Why do the lower abdomen on both sides hurt successively at 47 days of pregnancy

Patient's question:

Age and condition description: Female patient, 25 years old. She had previously suffered from vaginal candidiasis after marriage and had not experienced a recurrence after three months of treatment. Generally healthy. During the first month of pregnancy, she occasionally felt pulling pain in the right lower abdomen. Ultrasound showed the right ovary was slightly enlarged, with a small amount of pelvic effusion, and intrauterine early pregnancy. Recently, she has experienced dull pain in the left lower abdomen, with localized mild tenderness upon light pressure. Appetite and sleep are normal, with soft and thin stools. No vaginal bleeding was observed.
History of treatment and effectiveness: She has been using a belly warmer for warmth.
Help needed: I want to rule out the possibility of miscarriage.

Doctor's answer:

Hello, this situation involves observing whether there is spotting. It is recommended to avoid eating raw, cold, or irritating foods. It is advised to regularly check in with the hospital to monitor the fetus's condition, but avoid excessive stress and ensure adequate rest. During the early stages of pregnancy, abdominal pain is also normal. Rest more during the early stages of pregnancy, and also take folic acid, which can prevent fetal malformations. If the pain is severe, seek medical attention promptly and do not delay. It is recommended to schedule an ultrasound examination at the hospital to confirm whether it is an intrauterine early pregnancy, rule out ectopic pregnancy or adnexal cysts, and if there are no abnormalities, it is a normal intrauterine early pregnancy. Rest appropriately and avoid overexertion. Generally, there is no need for medication.

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