Frequent urination and diarrhea pregnancy

Pregnancy - signs and symptoms

Significant hormonal changes take place during pregnancy. These trigger a variety of symptoms. Some women experience many of the symptoms of pregnancy, while others may have only a few.

Symptoms of early pregnancy include missed periods, breast changes, tiredness, frequent urination, and nausea and vomiting (morning sickness). However, these symptoms may be caused by other factors and do not necessarily mean that you are pregnant, so if you suspect you are pregnant take a home pregnancy test and see your GP.

A wide range of changes can occur in your body in the later stages of pregnancy, including backache, headache, leg cramps or varicose veins, itch or tingling, constipation, haemorrhoids or indigestion, vaginitis or vaginal discharge, or mood changes or depression.

If you have any concerns don’t hesitate to talk to your GP. See your GP right away if you experience symptoms like vaginal bleeding or breaking waters, chronic pain, high temperature, severe headaches or vision loss.

The signs of early pregnancy can include:

• missed period
• nausea and vomiting (often called ‘morning’ sickness, but it can occur at any time)
• breast tenderness and enlargement
• fatigue
• passing urine more frequently than usual, particularly at night
• cravings for some foods, distaste for foods you usually like, and a sour or metallic taste that persists even when you’re not eating (dysgeusia).

Many of the signs of pregnancy, such as a missed period (amenorrhoea), nausea (morning sickness) or tiredness can also be caused by stress or illness, so if you think you are pregnant take a home pregnancy test (urine test) or see your GP, who will administer a urine test, blood test or ultrasound scan.

Missed period

Missing a period is often the first sign of possible pregnancy. However, some women experience light bleeding around the time of their expected period.

Nausea and vomiting

‘Morning’ sickness is a condition that affects more than half of all pregnant women. The symptoms include nausea and vomiting, and loss of appetite. Many women with morning sickness don’t just get symptoms in the morning but experience them throughout the whole day.

Morning sickness usually begins around the fourth to sixth week of pregnancy and may settle by week 12, although it can continue for longer or return at around 32 weeks.

Breast changes

During pregnancy, the breasts become fuller, swollen and tender. These changes are similar to those you may have noticed in the few days before your period. During pregnancy, the skin around the nipple becomes darker and the veins in the breast become more obvious.

Fatigue

Overwhelming tiredness is common in early pregnancy. This is most likely caused by the massive increase in the sex hormone progesterone. Progesterone is needed to maintain the pregnancy and help the baby to grow, but it also slows your metabolism.

Try to get some more sleep or rest when you can during this early stage. Your energy levels will probably rise again by around the fourth month of pregnancy when the placenta is well established.

Tiredness during pregnancy can also be caused by anaemia, which is most commonly caused by iron deficiency. Eating iron-rich foods is important in the prevention of iron deficiency anaemia during pregnancy. Medical treatment of anaemia in pregnancy usually involves taking iron tablets. Sometimes an iron infusion (iron medicine given by a drip) is needed. This needs a hospital admission but only takes a few hours. Some iron infusions can be given by your GP.

Frequent urination

Pregnancy causes an increase in levels of body fluids and greater kidney efficiency. The swelling uterus also presses against the bladder. As a result, most women start experiencing more frequent urination within the first few weeks of becoming pregnant.

Food cravings

Cravings for certain foods are very common in pregnancy, especially for foods that provide energy and calcium, such as milk and other dairy products. You may also notice a sudden distaste for foods you previously liked.

Some women even develop an unusual taste for non-food items such as soil or paper. This is called ‘pica’ and may indicate a nutrient deficiency. Please speak to your GP or midwife if this develops.

Other symptoms of pregnancy

Many of these symptoms may also be indicative of other conditions. If in doubt, see your GP.

• backache
• breathlessness
• constipation
• haemorrhoids (piles)
• headaches
• heartburn and indigestion
• itchy skin
• leg cramps
• mood changes (such as unexplained crying)
• tingling and numbness in your hands
• vaginal discharge
• vaginitis
• varicose veins and leg oedema (swelling).

