A nursing mother has a stomach ache: what to do?

Since the birth of a newborn child, every young mother faces a number of difficulties that arise in her health and well-being. During the period of bearing a child and breastfeeding, it is not uncommon for a woman to experience discomfort and pain in the stomach area.

This condition can be triggered by postpartum changes in the body, poor diet, frequent stress and lack of sleep. If a young mother feels unwell, she should seek medical advice.

Stomach pain when breastfeeding

We'll figure out what medications you can take in this article. Dr. Komarovsky, for example, recommends avoiding the use of painkillers while breastfeeding or pregnant, as some drugs simply have not undergone proper clinical studies. However, if a woman cannot tolerate severe pain, there is no point in waiting for it to go away on its own or using dubious traditional methods.

Here are a few rules that will help you quickly deal with the problem and avoid harming yourself and your child: Thus, the ideal time to take the product is after the evening feeding. Babies, even newborns, sleep for 3-4 hours at this time; during this period, the medicine will not only have time to eliminate the mother’s pain, but will also be eliminated from her body, including from milk.

Some young mothers are afraid to go for dental treatment because they read somewhere that anesthesia can have a bad effect on the quality of breast milk.

In reality, this is not so: the doctor gives a local injection, which has a short-term effect and is quickly eliminated from the body, and therefore does not cause any harm to the baby’s health? So it is possible and necessary to treat teeth with pain relief during lactation.

It is better to clarify in advance which drug will be administered to you, and inform the dentist about breastfeeding. In this case, the doctor will select the optimal remedy that will not only provide excellent pain relief during dental treatment, but will also be eliminated from the body as quickly as possible. Now a woman can turn to the Internet for help: just enter the appropriate name of the medicine into a search engine, and several sites will tell you whether it is allowed to be taken during pregnancy or lactation.

For example, there is a universal reference book e-lactation. If we talk about painkillers, which are usually used for severe headaches and toothaches, as well as during extremely painful periods, then here is a complete list of tablets that you can take, as well as intramuscular, external and rectal agents:.

All of these pills are almost certainly in your medicine cabinet. But they are strictly prohibited for women who are breastfeeding. This list includes:. As you can see, there are many more permitted drugs than prohibited ones. So you shouldn’t suffer from pain for fear of harming your child with a single painkiller pill or injection. Of course, there is no need to overuse medications either: if you have a toothache, you need to visit a dentist, if you have constant headaches, you should visit a neurologist to find out their cause and find a way to effectively treat them.

Breast milk is the best nutrition for a baby. The World Health Organization recommends breastfeeding for children up to 6 months. Before using the product, consult a specialist.

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Painkillers during breastfeeding Rules of use Dr. Komarovsky, for example, recommends avoiding the use of painkillers while breastfeeding or pregnancy, since some drugs simply have not undergone proper clinical studies. Here are a few rules that will help you quickly deal with the problem and not harm yourself and your child: It is important to understand: painkillers only relieve the symptom, but do not cure the disease itself.

Therefore, in case of painful discomfort, it is recommended to consult a doctor, find the cause of the discomfort and eliminate it. If the root cause is not eliminated, the pain will occur again and again, requiring another dose of medication. There are no prohibitions - take it, and in the recommended dosage. The quantitative transfer of drugs into mother's milk has been studied only for a few drugs.

Therefore, in most cases, you will see that the drug has not been studied during pregnancy and lactation, or pregnancy and lactation are contraindications for use precisely because of the lack of studies on this group. Some mothers try to reduce the harm of drugs by reducing the dose. It is not recommended to do this; the expected effect will not happen, especially if we are talking about products that are acceptable during breastfeeding!

Look in the instructions for an important indicator for us - the drug elimination period. As a rule, it is the same for blood plasma and breast milk. This way you can calculate the period when the drug leaves your body.

Analgesics penetrate into the blood and into mother's milk at the same time: this requires only half an hour, the maximum concentration occurs after 1-1.5 hours. And they appear longer - up to 2-7. The half-life of paracetamol, for example, is about 3, and acetylsalicylic acid - up to 7. This is important! Share Share Share. See also: Should I take baby food on a plane? Read more. We teach the baby to stand with support.

