Can morning sickness be diarrhea
Gastroenteritis In Pregnancy, Diarrhea In Early Pregnancy And Gut Problems
The female body changes when you’re expecting. Find out what gastrointestinal problems happen during pregnancy at each trimester and how to deal with them.
Bringing a new human into the world is miraculous and exciting, but it comes with a whole bouquet of changes for the body, not in the least the digestive system which is very sensitive during this time of transition.
Table of contents
- 1. Pregnancy symptoms by trimester
- 2. Morning sickness, nausea and pregnancy
- 3.Diarrhea in early pregnancy
- 4.Upper stomach pain during pregnancy
- 5.Gastroenteritis in pregnancy
- 6.Pregnancy, gas and bloating
- 7.Constipation and pregnancy
- 8.Is it IBS or pregnancy?
Common pregnancy symptoms by trimester
Each trimester of pregnancy comes with specific gastric problemsA normal pregnancy term is 40 weeks, but it can range from 37 to 42 weeks. This period is divided into trimesters which reflect specific developmental milestones for the foetus. The first trimester goes from week 1 to 13, the second from week 14 to 26, and the third from week 27 to 40.
Pregnancy puts a lot of pressure on the digestive system. On the one hand, it must extract enough nutrients to nourish your body and that of a growing baby. On the other, your abdomen is put under physical pressure as the baby grows and takes up more room inside of you.
1st trimester | 2nd trimester | 3rd trimester |
---|---|---|
Week 1–13 | Week 14–26 | Week 27–40 |
Morning sickness | Constipation | Flatulence |
Constipation | Diarrhea | Constipation |
Diarrhea | Acid reflux | Gallstones |
Food cravings | Upper GI pain | Acid reflux |
Aversions | Gallstones | Upper GI pain |
Acid reflux | Hemorrhoids | |
Liver problems |
Each trimester is associated with a number of changes in the body, many of which can influence the gastrointestinal (GI) system such as heartburn, nausea, diarrhea in early pregnancy, or constipation.
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Causes of gastrointestinal issues during pregnancy
Pregnancy can intensify underlying conditions, even if you weren’t aware of them before your egg got fertilised. There are a number of lifestyle and medical reasons behind gastrointestinal problems during pregnancy:
- Changes in hormones
- Obesity, sedentary lifestyle, and poor diet
- Antacids with calcium or aluminum
- Certain medications
- Viral or bacterial infection
- Food intolerances and allergies
- Stress
- Thyroid disorders
If you have chronic GI problems, like IBS (Irritable Bowel Syndrome), acid reflux, or GERD (GastroEsophogeal Reflux Disease), their symptoms will most likely intensify during pregnancy. So if you are planning a pregnancy, consult your doctor for advice.
Morning sickness, nausea and pregnancy
Morning sickness and diarrhoea during pregnancy are common because your body is undergoing important hormonal shifts to accommodate the baby’s development. No matter when it happens, if you get diarrhea at 8 weeks pregnant or later, you’ll need to increase your fluid intake and monitor how long it lasts.
In particular, if you have morning sickness and diarrhea or diarrhea and vomiting in pregnancy, it may be the sign of a tummy bug (especially if you’ve recently travelled to foreign countries), so remember to stay hydrated and consult your doctor if it doesn’t clear up quickly.
☝️FACT☝️ 70–80% of pregnant women have nausea and vomiting during their first trimester that can happen any time, day or night.
What is morning sickness?
Morning sickness is characterised by nausea and stomach upset during pregnancy. It’s not quite clear why it happens, but doctors think it’s due to hormonal changes. About 8 in 10 women will be affected by morning sickness, though some worse than others. Here are some patterns associated with the increased risk of morning sickness:
- Pregnancy with twins or multiple fetuses
- History of morning sickness during pregnancy or in the family
- Women with motion sickness
- Use of oral contraceptives (estrogen)
- Frequent migraines
- BMI of 30 or more
- Elevated stress hormone levels
How to manage an upset stomach during pregnancy?
Normally morning sickness stops around weeks 16–20, but there’s no need to just suffer. Here are some tips that can help you alleviate the symptoms so you can enjoy growing a tiny human inside your body:
Rest more (fatigue aggravates nausea) | Eat small frequent plain low-fat, high-carb meals |
Avoid triggering foods and smells | Try ginger, some evidence shows it may help with nausea |
Eat a slice of toast or bread before getting out of bed | Drink more still water (small frequent sips) to stay hydrated |
☝️CAUTION☝️ If you have severe uncontrolled vomiting, abdominal pain, painful or bloody urination, contact your doctor immediately!
