious viral infection. The addition of high body temperature and frequent vomiting can be very dangerous. Therefore, the appearance of such signs should be a signal to contact a specialist. He will determine the cause of diarrhea and prescribe competent treatment which will lead to recovery. You won't need to stop breastfeeding completely; you will need to take a short break. A nursing mother must get rid of of this disease ASAP. She will need to quickly restore her body's strength in order to continue breastfeeding her baby.

Prevention of intestinal dysbiosis

Today, intestinal dysbiosis is a fairly common phenomenon. Disruption of the gastrointestinal tract certainly leads to digestive problems. This is a familiar diarrhea, which in itself causes terrible discomfort for a nursing mother. Moreover, disruption of the gastrointestinal tract is a deterioration in the interaction of all body systems. This is especially dangerous during lactation and breastfeeding.

In order to prevent negative phenomena and their consequences, it is important to take preventive measures against dysbacteriosis. Preventing a disease means eliminating the risk of its impact on the body.

It may seem difficult to carry out prevention, since there are many factors that influence the development of intestinal dysbiosis. One of the reasons for disruption of the gastrointestinal tract is the use of antibiotics. Active components as part of medicines may disrupt intestinal microflora. This can provoke destruction of the intestinal mucosa, and subsequently upset stool. Therefore, it is necessary to carefully monitor the condition of all gastrointestinal organs and carry out treatment on time.

Pollution environment is also pathological factor in intestinal dysfunction. Pathogenic microbes from outside can enter the body and cause serious illness. A severe form of dysbacteriosis provokes chronic diarrhea.

Prevention of such a phenomenon as diarrhea in a nursing mother comes down to proper and balanced nutrition.

So, eating fresh food, including fermented milk products, meat and fish dishes, wholemeal bread are the basis for excellent well-being. Fermented milk products are rich in lactobacilli, which fight pathogenic microbes and contribute to the creation beneficial microflora in the intestines.

Adequate rest, relaxation and avoidance stressful situations will also have a beneficial effect on the condition of the body of a nursing mother.

Many mothers face the problem of poisoning while breastfeeding. If this happens, then the main thing is not to panic. It is necessary first of all to find out the cause of the malaise, to assess the severity of the woman’s condition in order to decide whether it is possible to breastfeed if poisoned. If the mother’s condition is severe, it is necessary to seek medical help; it is better not to self-medicate.

Causes and signs of the disease

Poisoning in a woman can occur after consuming low-quality products. Symptoms of illness may be caused by E. coli, salmonella or staphylococcus. The most dangerous is the presence of botulism bacillus in products.

Poisoning is often caused by dirty hands or poorly washed vegetables or fruits before eating. Undercooked meat also leads to illness, poisonous mushrooms or berries, canned food, if they are cooked improperly. Confectionery products with cream are often the cause if they have been stored incorrectly or for a very long time.

Signs of poisoning develop several hours after eating low-quality foods. At mild form feeling unwell, the woman feels nausea and the urge to vomit, she has loose stool, minor abdominal pain and general weakness.

You should immediately seek medical help if these signs become more frequent and do not go away within 24 hours. Concerns should also be raised high temperature bodies and febrile state. Treatment of severe cases of poisoning should only occur in a hospital.

Acceptable therapy

Treatment of poisoning due to hepatitis B must begin immediately after the first signs appear. You can rinse your stomach to get rid of the contaminated product. For the procedure, clean water or a weak solution of potassium permanganate is used. You need to drink about a liter of liquid and induce vomiting by pressing on the root of the tongue. Gastric lavage is performed until the water coming out is clean.

It is imperative to take a sorption drug; it will absorb toxins produced by poisoning agents. The most versatile and safe means in this case, activated carbon is considered.

Instead of activated carbon You can take Smecta several times a day. Polysorb has proven itself well; this adsorbent does not penetrate into breast milk, as it is not absorbed into the blood. This is a drug fast action, the effect is achieved literally in 5 minutes.