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Treatment

Taking herbs with an enveloping and analgesic effect is not contraindicated: chamomile, flax seed, oats, dill, licorice root. Such infusions can really safely relieve pain. But mint can reduce lactation and should be taken with caution. To reduce pain, taking a spoonful of flaxseed oil on an empty stomach is recommended.

There are a number of drugs that are sometimes used to treat gastritis during breastfeeding, but their effect on the infant body is unknown or research is being conducted but not yet completed. Of these drugs, it is worth noting Gastrosidin (famotidine), Digestal, Mezim forte, Pancreatin, Festal.

Unsafe medications are harmful because they pass into breast milk and can cause various degenerative changes in the baby. Do not take Controloc (pantoprazole), De-Nol, Gerusil Lac, Helicocin while breastfeeding. Cimetidine, Enterosgel, Gasterin are recognized as safe. Smecta helps reduce pain a little, but it does not eliminate the cause of the disease.

Use Maalox, Almagel, Gastal, Gaviscon with caution. To relieve pain, you can use No-shpu (it is also used during pregnancy), Papaverine.

In order to effectively treat gastritis during breastfeeding, many women often use some types of herbal infusions.

These natural remedies can have a mild analgesic and calming effect, however, by and large, their effectiveness has not been proven scientifically.

When a woman in labor is diagnosed with gastritis, it may be useful for her to use herbal remedies that have an enveloping and analgesic effect.

These include:

chamomile;
flax seeds;
oats;
dill fruits;
liquorice root.

Tinctures from these herbs, in fact, can relieve the symptoms of pain in women after childbirth. Mint also reduces the level of lactation, so you need to drink decoctions from it with extreme caution.

In order to reduce gastritis pain during breastfeeding (that is, after childbirth), it is recommended to take one spoon of flax oil in the morning on an empty stomach.

There is also a certain list of medications that, in rare cases, can be used to treat gastritis during breastfeeding, however, their effect on young children has not yet been studied.

These medications consist of:

Gastrosidine (Famotidine).
Digestala.
Mezima.
Pancreatin.
Festala.

After childbirth, it is prohibited to take unsafe medications such as Controloc (Pantoprazole), De-Nol, Helicocin.

Among the recognized safe medicines one can note drugs like Cimetidine, Enterosgel, Gasterin.

Pain can be reduced by using Smecta, however, this remedy is not able to eliminate the causes of the disease.

You should carefully use medications such as Maalox, Almagel, Gastal, and Gaviscon.

In order to quickly relieve pain, it is allowed to use such a popular remedy as No-spa (it is often used both before and after childbirth).

If there is very severe pain accompanying gastritis, it is necessary to immediately treat gastritis. To do this, it is recommended to temporarily switch the baby to formula.

When treating stomach inflammation, it is worth remembering that if a mother has plans to breastfeed her baby in the future, she should try as much as possible to maintain the presence of milk.

In order to maintain lactation after childbirth, it is necessary to drink vitamin complexes specifically designed for nursing mothers, as well as massage the chest area, constantly express milk, and drink a sufficient amount of clean water during the day.

It is not recommended to take medications without consulting a doctor, because only an experienced doctor is able to identify the type of disease after conducting an appropriate analysis of the stomach contents and obtaining the result of an ultrasound examination.

Before starting treatment, it is necessary to search for a highly specialized specialist (usually a gastroenterologist) and strictly adhere to all his prescriptions.

When gastritis is characterized by mild symptomatic manifestations that do not cause serious problems, and a woman decides to treat gastritis without using artificial feeding, she needs to follow a number of rules.

First of all, it is necessary to normalize the daily routine and the whole way of life. A woman should be attentive to regular rest and sufficient sleep during therapy.

It’s a good idea to allocate at least 2 hours a day for sleep, as well as adjust your routine to your baby’s – both need to fall asleep at the same time.

After giving birth, a woman needs to be in the fresh air as often as possible.