In rare instances, pregnant women can develop severe vomiting, something doctors call hyperemesis. It is a serious condition requiring medical assistance and can cause dehydration, electrolyte disbalance, weight and muscle loss, and depletion of vitamins and minerals.
Hyperemesis affects 0.3–2.3% of all pregnancies, but it can be alleviated with some simple changes to diet and lifestyle, as well as complementary nutritional supplements and therapies like acupuncture or aromatherapy.
Diarrhea in early pregnancy
Diarrhea whilst pregnant can be caused by oxytocinPregnancy and diarrhea often happen together. Diarrhea in pregnancy first trimester (and second) is usually mild, but having the runs because of an upset stomach during pregnancy 3rd trimester is most common. Symptoms of diarrhea include:
- Loose watery stools 3+ times per day
- Urgent frequent need to have a bowel movement
- Abdominal cramps or pain
- Bloating
- Nausea
In daily life, reasons for diarrhea can range from bacterial and viral infections to food poisoning and medications. However, loose stools in pregnancy and diarrhea during early pregnancy are often caused by hormonal and dietary changes, stress, and underlying conditions like IBS.
Diarrhea 5 weeks pregnant is one of the first signs that the body is slowly transforming to accommodate the growing fetus. For example, oxytocin levels increase during pregnancy – this hormone also speeds up movement in your digestive tract.
That’s why, basically, first trimester diarrhea and diarrhea during pregnancy 2nd trimester may be a sign that your body is slowly working up to the 3rd trimester and labour. Occasional loose stools in early pregnancy, including diarrhea in the second trimester, and diarrhea at 16 weeks pregnant don’t mean there is anything wrong with you.
Risks of diarrhea in pregnancy
Persistent diarrhea while pregnant without proper treatment can result in dehydration, malnutrition, electrolyte disbalance, loss of weight, and it might pose a threat to your baby’s health. If you have the following symptoms, immediately get medical assistance:
- Blood or mucus in your stool
- Weight loss
- Fever
How to stop diarrhea when pregnant
If you experience diarrhea whilst pregnant, avoid foods that can make it worse, like dairy, caffeine, and anything with high fat and sugar levels. Dehydration is an important risk, so you should take steps to restore your body’s electrolyte balance with liquids and plain foods:
Fruit juices (in moderation) | Caffeine-free soft drinks |
Bananas | Potatoes |
Rice | Toasts |
Crackers | Soups |
Pasta | Applesauce |
Digestive problems, including pregnancy diarrhea, can worsen if there are underlying conditions such as IBS, Crohn’s disease, ulcerative colitis, and celiac disease (gluten intolerance). Taking measures when planning the pregnancy is the best way to minimize the risks and side effects.
☝️REMEMBER☝️If you’ve travelled to less developed countries, diarrhea and pregnancy may be the sign of a gastrointestinal infection, so consult your doctor.
Upper stomach pain during pregnancy
Upper stomach pain during pregnancy can be caused by acid refluxMany women experience pain in the stomach while pregnant, especially the upper part. It is a normal effect of the fetus growing inside the womb, which pushes the mother’s organs around to accommodate the baby’s increasing size.
There are many reasons for pregnancy constipation pain, stomach cramps and diarrhea during early pregnancy and, realistically, throughout the full 40 weeks. Here are the most common causes of abdominal pain during pregnancy:
- Constipation
- Flatulence
- Muscle and ligament pain
- Acid reflux
- Stretching skin
- Gallbladder or liver issues
- Inflammation in the pancreas
- Injury of the spleen
- Appendix
- Labour contractions
Avoiding abdominal cramps during pregnancy is unlikely. However, regular medical check-ups, a healthy diet, restful sleep, regular exercise, and keeping your stress levels low do a lot to minimize unnecessary discomfort.