If there is no diarrhea, you can cleanse the intestines with an enema. clean water volume up to 3 liters in several doses. This procedure removes toxins from the intestines so that they do not enter the blood. The body's fight against bacteria can last several days. If a nursing mother's body temperature rises, it is advisable to take a tablet of Paracetomol, Nurofen or Ibuprofen.

Breastfeeding in case of poisoning can be continued; the bacteria penetrate the mother’s gastrointestinal tract and cannot enter breast milk. The woman's body produces antibodies to the pathogen, transmitting immunity to salmonella, E. coli and other pathogens to the child.

A break from breastfeeding will need to be taken only if the mother’s condition requires treatment in medical institution. To prevent the milk from disappearing, she will need to express it regularly, then after recovery she will be able to restore the normal lactation process.

A prerequisite for poisoning is frequent washing hands with detergent before communicating with the child, especially after visiting the toilet. In order for the body to have the strength to fight the pathogens of the disease, a woman needs to rest often, if possible, adhering to bed rest.

On the first day after poisoning, it is advisable not to eat any food. The next day, if your health improves, you can eat some light food, such as rice porridge, white bread and sweet tea. You need to switch to a normal diet, including familiar foods, gradually.

Particular attention in this disease is given to drinking regime. The body needs fluid during this period, especially if poisoning is accompanied by diarrhea. You should drink about 2 liters of water per day. It is possible to use weak infusions of chamomile or calendula, you can also use mineral water, just not carbonated. Even if the baby also experiences intestinal dysfunction, breastfeeding should not be stopped in case of poisoning.

Stabilize normal work The gastrointestinal tract will also be helped by preparations that contain plant fiber and bifidobacteria. You can use the biological product Eubikon or encapsulated yogurt. Medicines of this type are taken before meals, the course of use lasts 5 days.

Prevention measures

It is necessary to carefully observe the rules of personal hygiene, wash your hands often with detergent. Only boiled or bottled water should be used for drinking. Before buying groceries and before eating, you need to make sure that the food is fresh. Particular attention should be paid to the quality of meat, dairy and confectionery. It is better to completely avoid mushrooms in any form during breastfeeding. Fresh vegetables And fruits should be washed well before eating.

If the baby is not yet 6 months old, the mother must make every effort to maintain and continue the lactation period. Even if poisoning occurs, but it is mild, do not rush to take medications that can harm the child.

Most often, poisoning occurs in a mild form, without requiring long-term treatment, so there is no need to interrupt the feeding period. But if a woman’s condition worsens, she must mandatory consult a doctor. He will appoint necessary treatment depending on the woman's condition.

Constipation after childbirth while breastfeeding is the most common type of complication that needs to be addressed. It is this rather unpleasant aspect that we will consider today and try to figure out how to influence such conditions of a woman in labor.

Giving birth to a child is a process that involves a long wait, endless worries and sleepless nights. This procedure is extremely painful, but this does not make the child less desirable; rather, on the contrary, the bond between the mother and her child is strengthened. However, the reproductive process can provoke some changes in a woman’s body, which result in various difficulties.

Main symptoms

“What could be easier than treating constipation?” - many of us can say. However, for an organism that has undergone the pangs of giving birth to a new life, this aspect can become a huge problem. It is quite simple to determine such a condition, since it is characterized by obvious signs:

bloating;
difficulty in excreting feces;
heaviness in the stomach;
pain in the intestinal area.

As a rule, these signs do not appear separately. They have the character of a gradual spread, which depends on the time spent without the toilet. Basically, constipation in a nursing mother begins to manifest itself 1-3 days after birth. It can continue for a considerable period of time, and its neutralization requires special preventive measures.

Prerequisites for education

Constipation in a nursing mother can be a consequence of certain pathologies or the result of many other factors. To understand the very structure of the problem, it is necessary to focus in more detail on the reasons for its occurrence. Such factors include:

hormonal changes;
weakening and stretching of muscles;
pressure of the uterus on the intestines;
change in bowel position;
wrong diet;
stress;
fear pain.