In addition, an important point is to eliminate factors that provoke the development of stress (psychological and physical stress, excessive housework, etc.).

During gastritis, a nursing mother's food intake should be regular, frequent (up to six small portions per day) and complete.

If the symptoms of the disease worsen, doctors advise consuming more different light soups with cereals;

oatmeal and buckwheat with water;
not too fatty vegetable stew;
fermented milk products, etc.

In general, it is necessary to eat foods that will not irritate the gastric wall, but, on the contrary, will create an enveloping effect.

The chronic form of gastritis is a very common type of disease, which can go into an exacerbation stage at some periods of life due to poor diet, excessive food consumption, prolonged nervous tension, a weak immune system, and also as a result of hormonal changes in a woman’s body.

With a high degree of probability, aggravation of symptomatic manifestations can be observed both during pregnancy and after childbirth.

It is worth noting that normalization of the condition after the discovery of gastritis during breastfeeding is quite possible.

For this purpose, it is recommended to consult a gastroenterologist in advance and find out what type of treatment will be most effective for the woman in labor.

The disease can be prevented if gastritis with high acidity is treated promptly and fully. Regularly visit a specialist for preventive examinations, review your diet and strictly follow all recommendations. Avoid processed foods, salty, spicy and fried foods. Focus on dairy and plant foods. The best prevention is the absence of stress, leading an active and healthy lifestyle.

Often mothers are faced with the fact that doctors give the woman a choice: either breastfeeding or treatment. However, this approach can hardly be called humane unless we are talking about acute manifestations of gastritis, which do not allow the mother to lead a full life.

If the baby does not suffer from colic or allergic reactions, the mother allows herself to be pampered with all sorts of goodies in the form of sweets, kebabs, and pickled vegetables. At the first suspicion of aggravated gastritis, you need to go on a strict diet and exclude everything that can provoke unpleasant symptoms from the gastrointestinal tract:

sauces and marinades,
fried foods,
sweets,
hot spices,
carbonated drinks,
fresh bread and pastry.

This is the main list of prohibited products. The woman will add to it the food that caused individual non-perception by her or the baby’s body. You need to eat by the hour, at the same time every day. With gastritis, the functioning of the glands responsible for the secretion of hydrochloric acid in the stomach is disrupted. Therefore, it is necessary to accustom the body to prepare for food intake - to produce it in the required quantity.

The amount of food eaten at a time should correspond to a small handful or glass.

You should stop feeding your baby with mother's milk if the treatment according to the regimen mentioned above does not produce results and your health worsens. Most likely, the cause of this condition is the vigorous activity of the bacterium Helicobacter pylori in the stomach. In this case, complex therapy will be used, and it will begin with taking antibiotics.

The main stages of drug therapy in the treatment of gastritis:

Taking antibiotics and special anti-Helicobacter drugs. They will help get rid of the main cause of the disease.
Regulation of the acidity level of gastric juice. Most patients suffer from increased acidity of gastric juice. Therefore, it is necessary to take medications that calm the secretion of the gland.
Taking enzymes and drugs to improve digestion. These include: Creon, Festal, Pancreatin.
Symptomatic treatment. Phosphalugel and Almagel will help relieve pain. In addition, they have enveloping properties, protecting the mucous membrane from negative effects on it. It will take up to 2 weeks to treat gastritis in this way.

Therefore, when treating gastritis, you need to make every effort to maintain lactation. But if a number of safe medications and traditional recipes do not produce results, and your health becomes worse, you need to think about switching to full-fledged traditional therapy without continuing to breastfeed the baby.

Breastfeeding is a very important process in the postpartum period. It is through mother's milk that the baby receives nutrients, immune cells, vitamins and hormones that are vital for growth and development.

How is gastritis treated in nursing mothers?

However, during lactation, women are at risk of disease, just as at any other time in their lives. Gastritis in a nursing mother is one of the most common diseases after the birth of a child and it is important to treat it promptly and adequately by a gastroenterologist.