Nevertheless, abdominal pain, particularly in the 3rd trimester, should be taken seriously because it might be the sign of premature labour or placental abruption that put mother and baby at risk. If you experience severe pain in the stomach during pregnancy with these symptoms, make sure to seek immediate medical help:
Abdominal pain accompanied by fever | Bleeding |
Regular cramps | Unusual vaginal discharge/spotting |
Vomiting | Lower back pain |
Painful or burning sensation during urination | Severe pain lasting 30–60 minutes |
Gastroenteritis in pregnancy
Gastroenteritis is a fancy word for stomach flu, and it can explain why you have an upset stomach in pregnancy that leaves you under the weather for a few days. However, the symptoms are easily mistaken for morning sickness diarrhea, but there are some important distinctions.
Gastroenteritis is caused by bacterial or viral infections of which the most common are norovirus and rotavirus, E. coli, and salmonella. These infections enter the body through contact with contaminated surfaces, utensils, food, and water.
Pregnant women with children are more likely to get gastroenteritis, especially because children tend to pick up germs at school. That’s why it’s important to take precautions, like frequent handwashing, cleaning surfaces, and not sharing cutlery or food with their infants.
Symptoms of gastroenteritis
Normally, gastroenteritis lasts about three days. However, severe gastroenteritis when pregnant should be taken seriously because it can cause dehydration and electrolyte disbalance which, if not treated properly, can cause complications such as preterm birth.
Common symptoms of gastroenteritis | ||
---|---|---|
Diarrhea (without blood) | Nausea and vomiting | Stomach pain |
Mild fever | Headache | Cramps or aching muscles |
The steps to managing gastroenteritis in pregnancy are very similar to the ones above (in the diarrhea and pregnancy section){#diarrhea-in-early-pregnancy): make sure you stay hydrated, eat plain food, and call the doctor if the symptoms persist or get very bad.
☝️REMEMBER☝️ Gastroenteritis medication may not be suitable for pregnant women. Always consult your doctor before taking anything.
Pregnancy, gas and bloating
Progesterone can cause constipation and gas during pregnancyGas during pregnancy occurs along with other gastrointestinal side effects. It may be caused by hormonal changes, like the production of more progesterone. This hormone relaxes the body’s muscles, including the intestinal ones, which slows digestion and increases flatulence.
If you have gas when pregnant, try some simple lifestyle and diet hacks to ease the pressure in your gut. Take it easy on high-fiber, hard-to-digest foods like beans, avoid fizzy drinks and fatty foods, and get out for a walk to help move things along.
☝️CAUTION☝️ If bloating is accompanied by severe pain that lasts more than 30 minutes, or you have constipation for two weeks or more, you should call your doctor.
The microbiome, gut bacteria and pregnancy
Your body undergoes a lot of changes during pregnancy, and this can affect the ecosystem of bacteria in your gut. These trillions of microbial cells do important jobs for overall health, like producing vitamins and short-chain fatty acids that keep your gut happy.
However, the influx of female hormones that comes with having a bun in the oven alters how your gut functions and that, in turn, can influence your microbiome. This is generally good because this ecosystem evolves to keep up with your body’s needs.
It’s important to nourish the good microbes in your colon so they can continue to support your digestion and keep everything running smoothly, because bacteria can also influence gas, bloating, diarrhea, and constipation.
The key to a happy gut microbiome is whole foods because fruit, veg, whole grains, nuts, and seeds contain special molecules called prebiotics that good bacteria feed on. They even help protect you from nasty bugs that can cause gastroenteritis during pregnancy.
With an Atlas Microbiome Test, you will discover which bacteria you have, which you lack and how to cultivate the ones you need. Based on these results, we'll calculate your risk score for five inflammatory diseases including ulcerative colitis and Crohn's.
When you purchase an Atlas Microbiome Test, you will also receive a 1-1 consultation with one of our expert nutritionists. Drawing on their wealth of experience, they can help you encourage diversity, cultivate beneficial bacteria and harness the power of a healthy microbiome.
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Constipation and pregnancy
Constipation is defined as less than three bowel movements per week. Constipation during pregnancy is caused by progesterone, the female hormone that helps the body grow a baby. Sadly, progesterone tends to relax your gut muscles, which makes it harder to go.
Constipation in pregnancy symptoms
- Hard stool
- Trouble to perform defecation
- Inability to completely empty the bowel
- Bloating and cramping
Another reason for constipation in pregnancy is that, as the fetus grows, the womb takes up more space and puts pressure on the rectum, which is the last part of your intestines. Keeping hydrated and getting enough fiber every day can help relieve this.