All these factors can become prerequisites for the formation of constipation. IN normal conditions eliminating such a nuisance would not be difficult. However, constipation during breastfeeding cannot be neutralized by conventional methods. First of all, this is due to the fact that all factors and means acting on the mother’s body, starting from the first seconds of the baby’s life, inevitably affect the child. Therefore, eliminate such unpleasant symptoms traditional methods almost impossible.

Changes in hormonal levels and weakened abdominal muscles

The first factor causing constipation in a nursing mother is hormonal changes and general disorders background that affect the female body as a whole. This process begins during the first months of pregnancy, when all systems and processes begin to be rebuilt in anticipation of the development of a new life. The entire duration of bearing a child is marked by hormonal changes. Over nine months they deviate significantly from natural level. Everyone knows that after childbirth hormonal systems cannot quickly and efficiently adapt to the previous parameters. This process occurs gradually and can take several months. As a result, the violation metabolic processes may cause constipation after childbirth.

The physiology of the process of eliminating used food involves some muscle activity. The work involves mainly the abdominal muscles, which create the necessary pressure on the rectum. Pregnancy makes some adjustments to their location and subsequent work. A gradually growing belly stretches the rectus and transverse abdominal muscles, causing them to lose some of their functions. The childbirth procedure puts excessive stress on weakened areas, which leads to their overload. As a result, the muscles simply cannot apply pressure to the intestines with the necessary force. As a result, constipation may occur during breastfeeding.

The pressure of the uterus on the intestines can also cause fecal stagnation. During pregnancy, the uterus gradually stretches. This is due to the growth of the baby. After his birth, she cannot instantly return to her previous condition, therefore she remains in an enlarged form and only over time gradually returns to her original state. During this period, the uterus can press on some parts of the intestine, thereby disrupting its function.

Negative consequences of not eating properly

Constipation in a nursing mother can occur due to changes in the position of the intestines. Pregnancy makes adjustments to all systems of the body, changing them and adapting them to your needs. The growing fetus gradually takes up more and more space, pressing and displacing other organs. The intestines are no exception to this process. The approaching birth puts more and more pressure on him. To restore its full functionality, it also takes some time, during which constipation may occur in nursing mothers.

An improper diet is one of the main criteria for the formation of constipation. In most cases, women suddenly change their diet for fear of eating something wrong or even refuse food in the first days after childbirth. Both of these approaches are fundamentally wrong, since they only aggravate the situation. After suffering stress, the body needs to restore not only its strength, but also all damaged tissues. Fasting or poor nutrition leads to the fact that the regeneration process is prolonged for a significant period of time. A weakened body cannot fully perform its functions and therefore limits some of them. The same applies to sudden changes in nutritional patterns. The fear of eating something extra, so as not to cause allergic reactions in the child, also plays a role. Thanks to this, the meager set of products is reduced even more.

Constipation in a nursing mother can be a consequence of stress. In some cases psychological factor comes out on top. Constant unrest and tests carried out in the last months of pregnancy leave their mark on state of mind new mother. Childbirth is the final stage of this process. Only now fear for health is added to everything else. little man. This decisive factor can create all the prerequisites for entering a state of severe stress. It also affects the functioning of all systems and organs. The intestines are no exception to general list. So the formation of constipation when feeding a child may well be associated with this generally negative factor.

Start of treatment measures

Treatment primary symptoms constipation during breastfeeding is based on the introduction special diet and conducting preventive methods. More serious degrees of the disease may require minor drug intervention.

The first and most important factor in helping to treat constipation is following the principles of proper nutrition and adherence to healthy image life. These two criteria can as soon as possible neutralize constipation and remove it unpleasant consequences. Some people are afraid to eat various products to avoid negative impact per child. In general, there is some truth in this. However, the main thing to remember is that most natural products You can still eat them, you just need to subject them to special processing.