1 Types of gastritis: what to ask your doctor about
2 How to identify and treat gastritis while breastfeeding 2.1 Breastfeeding using gentle therapy
2.2 Treatment of gastritis without maintaining the possibility of breastfeeding

Types of gastritis: what to ask your doctor about

The doctor must not only make a diagnosis, but also explain it. It is important to understand the causes of the disease in order to make an “informed decision” about further treatment - do not be afraid to ask questions. Chronic gastritis is a pathological process in the stomach, characterized by inflammation and impaired production of chemically active substances in the mucous membrane of the organ.

Hunger pain in the stomach appears as a result of functional and organic changes in the body. The main cause of pain is associated with high levels of gastric acidity. Hydrochloric acid irritates the gastric mucosa and thus leads to pain.

How to identify and treat gastritis while breastfeeding

The clinical manifestations of gastritis in a woman who is breastfeeding are no different from the symptoms manifested in other women suffering from this disease.

However, postpartum depression, lack of sleep, anxiety about the baby, the quality and quantity of milk, of course, affect the assessment of the body’s condition and a pregnant woman cannot always correctly assess the symptoms. It is important to begin treatment of gastritis during breastfeeding at the first signs of the disease.

Therefore, in no case should you miss the signs of incipient gastritis:

pain in the upper abdomen, especially worse when eating;
belching with an unpleasant odor, possibly containing food particles;
feeling of heartburn, nausea, vomiting.

Lack of proper and timely treatment of gastritis can lead to quite serious consequences:

there is always a risk that a woman will lose milk;
pain and poor health negatively affect a woman’s mood, which, in turn, is passed on to the child;
gastritis can lead to serious complications, which in the future can not only negatively affect the entire digestive process, but also make it impossible.

There are two types of treatment for gastritis during lactation:

maintaining lactation while using medications that are safe for the baby;
refusal to breastfeed and the use of highly effective but dangerous medications for the child. Used in case of severe symptoms of the disease.

Gastritis of the stomach is an inflammation on the mucous surface, which leads to disruption of its functioning and, accordingly, disrupts the absorption of food. A patient with gastritis does not receive enough energy, which is why the whole body suffers.

Like many gastrointestinal ailments (duodenitis, cholecystitis, pancreatitis, esophagitis and other diseases of the esophagus), the disease can occur in an acute form or be chronic. But this is not all of his classification. Gastritis can also have increased, normal and decreased acidity of gastric secretions.

It is worth noting that gastritis is a rather dangerous disease, and if it is not treated correctly, the mucous surface of the stomach is damaged by the effects of concentrated secretions, alkali or chemicals. Untimely treatment of gastritis of the stomach can lead to disastrous consequences. Also, even the first symptoms of the disease can indicate the development of a malignant neoplasm.

Reasons leading to the development of the disease

Causes of gastritis of the stomach

Traditional methods of dealing with heartburn

The most popular folk method of getting rid of heartburn is water with soda. Add 1 teaspoon of baking soda to a glass of clean water and drink in one gulp. The remedy relieves the unpleasant symptom, but for a very short period - after some time, heartburn will return again, and perhaps with renewed vigor.

Potato juice is considered a more effective remedy in the fight against heartburn. To obtain it, you need to grate fresh potatoes on a fine grater and squeeze out the separated juice through cheesecloth. If a burning sensation occurs, you need to drink 2-3 tablespoons of the product, and to increase its effectiveness, you can add carrot and cabbage juice.

All remedies aimed at eliminating heartburn only help eliminate discomfort; they do not act on the cause of the symptom. To finally get rid of heartburn, you should undergo an examination and eliminate the identified pathologies.

Medicines for nursing

My stomach hurts terribly. It’s already sick, I used to often take Almagel, ranitidine and all sorts of similar drugs, but now I read the instructions everywhere, a contraindication: the period of breastfeeding. I also have terrible pain! Chronic gastritis, and even in some complex form! Now I'm breastfeeding, so I only save myself with phosphalugel! This is probably the only thing that is possible with breastfeeding. Maybe he will save you too! And yet, I drink 2 minamum sachets at a time! Healthy Stomach is no joke at all!