However, constipation pain in pregnancy may be a sign of something serious. Call your doctor if you experience constipation in pregnancy symptoms like blood in stool, weight loss, severe pain while defecating, and constipation longer than two weeks.
☝️Is constipation a symptom of pregnancy?☝️ Yes, it is caused by elevated progesterone and pressure on your intestines from the baby.
IBS and pregnancy
Irritable Bowel Syndrome (IBS) is a chronic condition with symptoms like cramping, abdominal pain, bloating, diarrhea, or constipation. IBS can get worse during pregnancy due to hormonal and dietary changes, and because your organs have to move to fit in a growing baby.
IBS and pregnancy symptoms can be easily confused, especially since both can cause digestive discomfort, bloating, diarrhea, and constipation. Unfortunately, there is no cure for IBS, only lifestyle and dietary strategies like stress avoidance, exercise, and healthy food.
Word of caution, one scientific study carried out by the University College Cork with 100,000 participants found that women with IBS are at increased risk of pregnancy complications (especially in cases of smoking or depression). As a result, the authors highlight the importance of prenatal care for women with this chronic condition to ensure a safe pregnancy.
Is it pregnancy or IBS?
If you are pregnant and you can’t tell if it’s the fetus growing inside of you or your chronic digestive condition that’s acting up, here are a few tips that will help you figure out what’s going on.
The difference between ibs and pregnancy symptoms:
IBS | Pregnancy |
---|---|
Bloating | Missed period |
Abdominal cramps | Tender breasts |
Constipation or diarrhea | Increased urination |
The final word on gastrointestinal problems and pregnancy
So, now you have all the necessary knowledge and instruments that will help you be prepared and handle the GI symptoms during pregnancy. Gastrointestinal pregnancy symptoms are quite versatile, so here are some main red flags when you must immediately get medical assistance:
- Vomiting blood
- Blood in stool during pregnancy or black stools
- Dramatic weight loss
- Severe pains that interfere with daily life
- Choking
- Pain or difficulty swallowing
- Extreme fatigue
- Mayo Clinic, Morning sickness, 2018
- Lindsey J Wegrzyniak, Treatment of Hyperemesis Gravidarum, 2012
- Edwards A. et al.,The Maternal Gut Microbiome During Pregnancy, 2018
- National Health and Safety (NHS), Vomiting and morning sickness in pregnancy
- Kudzai Kanhutu, Travel and pregnancy: an infectious diseases perspective, 2011
- CDC, Pregnant travelers
- U.S. Department of Health and Human Services, Agency for healthcare research and quality, Abdominal Pain in Early Pregnancy
- Robyn Horsager-Boehrer, M.D., UT Southwestern Medical Center, Should pregnant moms be concerned about gastroenteritis?2018
- International Foundation for Gastrointestinal Disorders, Pregnancy and Irritable Bowel Syndrome, 2016
Pregnancy Poop: Is Diarrhea a Symptom of Pregnancy?
When you’re trying to conceive, it’s understandable to hope that sudden bodily changes indicate that it’s finally happened. You may wonder, Is diarrhea a symptom of pregnancy? If you’re now hitting up the bathroom all the time. The answer isn’t so straightforward.
“Pregnancy can affect your bowel movements, but it’s also common to just get diarrhea for other reasons,” Christine Greves, MD, a board-certified ob-gyn at the Winnie Palmer Hospital for Women & Babies, tells SELF.
But your bathroom habits may clue you into the state of your G.I. tract and uterus. Let’s dive in.
What is diarrhea? | Is diarrhea a symptom of early pregnancy? | Does morning sickness cause diarrhea? | What are early symptoms of pregnancy? | When to talk to your doctor about diarrhea during pregnancy? | How to feel better if you have diarrhea during pregnancy
What is diarrhea, exactly?
Diarrhea is basically poop hell. But more technically speaking, it’s defined as loose, watery bowel movements that occur three or more times in a day, according to the U.S. National Library of Medicine (NLM). It usually lasts just a day or two, which is called acute diarrhea. (Diarrhea that lasts longer than a few days may signal a more serious problem, as can diarrhea lasting a few weeks, called chronic diarrhea1.)
Ever wonder what’s actually going on in your body to make your butt expel its contents so violently? There are a few different potential mechanisms, depending on the underlying cause (of which there are many, which we’ll get to). But generally speaking, diarrhea occurs when your digestive system fails to remove enough water from your stool, Rudolph Bedford, MD, a gastroenterologist at Providence Saint John’s Health Center in Santa Monica, California, tells SELF. That commonly happens when stool moves too quickly through the digestive tract, as Merck Manuals explains, or when your stool is diluted by excess water secreted by the intestines.