Backache

Back pain during pregnancy can affect more than 1 in 3 women. This is usually due to loosening of ligaments and change in posture due to the growing pregnancy.

You can help reduce back pain during pregnancy by wearing flat heeled shoes, using chairs with good back support, avoiding lifting heavy objects, and doing gentle exercise. Exercising in water can reduce back pain in pregnancy, and physiotherapy and acupuncture may also help.

Breathlessness

At the onset of pregnancy the hormone progesterone increases your lung capacity. This enables you to carry more oxygen to your baby and get rid of waste products such as the carbon dioxide that you both produce. At each breath you breathe more deeply and the amount of air you inhale (and exhale) increases significantly. This can make you feel short of breath.

In addition, as pregnancy approaches term, the pressure of the enlarging uterus and baby on your diaphragm can make your breathing feel more laboured.

Contact your doctor or midwife if you experience sudden onset of breathlessness associated with any of the following:

• pain
• palpitations (heart pounding)
• extreme tiredness
• exercise.

Constipation

Constipation refers to infrequent, hard bowel movements that are difficult to pass. Constipation is a common problem in pregnancy that may be caused by pregnancy hormones slowing your gastrointestinal movement, or by the pressure of your growing uterus on your rectum.

If you experience constipation during pregnancy, you are advised to:

• drink plenty of water every day.
• increase your dietary fibre (such as bran, wheat and fresh fruit and vegetables).
• do gentle, low impact exercise such as swimming, walking or yoga.

Don't take over-the-counter laxatives without first consulting your midwife or GP. If changes to your diet and lifestyle don't make a difference then your GP or midwife can prescribe a laxative that is safe to use in pregnancy.

Haemorrhoids (piles)

You may develop haemorrhoids (also known as piles) as a result of straining from constipation or the pressure of your baby’s head. Be reassured, symptoms usually resolve on their own soon after birth.

If you have bleeding from haemorrhoids, itching, discomfort or pain it is recommended that you:

• Alleviate or prevent constipation by increasing your daily water and fibre intake.
• Sit in warm salty water for about 15 minutes, especially after a bowel motion.
• Apply haemorrhoid cream.

If the bleeding or pain continues, talk with your GP (doctor) or midwife.

Headaches

Contact your GP or midwife if you have a headache during pregnancy that is not relieved by paracetamol (such as Panadol), especially in the second half of pregnancy.

A persistent headache can be associated with pre-eclampsia – a condition that can affect your kidneys and thus increase blood pressure and decrease blood flow to your baby.

Heartburn and indigestion

Heartburn, reflux or indigestion is the pain and discomfort associated with acid from the stomach entering and ‘burning’ the oesophagus.

Indigestion is more common during pregnancy due to the pressure of the enlarging uterus on the organs of the abdomen and the action of the hormone progesterone that relaxes the muscle between the oesophagus and stomach.

If you are experiencing heartburn, reflux or indigestion, it is recommended that you:

• Eat small and more frequent meals.
• Avoid eating just before going to bed.
• Sleep with extra pillows so your head is raised.
• Wear loose-fitting clothing.
• Avoid any food or fluid that aggravates symptoms – such as fatty foods (including fried foods, fatty meats and pastry), spicy foods (including curry and chilli), alcohol and caffeine (including tea, coffee, chocolate and cola).
• Consult your doctor before taking antacids.

If these strategies do not relieve your symptoms, please consult your GP, who may prescribe a medication that will safely reduce the secretion of acid.

Itchy skin

Widespread itching over the body is not common in pregnancy but it can be very distressing, interfering with sleep and enjoyment of pregnancy. Dry skin and eczema are the most common causes but sometimes there may be no apparent cause for the itching. In rare cases, where the palms of the hands and soles of the feet are itchy, it may be due to serious liver disease – a blood test can be done to check for this.

An itchy rash in the later part of pregnancy is thought to be caused by the body’s reaction to the stretching of the skin. This is called PUPPS. Itching can be controlled by using moisturisers and antihistamines. Ask your doctor or midwife what antihistamines are safe in pregnancy.