Contraindicated during breastfeeding.

How to choose a medicine

To determine whether this product can be taken while breastfeeding, carefully read the instructions and pay attention to the following factors:

Toxicity;
How much of the drug gets into the blood and breast milk;
How quickly the drug is eliminated from the body. The drug, which is completely eliminated in less than four hours, is optimal for a nursing mother. Taking it after breastfeeding will protect the baby as much as possible;
How quickly does the medicine take effect?
Side effects and contraindications;
Consequences of overdose;
Compatibility with lactation, effect on breast milk;
The composition of the drug, often the mother already knows which components the baby is allergic to. Choose medications with one active ingredient, this will reduce the risk of allergies;
Method of taking the drug;
Duration of admission and course of treatment.

What medications should breastfeeding mothers never take?

First of all, we will give universal advice: do not believe the information found on the Internet. Which, by the way, needs to be communicated not only to the fact that you are breastfeeding. The medications that the doctor prescribes also depend on the following things: In the second case, children's organs may not yet be developed enough to cope with even minimal doses of medication; If the baby is low in weight, the recommendations may be completely different. And yet, only those drugs that are prescribed to infants can be considered fully safe.

Since the birth of a newborn child, every young mother faces a number of difficulties that arise in her health and well-being. During the period of bearing a child and breastfeeding, it is not uncommon for a woman to experience discomfort and pain in the stomach area.

Pain during menstruation, injury, migraine, tooth extraction - these and other situations require help, but a nursing woman is limited in the choice of medications. Therefore, the doctor is faced with the task of helping the mother and not harming the baby. This does not mean that pain must be endured! We'll figure out what medications you can take in this article. Dr. Komarovsky, for example, recommends avoiding the use of painkillers while breastfeeding or pregnant, as some drugs simply have not undergone proper clinical studies. However, if a woman cannot tolerate severe pain, there is no point in waiting for it to go away on its own or using dubious traditional methods. Here are a few rules that will help you quickly deal with the problem and avoid harming yourself and your child: Thus, the ideal time to take the product is after the evening feeding. Babies, even newborns, sleep for 3-4 hours at this time; during this period, the medicine will not only have time to eliminate the mother’s pain, but will also be eliminated from her body, including from milk.

Prohibited painkillers

Citramon and aspirin are dangerous for a child; they lead to disruption of the liver. In addition, citramone contains caffeine, which has a negative effect on nerve cells. Caffeine disrupts sleep and causes the newborn's body to become agitated. This is why it is not recommended to drink coffee during lactation, at least for the first six months. For coffee lovers, you can replace the drink with chicory.

Analgin is dangerous not only for children, but also for adults. This drug has long been banned in dozens of countries around the world, but in Russia the tablets are still popular. Analgin effectively relieves pain, but has many side effects. This is a toxic drug that changes the composition of milk and reduces lactation. It impairs hematopoiesis and negatively affects kidney function.

Nimesulide is classified as an NSAID, but it is not advisable to take this drug during breastfeeding due to the lack of specific data on the effect of the drug on the newborn and milk.

In addition, a nursing mother should not take combination products that contain several active elements. This increases the risk of allergies. Often these drugs contain Codeine, which suppresses the child’s activity and mental activity.

Keep in mind that any substance can cause an allergic reaction. Depends on genetics and the individual development of the baby. If your child feels worse after taking medication, stop taking it immediately and consult a doctor!

Causes of discomfort

The occurrence of pain in the lower abdomen during breastfeeding is of a physiological nature (associated with natural processes occurring in the body of a young mother after childbirth) or pathological in nature (due to diseases of the intestines, urinary organs or reproductive system).

Like menstruation

Cramping, pulling, aching, dull, reminiscent of pain during menstruation - such sensations may be natural and do not require treatment. Discomfort in the lower abdomen in the early postpartum period is associated with the production of the hormone oxytocin, which leads to contractions of the uterus after the baby is born.

