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Do stomach cramps mean early pregnancy or another issue?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am having really painful stomach cramps. I do not know whether it is a symptom of pregnancy. Will I need any surgery? Do I need a scan to see any damage to my stomach? I am suffering from constipation, headache, earache, and dizziness. Please help.

Thank you.

Answered by Dr. Tim Evans

Hi,

Welcome to icliniq.com.

You are describing some very common symptoms. However, you also ask the question as to whether you are pregnant or not. This is the first and most important point to determine. This can easily be done in confidence, either with an over-the-counter test from the supermarket or chemist, or more preferably by your own GP. I would need to know how long you have been having these cramps and where in your stomach they occur, either in the top, middle, bottom, left, or right.

1. Do you have problems with sickness or diarrhea?

2. Do you pass any blood when you open your bowels? Do you have to strain hard to go to the toilet?

3. Do you have any problems with passing water, such as stinging, burning, and bleeding?

4. Do you have any problems with your monthly cycle? Is it regular or irregular? Is there any bleeding from down below when there should not be? Do you have any discharge or smelliness from down below?

5. Is there anything that might make these symptoms worse, such as certain foods or a time of the day?

6. Do you take any regular medications, drugs, or alcohol? Do you drink lots of caffeine or Coke?

7. Is there anyone in your family with any medical problems at a young age?

8. Have you lost or gained weight recently? Have you been under any extra stress recently, along with these symptoms?

9. Just to re-emphasize, the most important thing to determine is whether or not you are pregnant.

Based on your symptoms, the exact cause is not clear at this stage. However, the first and most important step is to rule out an ectopic pregnancy, which is a pregnancy that develops outside the uterus and can cause abdominal or pelvic pain.

To clarify the cause, you should visit your general practitioner (GP) for the following tests:

  1. Urine beta-hCG test (a pregnancy test that detects the pregnancy hormone).
  2. Urinalysis to check for infection or other urinary causes of pain.

Depending on test results and symptoms, possible causes include:

  1. Ectopic pregnancy.
  2. Gynecological causes, such as an ovarian cyst or retrograde menstruation (backward flow of menstrual blood).
  3. Digestive causes, like indigestion or acid reflux.
  4. Gallstones (cholelithiasis), which can cause upper abdominal pain.
  5. Irritable bowel syndrome (IBS), which can cause recurrent abdominal discomfort.

A definite diagnosis cannot be made until pregnancy and other causes are ruled out with appropriate tests.

I would certainly think it is safest to visit your GP and discuss your concerns with them. I also think that even if you are not pregnant, you would benefit from seeing your GP or practice nurse.

Kindly revert in case of further queries.

Thank you.

Answered by

Dr. Tim Evans

Medically reviewed byiCliniq medical review team

Published At April 14, 2016
Reviewed AtDecember 18, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Tim Evans

Dr. Tim Evans

General Practitioner

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