Some women stop eating meat immediately after giving birth. Such a decision will not bring anything good, since the body, at the moments of tissue regeneration and organ restoration, needs an abundance of light protein, which is rich in meat products. Refusal to use them entails the fact that the body has nowhere to take this building element, and it simply cannot recover normally and effectively. Eating meat is not only possible, it must be done. Fried, smoked, fatty, heavy versions of this dish, of course, will have to be excluded so that this does not negatively affect the quality of breast milk. But boiled or steamed rabbit or chicken will be optimal solution to create required stock energy and building materials.

Vegetables are also extremely important products, necessary for both mother and child. They contain many vitamins and mineral compounds that are responsible for normalizing metabolic processes and tissue restoration. Of course, it is not recommended to consume them raw, but it is quite possible to do so in a boiled version. The general principles of nutrition during breastfeeding are to avoid heavy and fatty foods, as well as reorient the diet to more simple products. Various cereals and boiled meat are the main allies in the fight against constipation and best helpers in normalizing all metabolic processes in the body, as well as ensuring good nutrition baby.

Preventive measures and drug therapy

Preventive measures are essential for recovery normal functions digestive system. First of all, these include physical exercises that a new mother should perform. In the first days after giving birth, you absolutely don’t want to do anything. physical work, and the muscles are very sore and sore. However, paradoxical as it may sound, it is feasible exercises for muscle development that are the best way to relieve constipation. They should start with several bends or twists, which will engage weakened muscles and give an impetus to the normalization of all body systems.

There are times when there is no other choice but to use medications. Typically this is various complications which block intestinal function long period. In such conditions the best solution will report the problem to your attending physician, who will make his recommendations and give an opinion. In most cases, doctors prescribe special glycerin suppositories for constipation, which are designed to eliminate the problem at the local level. The principle of their use is to insert into the anus and rest briefly, during which the elements dissolve. The effect on the body begins its process from the moment the capsules dissolve. As soon as this happens, the active elements begin to be absorbed into the rectum, helping it contract and push out feces. This leads to the passage of stool.

However, it should be remembered that suppositories for constipation should be used only on the recommendation of a doctor who is observing a woman. Such an appointment, as a rule, is made in the most extreme cases, when the effectiveness of other methods is practically zero.

Integrated approach

Constipation in women who are breastfeeding is negative consequence past births. Stress, weakened muscles and poor nutrition sometimes lead to the formation of intestinal obstruction. Therefore, to prevent such consequences, you should adhere to a special diet and do not forget about physical exercise. Proper nutrition is extremely important not only for the normalization of metabolic processes female body, but also providing a complete diet child. Physical activity, which is the basis of preventive measures, can have a beneficial effect on weakened muscles and areas, bringing their functioning back to normal. Exactly like this integrated approach can become a panacea and solve the current problem in the shortest possible time.

An important stage in the formation of a child’s body is the period of breastfeeding. For the mother's health, the process becomes stressful. Often new mothers are concerned about the manifestations of various diseases in the first time after childbirth. Chronic gastritis is considered a similar disease.

Treatment of gastritis during breastfeeding is similar to therapeutic measures in non-lactating women, however, it differs in characteristics. Application drug therapy during the lactation period can in a certain way affect the formation of the child’s health, a way to combat gastritis in postpartum period are chosen based on the degree of concern that the disease causes the woman.

It is permissible to go two ways:

Interruption of feeding. If the nursing mother is very worried about the symptoms of gastritis, she will need to stop feeding her milk in favor of complete treatment.
Continued feeding. If the pain is moderate and does not affect normal life women, it is possible to resort to methods that help relieve the anxiety caused by the disease, without resorting to antibacterial therapy and without interrupting breastfeeding.

Remember, the choice of appropriate therapy and the treatment itself are carried out under the supervision of a doctor.