Leg cramps

Leg cramps occur due to a build-up of acids that cause involuntary contractions of the affected muscles. They are experienced by up to half of pregnant women, usually at night. Leg cramps are more likely in the second and third trimesters.

If you experience leg cramps, it is recommended that during an episode you:

• Walk around.
• Stretch and massage the affected muscle(s) to disperse the build-up of acids.
• Apply a warm pack to the affected muscle(s).

If you find cramps troublesome, discuss with your GP or midwife the option of taking magnesium lactate or citrate morning and evening.

Mood changes

Some newly pregnant women experience mood changes such as irritability. Other pregnant women experience feelings of elation. It is thought that the pregnancy hormones influence chemicals in the brain, causing mood changes.

During pregnancy, 1 in 10 women experience depression. Depression is treatable, so if you are feeling depressed or ‘down’ during pregnancy it is extremely important to get help early. Please contact your GP (doctor), midwife or maternal and child health nurse as soon as possible.

Tingling and numbness in your hands (carpal tunnel syndrome)

Carpal tunnel syndrome – tingling and numbness in your hands – affects up to 60 per cent of women during pregnancy. It is caused by compression of the median nerve due to an increase in the tissue fluids during pregnancy.

Carpal tunnel syndrome may be mild, intermittently painful, or severe, which may cause partial paralysis of the thumb or loss of sensation. Symptoms usually resolve on their own soon after birth.

If you are experiencing tingling and numbness in your hands, inform your doctor or midwife. In very severe cases, your doctor may recommend corticosteroid injections or surgical treatment.

Vaginal discharge

An increase in vaginal discharge is a common change during pregnancy. If it is associated with itchiness, pain, a bad odour or pain on passing urine then it may be due to an infection. Seek treatment from your GP.

Vaginitis

Vaginitis is inflammation of the vagina, and is a distressing complaint for many women. It is more frequent during pregnancy. Some causes of vaginitis include vaginal thrush, bacterial vaginosis, trichomoniasis and chlamydia. See your GP for diagnosis and treatment

Varicose veins and leg oedema (swelling)

Varicose veins of the legs are very common in pregnancy due to a combination of factors, including increased volume of circulating blood during pregnancy, and pressure of the pregnant uterus on the larger veins. This increased pressure on the veins can also result in swelling of the legs (oedema) that can cause pain, feelings of heaviness, cramps (especially at night) and other unusual sensations.

If you have varicose veins, it is recommended that you:

• Wear support stockings.
• Avoid standing for long periods.
• Exercise gently and regularly (walking or swimming).
• Lie down to rest with feet elevated, when you can.
• Try massaging your legs.
• Tell your doctor or midwife at your next pregnancy visit.

It is recommended that you contact your hospital or carer if you are worried or if you have any of the following during pregnancy:

• vaginal bleeding
• less movement of your baby than usual
• severe stomach pain
• pain that doesn’t go away
• leaking amniotic fluid (that is, if your waters break)
• a high temperature
• vomiting that will not stop
• a headache that will not go away
• vision loss or blurred vision
• widespread itching of the skin
• sudden swelling of face, hands and feet.

Read more about problems that can occur during pregnancy.

Where to get help

• In an emergency, call 000 for an ambulance
• Your GP (doctor)
• Midwife
• Obstetrician
• Your maternity hospital
• Your maternal and child health nurse
• Pharmacist
• Sexual Health Victoria Tel. 1800 013 952
• Sexual Health Victoria - Our Clinics

Varicose veins and spider veins

Veins carry deoxygenated blood back to our heart. In our legs, blood is collected in the superficial veins, just below the skin surface, and delivered to deeper veins that run within our calf muscles. The muscular action of our calves helps to pump the blood against the force of gravity towards the heart. One-way valves inside the veins prevent the blood from travelling backwards.

If these valves fail to close properly, blood pools in the superficial veins. Over time, the affected veins distend with blood (become ‘varicose’). Varicose veins are knobbly, twisted and darkish-blue in appearance.