Over the first 6-8 weeks, the muscular organ decreases from 1 kg to 50 g, causing pain in the young mother, as during menstruation. Due to the contraction of the muscles of the uterus, a cleansing process occurs (mucous secretions mixed with blood - lochia) are released and the pain receptors of the body and blood vessels of the organ are irritated.

By decreasing in size, the reproductive organ affects the tension of the uterine ligaments, irritates the pain receptors of the peritoneum and causes heaviness in the lower abdomen, similar to premenstrual syndrome.

Pain of a physiological nature can occur throughout the entire period of breastfeeding: this is due to the baby’s grasping of the areola and nipple, causing uterine tone. Usually, the discomfort goes away 60 seconds after the start of feeding : if the discomfort lasts longer, the baby is not attached to the breast correctly.

If unbearable cramping pain occurs, radiating to the lower back, or increased bleeding in the absence of a menstrual cycle, you should consult a doctor for examination and possible treatment.

In some young mothers, during the first year after childbirth, despite lactation, pain in the lower abdomen may indicate the onset of ovulation , caused by the extinction of estrogen hormone production, and the onset of menstruation. This phenomenon is not a pathology and usually occurs in connection with the introduction of complementary foods and a decrease in the frequency of the baby's feeding to the breast.

For functional bowel disorder

Unpleasant sensations in the lower abdomen occur in nursing women when the gastrointestinal tract is disrupted:

functional dyspepsia;
increased gas formation when overeating;
irritable bowel syndrome;
functional diarrhea;
chronic constipation not caused by anatomical or biochemical disorders.

Such pain occurs in a nursing mother for no apparent reason and often depends on:

emotional state of a woman;
nature of nutrition and volume of fluid drunk;
the presence of traumatic and psychologically difficult events (stress).

The causes of discomfort are usually difficult to establish: they are not associated with physiological or organic disorders of the digestive system and are diagnosed based on the patient’s complaints.

Pain in the lower abdomen during breastfeeding, caused by a functional intestinal disorder, manifests itself as spastic discomfort in different parts of the anterior abdominal wall.

The occurrence of a functional intestinal disorder is not uncommon among nursing mothers: difficult childbirth, sleepless nights, disordered eating lead to disturbances in the functioning of the gastrointestinal tract and, as a result, to abdominal discomfort.

For various pathologies

Unpleasant sensations in the peri-umbilical, suprapubic and iliac regions can be observed in the case of pathological processes caused by the reasons given below.

Scraping after childbirth .
The procedure is carried out after the baby is born in order to remove remnants of placenta or blood clots from the uterine cavity. Curettage is carried out mechanically and is painful and traumatic, so a young mother may feel pain in the lower abdomen for a long time after the procedure.
Diseases of the gastrointestinal tract.
Organic disorders of the digestive system in a nursing woman lead to pain in various locations. These include:
- adhesive disease (pain is nonspecific, accompanied by constipation, diarrhea, bloating);
diverticulitis - an inflammatory process of protrusion of the intestinal wall (causes discomfort in the lower abdomen, most often localized on the left and sometimes accompanied by an increase in body temperature);
colitis – inflammation of the large intestine, accompanied by aching pain in the lateral sections due to abnormal stool, flatulence, constipation;
peptic ulcer of the stomach and duodenum, during exacerbation of which cutting, burning pain radiates to the lower abdomen.

Unpleasant sensations in the lower region of the anterior abdominal wall in women during breastfeeding can be caused by infectious processes, poisoning or injury to internal organs.

Self-medication in these cases leads to irreversible consequences, therefore, if you suspect a pathology, you must immediately consult a specialist. Against the background of hormonal imbalance, weakened immunity after childbirth, and a decrease in the body’s protective resources, diseases of the gastrointestinal tract often worsen and manifest themselves as increased discomfort and other symptoms of pathology .

Disorders in the genitourinary system .
Often, during pregnancy and after childbirth, diseases of the kidneys and urinary system worsen, and disturbances and changes in the hormonal levels of a young mother provoke the development of pathologies of the reproductive organs. These include Endometritis.