Breast-feeding therapy

If the disease manifests itself in an easily tolerated form and does not cause severe difficulties, the girl decided not to switch to artificial feeding, mom will need to apply some rules.

Compliance with the regime

It is indicated to normalize the daily routine and lifestyle in general. A woman should be attentive to rest and sleep during treatment and follow the regime. It is advisable to allocate within two hours of sleep during the day or adjust the routine to the child’s regime - the mother and the newborn sleep at the same time.

The nursing mother must visit more often fresh air. It is important to eliminate factors that cause stress (psychological and physical stress, excessive housework).

Diet

Meals are frequent (up to 5-6 times a day) and complete; a large time gap between meals should not be allowed. When the disease worsens, soups with cereals, oatmeal and buckwheat with water, vegetable stews, milk products (if the acidity is low, you will like fermented milk products, if the acidity is high, whole milk), jelly with starch or oatmeal, dishes made from minced fish and meat, possibly soaked lingering biscuits in the water. It is recommended to eat food that does not irritate the walls of the stomach, but, on the contrary, has an enveloping effect.

After you feel normal, your diet includes cheeses, cereals, sausages, boiled meat or fish. You should not eat cold food; salt and carbohydrates are unacceptable.

Consumption of carbonated drinks, coffee and alcohol, sweets is prohibited, you should not drink too much tea high temperature or fortress. Heavy and spicy foods should be treated with caution, even when the exacerbation is over.

Gastritis is characterized by damage to the mucous membrane and disruption acid balance, the main thing in treatment is to eliminate these shortcomings.

Herbal infusions

Gastritis during breastfeeding can be cured by taking medicinal decoctions from herbs. It is recommended to consume warm, half a glass up to 5-6 times a day after meals. When brewing the infusion, you need to fill the herbal set (3 tablespoons) with half a liter hot water, leave to infuse for half an hour warm room, then strain.

Hypoacid variety. For diseases with weakened secretion, infusions of wormwood, fennel, oregano, parsley, caraway, parsnip are recommended - herbs that stimulate the functioning of the glands and suppress inflammation in the gastric lining.
Hyperacid variety. In case of a disease with normal and high level gastric secretions, herbs are used that have an analgesic, anti-inflammatory and enveloping effect. For example, chamomile, yarrow, flax seed, celandine, etc. It is acceptable to use freshly squeezed potato juice - half a glass up to four times a day an hour before meals.

Pain relief

During lactation, substances that neutralize hydrochloric acid(Almagel, Maalox), however better than drugs avoid, the effect of microelements contained in the composition on the child’s body is not fully known. It is believed that the magnesium and aluminum present can lead to cramps and constipation in children due to passage into mother's milk.

When relieving pain, the use of these drugs should be limited to up to three days, in the fight against discomfort it is better to use medications, the action of which ensures the elimination of spasms (No-Shpa).

Vitamins

It is recommended to take multivitamin complexes for nursing women with vitamins B1, B6, B12. For “low acid” gastritis, you should take vitamins C and PP. If the acidity is high, vitamins are needed that reduce the effect of hydrochloric acid, for example, vitamin E.

Therapy for refusal of feeding

When a woman decides to switch to artificial feeding in order to comprehensively treat gastritis, for example, if she has severe discomfort caused by the disease, or the lack of effect from the above methods of treatment, the methods listed below are added to those already listed.

Medicines to get rid of Helicobacter pylori infection

A common cause of the disease is infection with Helicobacter pylori; the use of therapy aimed at getting rid of the microorganism produces the maximum effect.

The destruction of infection is achieved by taking antibiotics (Amoxicillin, Oxacillin) and medications, the effect of which is to destroy Helicobacter pylori (Denol, Tribimol).

If a woman suffers from Helicobacter pylori gastritis, it is better to avoid long-term use of acid-reducing drugs due to blocking the acid-producing glands. With a prolonged decrease in acid levels, the microbe multiplies more intensely, causing an increase in the area of damage.