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Is diarrhea a symptom of early pregnancy?
The answer is going to take a sec, so pull up a seat.
Your hormones fluctuate throughout your menstrual cycle, and you might know that these hormonal changes can make your poop real weird around the time of your period2. That’s largely thanks to a hormone that helps prep your body for pregnancy called progesterone.
Progesterone levels increase after ovulation, anticipating that the egg your ovaries just released will be fertilized, the NLM explains. If you don’t become pregnant, progesterone levels fall back down, and you get your period. If the egg is fertilized and you do become pregnant, your levels of progesterone will continue to rise, Mary Rosser, MD, PhD, an ob-gyn at New York-Presbyterian/Columbia University Irving Medical Center, tells SELF.
How does this early pregnancy progesterone surge affect poop? Progesterone helps relax the smooth muscles, like your uterus and intestines. While relaxed intestines might sound like a recipe for the loose, speedy bowel movements that characterize diarrhea, that isn’t what actually happens. In fact, without your G.I. muscles contracting as hard to move things along, food passage starts to slow down and bowel movements become sluggish, G. Thomas Ruiz, MD, an ob-gyn at Memorial Care Orange Coast Medical Center in Fountain Valley, California, tells SELF.
In other words, high levels of progesterone result in constipation, i.e., the exact opposite of diarrhea. Many people experience constipation in early pregnancy3, so diarrhea really isn’t an accurate sign of early pregnancy, Dr. Rosser says.
Total caveat alert: Some people have the opposite reaction. “While constipation is more common in early pregnancy, sometimes the hormonal changes in pregnancy impact people differently and result in diarrhea,” Dr. Greves says. What’s more, some people may be pregnant and crave foods that don’t agree with them, which can lead to diarrhea, Dr. Greves says. For instance, maybe you are lactose intolerant but can’t get enough cheese.
Of course, diarrhea can happen for other reasons completely unrelated to growing a baby. One super common cause is a stomach bug, which is caused by consuming food contaminated with parasites, bacteria, or viruses4, Dr. Rosser says. But numerous other things can lead to loose stool, including bacteria-contaminated food or water, viruses (like the flu or norovirus), parasites, certain medications (like antibiotics), and food intolerances, according to the NLM. (And sometimes, the cause is a mystery, but that’s typically NBD if it goes away after a couple days.)
State Unitary Enterprise "Medical Equipment and Pharmacy of Tatarstan"
January 27, 2020, Monday
intestines. Periodic morning diarrhea is a serious reason to visit a doctor and be examined.
When do you go to the toilet? The time after waking up is considered the best time to remove waste from the body. But morning diarrhea can disrupt sleep, causing a person to wake up early, or they may feel like they need to go to the bathroom as soon as they open their eyes. nine0003
Probably almost everyone has experienced morning diarrhea at some point in their lives. As a serious problem, diarrhea in the morning should be treated when it becomes more frequent or regular - this may indicate a systemic cause, that is, some kind of disorder in the body, a disease.
What are the causes of morning diarrhea? The causes of this condition can basically be divided into two categories - lifestyle causes and underlying conditions.
Basic conditions. These include irritable bowel syndrome, inflammatory bowel disease, and other infections, as well as medications taken to treat them.
Irritable bowel syndrome. In addition to diarrhea, symptoms such as bloating, gas, abdominal cramps indicate it. Unpleasant manifestations of irritable bowel syndrome can be exacerbated due to the influence of stress and certain foods.
Inflammatory bowel disease. nine0008 Inflammation can affect any part of the digestive tract. This is a general term for various pathologies - for example, Crohn's disease, ulcerative colitis. The symptoms of inflammatory bowel disease are similar to those of irritable bowel syndrome, plus weight loss and fatigue.
Infections. One of the most common viral infections that cause morning diarrhea is rotavirus. But it can also be caused by a bacterial infection (this kind of infection is transmitted mainly through contaminated food). nine0003
Lifestyle reasons. The lifestyle we adopt can significantly affect our risk of various diseases and conditions. If someone is suffering from the problem of morning diarrhea, they must rethink some of the factors in their daily life.
