Digestive System Liver Problems During Pregnancy

While the pregnancy process of some women is very enjoyable, for some women this process can be a bit difficult for them. You should enjoy this process. Sometimes you get the happy news with morning sickness without even taking a pregnancy test. It begins with long morning retches, nausea, and vomiting. The good news is this is a temporary situation… The bad news is that the baby is in a rapid growth period during this period, so we doctors do not rush for drug treatment. Changing and living fast; It can become a difficult situation for those of us who are programmed to quickly resolve the outcome of any negativity. We can overcome this process with dietary changes. For example, you can have dry foods when you first wake up in the morning. Crackers, chickpeas, etc. You should stay away from fatty foods. Boiled food will be your savior in this case. Your meals should be frequent and in small quantities. At the end of the first 3 months, your nausea and vomiting will decrease and disappear.

If the mother has pre-existing autoimmune diseases, she usually tends to be calm during pregnancy.

When you pass into the second trimester of pregnancy, we do not encounter many gastrointestinal complaints. It is a more enjoyable process for pregnant women.

When the 3rd trimester of pregnancy comes, the excitement of approaching the birth increases as well as some troubles. Due to the growing baby in the abdomen, the pressure on the digestive system organs increases. Therefore, reflux complaints usually increase during this period. With the effect of hormones, there may be a slowdown in bowel movements. This presents as constipation. In addition, some expectant mothers may experience problems related to hemorrhoids. In these cases, we are in a more fortunate position than in the first periods because we can use a group of drugs more safely, knowing that they are not harmful to the baby. However, you should not use drugs without the knowledge of your doctor.

Apart from these problems, we may encounter diseases that require closer follow-up in cases where the serum bile acid level increases in the blood with itching. The situation we call pregnancy-related intrahepatic cholestasis is a more serious picture. Itching develops due to the accumulation of bile acid under the skin. However, the increase in these values ​​can have harmful consequences for the health of the baby. Here, obstetricians tend to make decisions about the patient’s condition and the delivery process together with the gastroenterologist.

In cases such as pregnancy-related acute fatty liver and HELLP syndrome, an increase in maternal liver enzyme values ​​is observed. There must be a gastroenterologist in the team where these cases are followed.

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