Diet

When switching to artificial feeding, it is possible to add non-acidic, non-irritating fruits and vegetables to the mother’s diet (strawberries, watermelons, plums, apples, ripe tomatoes, cabbage, potatoes, green peas), which remained prohibited due to the possibility of an allergic reaction in the child.

Normalization of pancreas function

The functions of the pancreas and digestion in the intestines are often impaired due to the presence of chronic autoimmune gastritis (type A). As a remedy, the attending physician usually prescribes the drugs Pancreatin and Festal, and other medications containing pancreatitis (Mezim Forte - can be used during lactation, Panzinorm Forte). If you have difficulties with motor function stomach take Cerucal, do the same in the case of B-type gastritis ().

Normalization of acid balance

If the percentage of acid in the gastric environment is low, replacement therapy is carried out (increasing the amount of the enzyme pepsin along with increasing the acidity of the environment). For this purpose, use Riboxin, oil from sea buckthorn berries in courses for a month, vitamin-containing or multienzyme complexes.

They resort to treatment in pressure chambers by supplying oxygen under high pressure. If there is a high percentage of acid in the gastric environment, it is possible to use Maalox, preferably in the form of a suspension (a tablespoon an hour after eating food), drugs of a similar group are suitable - Almagel, Gastal.

Pain relief

When relieving pain, you should not use drugs that reduce acidity by blocking stomach cells. They will help the development of Helicobacter pylori infection. As a rule, drugs that have a neutralizing effect on acid (almagel, phosphalugel) are used. Take 1-2 spoons for dosage three times a day half an hour before meals.

Their action is to protect the weakened lining of the stomach from the unwanted effects of substances contained in the gastric environment perchloric acid and pepsin. Pain cessation is expected within half a week after starting use.

Breast pain after or during feeding: what to do?

Medical textbooks claim: breastfeeding is extremely beneficial for a newborn, it gives him protection from hordes of bacteria and viruses, helps weak immune system gain strength. In addition, when feeding, a strong connection is established between mother and child, they learn to feel and understand each other.

What to do to avoid unpleasant sensations?

Slight discomfort at first, when mother and child adapt to each other, when the amount of milk has still become a constant value, can be reduced by observing hygiene measures. Take a shower every day, put special absorbent pads in your bra, and lubricate your nipples with emollients. Do not wear tight, too tight underwear - this contributes to the accumulation of bacteria and congestion in the chest. And feed the baby on demand, in a position that is comfortable for both. Soon contact will be established between the young mother and child, and that’s it. discomfort will leave. Both mother and baby will begin to mutually enjoy feeding, as prescribed by medical guidelines.

To prevent chest congestion, do not use fatty foods, protect your chest from hypothermia (you need to pay particular attention to this point if the ducts in the chest are narrow). Regular feeding and “proper” hygiene will help avoid pain. Mechanical breast sparing is also important: try to sleep in a position where the chest is not compressed, do not allow the child to accidentally hit the chest.

Pregnancy, childbirth and lactation bring a young mother not only the joy of motherhood and positive emotions from communicating with the baby, but also a large number of new problems with her health. Similar pathologies include the condition of a woman when her stomach hurts during breastfeeding.

The causes of this pain symptom are quite diverse. And the very nature and localization of pain in nursing women is very different. To prevent abdominal pain during lactation, you should find out the cause of such manifestations.

Read in this article

Causes of discomfort in the abdominal area

The occurrence of a painful stimulus in a young mother can be either purely physiological in nature or be associated with various acute and chronic pathology female body. If pain in the abdomen is observed in the first 2 - 3 months after childbirth, then a similar picture is most often associated with the restoration of organs and systems in a nursing mother after the birth of a child.

Difficulties in the first months after childbirth

Most often, young mothers go to the doctor with the complaint that their stomach hurts after breastfeeding. If this happens within 10 - 15 weeks after birth, then the reason most often lies in the contraction of the uterus, which increases in size several times during pregnancy.