Alcohol use. Drinking alcohol, especially late in the evening, can cause morning diarrhea, as alcohol tends to irritate the gastrointestinal tract. nine0003
Smoking. Smoking can seriously contribute to the development of Crohn's disease associated with inflammation in the intestines, and aggravate the symptoms of the existing disease, cause abdominal pain.
Emotional health. Our state of mind can also affect the risk and severity of morning diarrhea. Emotional stress and anxiety, which disappear during sleep, can flare up with renewed vigor when a person wakes up and focuses on a stressful situation - this is how morning diarrhea occurs. nine0003
How to prevent morning diarrhea? Here are some steps you can take.
- Avoid foods and drinks with a high content of gas, especially at night. In addition to carbonated drinks, avoid raw fruits and vegetables such as broccoli and cauliflower, as well as foods containing gluten and foods high in sugar.
- If you often have morning diarrhea and are taking medication to treat another condition, talk to your doctor and ask about the effect of the medication on your condition. nine0066
- Following a healthy lifestyle and avoiding habits such as smoking and drinking can effectively help prevent this disorder.
Why diarrhea is a dangerous symptom. Digestion of food is one of the processes on which our life depends. If food is not digested properly, it is not absorbed adequately by the body and the various organs do not receive the nutrients they need to function properly. Diarrhea is a condition that needs to be treated. nine0003
Source: https://003rt.ru/Articles/item/2058
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Toxemia, Intestinal Problems & Heartburn
Find out how pregnancy affects the digestive tract, which trimesters are more likely to cause bowel symptoms and nausea, and what to do to manage them.
During pregnancy, the burden on the mother's body increases. The body needs more nutrients, the body produces additional hormones. And the growing fetus puts pressure on neighboring organs, including the stomach and intestines. We tell you what symptoms are observed in each trimester, how to cope with toxicosis and get rid of heartburn. nine0003
Contents:
- 2. Toxicosis and pregnancy
- 3. Causes, risks and treatment of diarrhea during pregnancy
- 4. Heartburn and stomach pain during pregnancy
- 5. Bloating, constipation and microbiota during pregnancy
- 6. Note
Changes in the functioning of the gastrointestinal tract by trimesters of pregnancy
The average duration of pregnancy is 40 weeks, which are usually divided into trimesters in accordance with the stages of intrauterine development of the child. nine0003
Each trimester is accompanied by a number of changes in the body, including in the gastrointestinal tract:
| Third trimester of pregnancy 27–40 weeks |
Morning sickness Morning sickness |
The Atlas Genetic Test will help you find out how your genes affect the level of female sex hormones necessary for fertility and pregnancy.
Causes of gastrointestinal problems during pregnancy
Every pregnancy is accompanied by inevitable changes in the functioning of the digestive system. They are more often caused by hormonal changes and increased stress on the organs, but they can also be associated with lifestyle and health conditions, for example:
- Sedentary lifestyle and unbalanced diet; nine0066
- Certain drugs, including calcium or aluminum antacids;
- Viral and bacterial infections;
- Intolerance to certain nutrients and allergic reactions;
- Stress;
- Diseases of the thyroid gland.
If you have chronic diseases of the gastrointestinal tract and you are planning a pregnancy, try to consult your doctor in advance. Symptoms of conditions such as irritable bowel syndrome (IBS) or acid reflux are more likely to get worse during pregnancy. Your doctor will help prepare your body and create a prevention plan to help relieve symptoms during this time. nine0003
Irritable bowel syndrome, or IBS, is a functional bowel disease that causes frequent abdominal pain, impaired peristalsis, bloating, constipation, or diarrhea.
Morning sickness, vomiting and general malaise during pregnancy
Morning sickness and morning sickness during early pregnancy are common, because the body undergoes important changes necessary for the development of the child.