Endometritis

The inflammatory process in the inner layer of the uterine mucosa (endometritis) is associated with the consequences of a difficult birth and a weakening of the immune defense of the new mother.

The penetration of infection into the cavity of the reproductive organ and the proliferation of bacteria leads to the formation of a focus of inflammation and the appearance of constant intense nagging pain in the lower abdomen.

Against the background of breastfeeding, the intensity of the unpleasant sensations increases, and the process is accompanied by copious bloody and purulent discharge, increased body temperature, and chills.

The lack of qualified treatment for endometritis leads to the transition of the disease to a chronic form, the development of cysts, uterine adhesions and infertility.

Diseases affecting the lower urinary tract

When breastfeeding, diseases of the urinary system may worsen . It's connected:

with reduced immunity after pregnancy and during lactation;
with the introduction of pathogenic flora due to insufficient hygiene or during childbirth;
with impaired blood supply to the bladder and decreased muscle tone;
with hypothermia, stress, trauma to the urethra during childbirth when a urinary catheter is placed.

Inflammatory diseases of the lower urinary tract, leading to pain in the lower abdomen in a nursing mother, include:

cystitis;
urethritis.

Pathologies are accompanied by frequent urge to urinate, the appearance of blood in the urine and symptoms of intoxication, requiring specialized therapy.

Pain in the lower abdomen during breastfeeding is also a consequence of cesarean section , trauma to the pubic bone and spine during childbirth, divergence of the pubic symphysis, and fissures of the external genitalia.

Regardless of the cause of the discomfort, a woman needs to visit a doctor for diagnosis and possible treatment of the pathology.

Diagnostics

Before starting treatment for this condition, a nursing mother should consult a medical specialist to undergo diagnostics and obtain a reliable diagnosis. For diagnostic purposes, the patient may be prescribed:

General clinical blood test;
General urine analysis;
Ultrasound examination of the abdominal organs;
Gastroduodenoscopy.

Before starting therapy for breastfeeding, a woman is recommended to consult a gastroenterologist to identify the cause of stomach pain. The doctor prescribes a set of examinations for the woman:

UAC;
OAM;
Ultrasound of the abdominal organs;
gastroduodenoscopy.

Lower abdomen hurts

The postpartum period is different for every woman. Sometimes pain appears in the lower abdomen, which can greatly frighten a woman. Brief and mild discomfort is considered normal. If the pain does not go away for a long time and brings unbearable discomfort, this cannot be tolerated.

Let's highlight the most common causes of pain in the lower abdomen:

active production of oxytocin can cause cramping, nagging pain. The hormone stimulates the contractile function of the uterus so that the organ returns to its previous shape;
Nipple irritation during lactation further stimulates the production of oxytocin. Active contraction of the uterus causes a new wave of pain;
Remnants of the placenta in the uterus can provoke pain that does not subside within a month after birth. Adhering particles provoke the formation of blood clots and rotting. The problem can be solved with the help of surgery, along with which antibacterial therapy is prescribed;
endometritis. Most often occurs after cesarean section. Surgery can cause infection to enter the uterus. In addition to pain, bloody discharge mixed with pus appears, and the temperature also rises. Comprehensive treatment will help cope with the inflammatory process, including the following drugs: antibacterial, desensitizing, detoxifying, restorative;
salpingo-oophoritis. Inflammation of the appendages provokes nagging pain in the lower abdomen;
peritonitis. Inflammation of the abdominal cavity causes unbearable pain and high fever;
vertebral displacement. In this case, the pain radiates to the spine. Unpleasant sensations can bother a woman for a long period of time and intensify with physical activity.

Pain in the lower abdomen can be caused by inflammation of the appendages

Doctor Komarovsky's opinion

Dr. Komarovsky, a pediatrician, candidate of medical sciences, a doctor of the highest category and a TV presenter, believes that it is best, of course, to try to do without pills, since no one can give guarantees what the consequences will be. Absolutely all medications pass into the mother’s blood and then into breast milk. If, nevertheless, a situation arises when it is impossible to do without taking medications, then the issue of prescribing medications should be decided together with the attending physician and with the pediatrician who is monitoring the baby.