On average, during the period of bearing a child, the uterus reaches a weight of 1 - 1.5 kg, but already during the first day it decreases significantly. Their normal sizes female reproductive organ should reach by 2 - 3 months.

To successfully contract the uterus and reduce the risk of inflammatory processes It recommends that women spend most of their time lying on their stomach or side. In this case, a certain compromise has to be achieved, since such a position does not always contribute to the production of a sufficient amount of milk. Of course, such a recommendation does not apply to patients who have undergone a cesarean section.

To enhance the contractile function of the myometrium, young mothers are prescribed special drugs, in particular, oxytocin. It is its effect on the uterus that can lead to severe pain.

We should not forget that this hormone is also produced in the female body, which is facilitated by irritation of the nipples when the baby sucks. This is why many women experience pain in the lower abdomen during breastfeeding for 20 to 30 days after childbirth.

At the end of this period, the intensity of the pain gradually decreases, and the uterus becomes of normal size. And if a woman does not have problems with other organs, further lactation will proceed without any painful sensations in the abdomen and pelvis area.

Other causes of pain in nursing mothers

Experts identify several causes of abdominal pain in women during lactation. Most often this various diseases organs and systems of an acute or chronic nature.

Most often, gastrointestinal diseases lead to painful sensations in the abdomen in young mothers. A pregnant woman experiences changes in her hormonal and endocrine system, which often leads to a failure of acidity in the stomach, disruption of the liver and pancreas. Changes in diet during childbirth and after the start of breastfeeding aggravate these processes. Gastritis, chronic pancreatitis and hepatitis is detected in approximately 50% of nursing mothers.
- a common cause of abdominal pain during hepatitis B. Many young mothers, having read about the dangers of fruits in the first months of a baby’s life, completely stop eating them. Because of this, their body does not receive enough fiber, which manifests itself as constipation. Before you start panicking, it’s worth remembering the last time mom went to the toilet. Fears after ruptures during childbirth can also lead to constipation.
can also cause unpleasant, painful sensations in the abdomen. No matter how hard mommy tries to eat the best and freshest, unfortunately, not everyone manages to avoid low-quality products. Additionally, vomiting, diarrhea, nausea, colic, and cold floors may appear. You should immediately take medications that remove toxins. If the condition does not improve, you should call an ambulance.
Overeating. Due to constant restrictions during pregnancy after childbirth, many young girls begin to actively absorb everything that was prohibited. Since the body is weaned from this food, enzymes for processing are not released as actively, and abdominal pain, bloating and a feeling of heaviness may occur.
Diseases of the genitourinary system worsen no less regularly during lactation. A large percentage of women have kidney problems even during pregnancy. Confirmation this fact is the percentage increase in gestosis, the main symptom of this pathology and visible changes in the urine. Therefore, cystitis may well lead to pain in the lower abdomen during breastfeeding.
Many women forget that after 6 - 8 months of breastfeeding, breastfeeding is restored. menstrual function , since the amount of the hormone prolactin, which promotes the secretion of milk in the female body, by this time decreases almost 3-4 times. Go to normal state normal female physiology is often accompanied by pain in the abdomen.

We should not forget that it is the lactation period that is quite dangerous for unplanned pregnancy, including ectopic. Therefore, unprotected sexual intercourse should be avoided until the baby is 5-6 months old.

Quite often, the cause of the development of pain in a young woman is simply banal poisoning or simply certain errors in the diet. This is dangerous because such conditions will definitely affect the baby’s health, since most toxins and harmful substances can enter his body with mother’s milk.

At the slightest suspicion of food poisoning You should stop breastfeeding and consult a doctor for help and advice.

How to help a nursing woman with abdominal pain during lactation

First aid in the event of such a condition depends on whether the patient clearly understands the cause of the development of the pain syndrome. If a woman has a stomach ache during breastfeeding, it is necessary to clearly localize the location of the pain. When pain is noted in the upper half of the abdomen and in the epigastric region, such symptoms are most often caused by an exacerbation of gastritis.