up to 90%
women experience nausea during pregnancy
Doctors find it difficult to say with certainty why pregnant women feel sick in the morning. The main theory is hormonal changes. But there are some patterns associated with an increased risk of morning sickness:
- Multiple pregnancy;
- Toxicosis during previous pregnancy;
- History of morning sickness during pregnancy in close relatives;
- Tendency to motion sickness;
- Use of oral contraceptives containing estrogen before pregnancy; nine0066
- Frequent migraines;
- BMI 30 and above;
- Increased levels of stress hormones
Risks of severe morning sickness and how to reduce nausea
Nausea and vomiting are usually not associated with a risk to mother and child and will pass by 16-20 weeks of pregnancy, but it is not necessary to wait that long - there are ways that can help reduce nausea and enjoy the process of waiting for a new person:
- Get plenty of rest - fatigue increases toxicosis; nine0066
- Avoid smells and foods that cause nausea;
- Eat something right after waking up. A toast or a slice of bread will help reduce nausea;
- Avoid hunger - empty stomach increases nausea. Eat small meals often, prefer low-fat, high-carbohydrate foods;
- Try ginger - studies show it helps with nausea;
- Sip as often as possible and prefer still water. nine0066
In rare cases, pregnant women may develop hyperemesis gestationis or excessive vomiting. This is a serious condition that can lead to dehydration, kidney damage, seizures, abnormal heart rhythms, and even death.
Signs of dehydration include: dry mouth, dizziness, dark urine, infrequent urination and/or dizziness.
Symptoms of excessive pregnancy vomiting:
- frequent nausea for a long time and regular vomiting after meals;
- dry skin and lips;
- sudden weight loss;
- low blood pressure (below 90/60).
If symptoms of excessive pregnancy vomiting occur, do not wait until the condition resolves on its own. It is necessary to seek medical help as soon as possible - the doctor will prescribe treatment, help adjust the diet and lifestyle of the expectant mother.
0.5–2%
pregnant women experience excessive vomiting
Diarrhea in pregnancy
The word "diarrhea" comes from the Greek language and literally means "to flow through". This is a condition during which bowel movements or bowel movements occur three times a day or more often. This phenomenon is especially typical for the third trimester of pregnancy, but it can also occur earlier.
Symptoms of diarrhea:
- Three or more bowel movements per day
- Urgent urge to have a bowel movement
- Abdominal pain and cramps
- Bloating
Causes of diarrhea during pregnancy poisoning, dysbacteriosis, bacterial and viral infections:
Gastroenteritis | Use of lactose and gluten in case of intolerance to these nutrients |
Bacterial infections: listeriosis or salmonella | Chronic gastrointestinal diseases: Crohn's disease, IBS, ulcerative colitis |
Some antibiotics and antacids to reduce acidity | Laxatives |
Sugar substitutes such as sorbitol | Overconsumption of certain foods |
Tip: If you have recently returned from a holiday in an exotic country with nausea and diarrhea and find out you are pregnant, see your doctor as soon as possible. nine0206
Gastroenteritis
One common cause of diarrhea during pregnancy is gastroenteritis or stomach flu. It is caused by bacterial or viral infections: norovirus, rotavirus, E. coli, salmonella, which enter the body through contact with contaminated surfaces, dishes, food and water.
Gastroenteritis usually lasts about three days. However, severe illness is a health hazard, especially during pregnancy, as it can cause dehydration, electrolyte imbalance, and lead to preterm labor. nine0003
The main symptoms of gastroenteritis are diarrhea without blood, nausea and vomiting, stomach cramps and pain, slight fever, headache and muscle pain.
Take extra precautions to reduce your risk of getting sick: frequent handwashing and surface disinfection. If the expectant mother has small children, they are not recommended to use the same cutlery.
Risks of diarrhea during pregnancy
Diarrhea during pregnancy is not usually a cause for concern. However, you should consult a doctor if the following symptoms occur during this period:
- Diarrhea for more than two days;
- Stools with blood or mucus;
- Sudden weight loss;
- Abdominal pain;
- Dehydration.
How to treat diarrhea during pregnancy
If you have diarrhea during pregnancy, drink plenty of fluids, avoid foods high in fat and sugar, avoid dairy products, and caffeinated drinks.
Dehydration is a serious risk, especially during pregnancy, so electrolyte balance should be restored first with fluids and simple foods:
Moderate fruit juices | Drinks without alcohol and caffeine |
Bananas | Potato |
Rice | Toast |
Rusks | Light soups and broths |
Pasta | Applesauce |
Use the Atlas Microbiota Test to find out your body's ability to break down lactose and gluten. nine0206
Stomach pain and heartburn during pregnancy
Many women experience stomach pain during pregnancy, especially in the upper part of the stomach, as well as heartburn - a burning sensation in the chest and esophagus.