From Komarovsky's point of view, paracetamol is the safest antipyretic drug in the world, and is the number one over-the-counter medicine for fever. As is known, in addition to the main antipyretic effect, paracetamol also has an analgesic effect, which means that it can be used as an analgesic with virtually no risk to the child.

Medicines containing the active ingredient ibuprofen also have a low degree of risk and are acceptable for use.

The optimal recipe that Komarovsky recommends is a combination of green tea and paracetamol.

source

How to get rid of abdominal pain during lactation

To eliminate discomfort, you need to clearly understand what could provoke 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. The maximum dose is three tablets. Exceeding doubles the likelihood of constipation or diarrhea in infants.
Dill water and Espumisan help relieve symptoms of intestinal colic.
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, or drink tonic drinks. Only by following a diet can you improve digestion and get rid of nagging pain in the lower abdomen.

Prohibited means

There are medications that are strictly prohibited to take during lactation, even if the pain is very severe, the baby’s next feeding is far away, and there are no other painkillers in the house. This is due to their destructive effect on the human body, even an adult, and even more so on the developing body of a child.

Medicines containing the active substance metamizole sodium, better known as analgin, impair hematopoiesis and negatively affect kidney function. It is undesirable to take them not only during breastfeeding, since the harm from their use and side effects outweigh the benefits. These include such well-known drugs as:

Nimesulide is a selective non-steroidal anti-inflammatory drug. There is no reliable data regarding its effect on milk and on the child, so it is better to refrain from using it. Included in analgesics:

Drugs used for stomach pain in a nursing mother

Since the causes of abdominal pain, constipation and diarrhea in a nursing mother are different, the drugs aimed at neutralizing these symptoms are different from each other.

If a nursing mother has a stomach ache due to a lack of digestive enzymes, then their balance can be replenished only after consultation with a gastroenterologist with the help of medications such as Pancreatin, Vestal and Creon 10000. These drugs are indicated for use by women during lactation and are made from the pancreas animals. The drug Pancreatin contains enzymes such as lipase, protease and amylase, which not only promote the breakdown of fats, proteins and carbohydrates, but also normalize digestive processes.

Most often, a deficiency or decrease in the activity of digestive enzymes is accompanied by dysfunction of the liver and biliary tract, so medications containing components that normalize bile secretion, absorption and other indicators, such as Digestal, Festal, Panzinorm Forte and Digestal Forte, may be required. These drugs are allowed to be taken by women during lactation and pregnancy. The most effective and mildly acting drug, the effect of which is aimed at relieving symptoms if the stomach hurts during breastfeeding, is Mezim Forte - these tablets can be taken even by very young children.

In cases where a nursing mother has a stomach ache, heartburn may occur, the appearance of which is due to the fact that gastric contents enter the esophagus. To neutralize heartburn, it is necessary to use antacids, which, by neutralizing hydrochloric acid, reduce the acidity of gastric juice. There are a large variety of drugs that have this effect on the drug market, but drugs such as Almagel, Maalox and Phosphalugel are suitable for use by women during lactation.

The causes of flatulence in nursing mothers may be the consumption of large portions of foods such as fried potatoes, brown bread, milk and vegetables, since during childbirth the tone of the stomach muscles is lost, or insufficient absorption of gases in the intestine occurs due to gastrointestinal diseases. tract. Often, flatulence (excessive gas formation) is accompanied by a feeling of fullness and heaviness in the abdomen, hiccups, bad breath, belching and paroxysmal pain in the abdomen, which disappears after the gases pass. Traditionally, if a nursing mother has a stomach ache and flatulence develops, various infusions of cumin fruits, chamomile flowers, garden or dill seeds, as well as dill oil or fennel oil are used. These drugs facilitate the passage of gas due to their ability to relax smooth muscles and at the same time stimulate intestinal motility. Infusions made from the above ingredients can be combined, and nursing mothers are also allowed to use drugs such as Espumisan and Sab Simplex.