It is important to understand what caused the unpleasant sensations. Most often, this can be caused by poor diet or eating poor quality food. Pain in the abdomen of a girdle nature indicates a disruption of the pancreas.

What can a nursing mother use for such conditions? It should be remembered that most medications can be harmful to the baby, so the choice of medications is quite limited:

If pain occurs in the stomach area, the drug of choice is Smecta. This medicine is approved for use during lactation and relieves heartburn well and removes it from the woman’s body. harmful substances. It is possible to use drugs “Omeprazole” or “Almagel A”. Using data dosage forms the feeling of heaviness in the stomach is relieved and the pain syndrome is relieved.
In case of disturbances in the functioning of the pancreas, which, in addition to nagging pain, is also characterized by dyspeptic symptoms, it is recommended to take enzymes, in particular “Pancreatin”. However, no more than 1 - 3 tablets are allowed, since enzymes can cause bowel problems in the baby
If your stomach hurts when breastfeeding, and this is accompanied by excessive gas formation, experts advise using conventional dill water, castor oil or "Espumizan". Also good effect can give the drug “Regulax”, which practically does not pass into breast milk.
If the reason lies in constipation, then you can use the usual glycerin suppositories for children or increase the amount of yogurt in the diet. Also, do not forget about,.

Often many women try to solve a similar problem with the help. This cannot be done for two reasons. Firstly, most anesthetics are highly soluble in human milk, which can affect the baby’s health. In addition, the use of analgin, baralgin can change the picture of the disease, and it will be difficult for specialists to determine the real reason the occurrence of pain symptoms in the mother.

When your stomach hurts after breastfeeding, you should not self-medicate. Any change in the mother’s condition always affects her child. And even if a woman clearly knows the cause of the development of pain, consulting a specialist in this case will help avoid many complications.

Diet after childbirth

A woman’s nutrition during lactation simultaneously pursues several different goals. Daily diet should not only help satiate the baby, stimulate a sufficient amount of milk in the woman, but also help physical recovery female body after childbirth.

But still, the main distinguishing feature of the diet during lactation should be the complete safety of products for mother and baby. To do this, all dishes must be fresh and prepared from quality ingredients. This will help avoid digestive problems and constipation.

First of all, a young mother needs to replenish her daily intake of proteins, fats and carbohydrates. And according to experts, a woman’s energy loss per day is about 1000 kilocalories. How to compensate for such a loss:

Meat products such as poultry, lamb and young beef are allowed for a nursing mother. Pork remains prohibited until 3-4 months of breastfeeding. There are no restrictions, but you should not focus on sturgeon fish and caviar. These products are highly allergic and may be harmful to the child.
When planning a diet, you should remember the need for a large amount dietary fiber, the source of which is black and gray coarse, raw vegetables. These products will help avoid problems with the gastrointestinal tract in the mother and baby, and will reduce the risk of developing a situation where a young mother has a stomach ache when breastfeeding.
Fruits are allowed in fresh, vegetable and olive oil. Sweets should be limited during this period, as glucose can cause distress in the baby.
You should not drink carbonated drinks.

Watch the video about nutrition for a nursing mother:

But there are also a large number of foods that a young mother during lactation should completely exclude from the diet or severely limit their consumption. This includes any vegetables and fruits that cause allergic reactions. Citrus, tropical fruits, strawberries, raspberries and even ordinary onions and garlic are prohibited during this period.

Of course, any alcoholic drinks, tobacco, strong tea, honey, chocolate and much more.

Abdominal pain during breastfeeding is quite common and, as mentioned above, its causes can be very diverse. A woman during lactation has enough fragile organism with impaired functions, therefore, for any painful symptoms You should immediately seek medical advice. Self-medication during this period is criminal in relation not only to your health, but also to the health of the little person.