This is more common in the third trimester, after about 27 weeks. This is an unpleasant but natural phenomenon during pregnancy: the baby grows inside the uterus and presses on other organs, including the stomach. And hormones cause the muscles to relax, which causes acid from the stomach to enter the esophagus and irritate it. In addition, pain can be caused by problems with certain organs such as the gallbladder, or inflammation of the pancreas. nine0003
Symptoms of heartburn during pregnancy:
- Burning in chest and esophagus;
- Feeling of overeating, heaviness or bloating;
- Belching, including with acid and/or food particles;
- Nausea.
Avoid cramps and heartburn during pregnancy is unlikely. However, some tips can help reduce their frequency:
Nutrition : try to avoid overeating - eat easily digestible food in small portions; do not eat three hours before bedtime; watch your posture while eating - so the pressure on your stomach will be less. nine0003
Smoking and alcohol: In addition to known harms to mothers and babies, tobacco smoke also relaxes the muscles in the lower esophagus, allowing acid to enter the esophagus. And alcohol provokes heartburn and acid reflux.
Although stomach pain and heartburn often accompany pregnancy, abdominal pain, especially in the third trimester, should be taken seriously. It can be a sign of preterm labor or placental abruption, and puts mother and baby at risk. nine0003
If you experience severe abdominal pain during pregnancy that is accompanied by the following symptoms, seek medical attention as soon as possible:
Abdominal pain and fever | Bleeding |
Regular seizures | Unusual vaginal discharge / spotting |
Vomiting | Low back pain |
Pain or burning when urinating | Severe pain that lasts 30-60 minutes |
Bloating, constipation and microbiota during pregnancy
Excessive gas and constipation during pregnancy can be caused by hormonal changes, such as increased production of progesterone. This hormone, essential for nourishing the uterus and fetus, relaxes the muscles of the body, including the muscles in the intestines, which slows down digestion and increases flatulence. A similar reaction of the body can be observed before each menstruation, when the production of progesterone increases. nine0003
Flatulence - bloating of the abdomen due to the accumulation of gases.
Here are a few simple rules that will help improve intestinal motility and avoid constipation and bloating:
- If you don't usually eat a lot of fiber and indigestible foods like legumes, try to gradually introduce them into your diet;
- Avoid carbonated drinks and fatty foods;
- Move more;
- Drink plenty of fluids.
If bloating and constipation are accompanied by severe pain that lasts more than 30 minutes, or if you have been constipated for two or more weeks, call your doctor. nine0003
Gut microbiota and bacteria during pregnancy
A woman's body goes through many changes during pregnancy, and this can affect the microbiota, the bacterial ecosystem that lives in the gut. Trillions of microorganisms do important work for the whole body: they synthesize vitamins and essential acids, keep your intestines working and protect it from disease and inflammation.
The additional influx of female hormones that accompanies pregnancy alters gut function and affects the microbiota. This is good, because the bacterial community is constantly adjusting to external and internal conditions in order to keep up with the needs of the body. nine0003
To keep your gut bacteria running smoothly, they need your help. Provide them with healthy foods and plant fibers. Fruits, vegetables, whole grains, nuts, and seeds contain prebiotics, special substances that beneficial bacteria feed on. When properly balanced, the bacteria even increase your body's defenses against harmful microorganisms that can cause gastroenteritis during pregnancy.
The Atlas Microbiota Test will help you understand how to prepare your intestines for a future pregnancy and reduce the risk of digestive problems. nine0206
☝️ Take note
Now you have all the knowledge and tools you need to help you cope with digestive problems during pregnancy. They are quite varied and quite natural, but in some cases it is necessary to immediately seek medical help:
- Vomiting blood;
- Blood in stool;
- Diarrhea for more than two days;
- Constipation for more than two weeks;
- Sudden weight loss;
- Severe pain interfering with daily activities; nine0066
- Difficulty breathing;
- Pain when swallowing or difficulty swallowing;
- Excessive fatigue.
More articles on the causes of digestive problems on the blog:
- 7 foods that cause gas and bloating
- Lindsey J Wegrzyniak, Treatment of Hyperemesis Gravidarum, 2012 nine0065 Edwards A. et al., The Maternal Gut Microbiome During Pregnancy, 2018
- National Health and Safety (NHS), Vomiting and morning sickness in pregnancy
- Kudzai Kanhutu, Travel and pregnancy: an infectious diseases perspective, 2011
- CDC, Pregnant travelers
- U.