Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: August 3, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Differential Diagnosis for N/V and Pelvic Pain in Pregnancy

Single Most Likely Diagnosis

  • Morning Sickness: This is the most common cause of nausea and vomiting (N/V) in pregnancy, often accompanied by mild pelvic discomfort due to implantation or early pregnancy changes. It typically occurs in the first trimester.

Other Likely Diagnoses

  • Urinary Tract Infection (UTI): UTIs can cause pelvic pain and may lead to N/V due to the infection or associated pyelonephritis. Pregnancy increases the risk of UTIs due to urinary stasis.
  • Ovarian Cyst: Ovarian cysts can cause pelvic pain and, if they rupture or torsion occurs, can lead to severe pain and potentially N/V.
  • Preterm Labor: Preterm labor can present with pelvic pain and may be accompanied by N/V. It's a significant concern due to the potential for premature birth.

Do Not Miss Diagnoses

  • Ectopic Pregnancy: Although less common, ectopic pregnancy is a life-threatening condition that can present with pelvic pain and N/V. It requires immediate medical attention.
  • Placental Abruption: This condition involves the placenta separating from the uterus and can cause severe pelvic pain and N/V. It's an emergency that can threaten both the mother's and fetus's lives.
  • Appendicitis: Appendicitis can occur during pregnancy and may present with pelvic pain and N/V. Its diagnosis can be challenging due to the changing anatomy during pregnancy, but it requires prompt surgical intervention.

Rare Diagnoses

  • Molar Pregnancy: A rare condition where a non-viable fertilized egg implants in the uterus, leading to severe N/V and pelvic pain due to the rapid growth of the uterus.
  • Pregnancy-related Thrombophlebitis: Inflammation of veins due to a blood clot, which can cause pelvic pain and potentially N/V if the clot is large or in a critical location.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.