Spider veins are like varicose veins, but smaller and closer to the surface of the skin. They are often red or blue, and can look like tree branches or spider webs. They are mostly found on a person’s legs or face. They may cover a small or large area.

These problem veins can be treated in two main ways. Surgery is usually used on only the larger varicose veins, while sclerotherapy can help with smaller veins.

Treatment of varicose veins and spider veins is not just for cosmetic reasons. Varicose vein disease can cause many health problems, such as blood clots, venous eczema, skin breakdown and ulceration, and, rarely, skin cancers.

Causes of varicose veins and spider veins

We do not know the causes of varicose veins and spider veins. However, in many cases, they run in families. Women seem to get the problem more often than men. Changes in oestrogen levels in a woman’s blood may have a role in the development of varicose veins. Such hormonal changes occur during puberty, pregnancy, breastfeeding and menopause.

Factors that may increase your risk of developing varicose veins include:

• standing or sitting for long periods
• being immobile for long periods – for example, being confined to bed
• lack of exercise
• obesity.

Symptoms of varicose veins

Problems can occur if the faulty valves are located within the veins that go through the calf muscles (deep veins). Associated problems may include:

• aching in the legs
• skin rashes such as eczema
• brownish ‘stains’ on the skin surface, caused by the eruption of capillaries
• skin ulcers
• blood clots forming within veins (thrombophlebitis).

Prevention of varicose veins and spider veins

Some suggestions that may help to prevent varicose and spider veins include:

• Wear support stockings.
• Maintain good weight control.
• Get regular exercise.
• Avoid wearing high heels, as they affect the proper functioning of the larger veins.

Treatment of varicose veins and spider veins

Some varicose veins and spider veins can be treated by sclerotherapy, which is the injection of irritant chemicals (sclerosants) into the affected vein. The irritant prompts the vein to spasm and collapse in on itself. In time, the walls of the collapsed vein heal together, and the sealed vein can no longer carry blood.

Leg veins clear up slowly after sclerotherapy and may take up to two to six months to resolve, depending on their size. A compression stocking worn on the leg helps to speed this process. Small veins need compression for around three to six days, while bigger veins need about six weeks.

Sclerotherapy procedure

The actual sclerotherapy procedure takes at least one-and-a-half hours. Afterwards, you need to allow extra time for walking around. The process includes:

• The surgeon marks the site of injection on your legs while you stand.
• The surgeon gives you the injections while you are lying down.
• You put on compression bandages and stockings immediately after the injections. The bandages are meant to be tight.
• You should then walk for about half an hour.

The fine needle used for injecting does not cause much pain, only a mild pinprick sensation. Some people may experience a burning sensation after the injection. This disappears after a few seconds.

Each vein may need several injections, given some weeks apart. Many different veins can be injected in one treatment session. Allergic reactions to the sclerosants are very rare.

If the problem vein isn’t visible to the eye, the surgeon will use an ultrasound machine to help guide the needle (echosclerotherapy). This enables the surgeon to clearly see both normal and abnormal veins underneath the skin. Ultrasound-guided sclerotherapy is best for people with:

• varicose veins
• spider veins that haven’t responded to standard injections
• leg ulcers
• other complications of varicose veins, such as pigmentation and eczema.

After sclerotherapy for varicose or spider veins

To improve blood circulation in the deep veins, it is essential to walk after the treatment. You should wear a compression stocking to reduce the risk of bruising and swelling, and other complications such as inflammation and clots. Regular exercise, weight control and the use of support stockings (if practical) are recommended between treatments and after treatment.

Side effects of sclerotherapy for varicose or spider veins

Some of the possible side effects and complications of sclerotherapy include:

• bruising – usually at the site of the injection. This will disappear in a few weeks
• Brown lines or spots – these may appear on the skin at the site of the injected blood vessels. This can occur when blood escapes from the treated vein into the skin. In most cases, this discoloration will disappear in time. In a small number of people (fewer than five per cent), the brown lines may last up to a year or longer. It is best not to take iron supplements while receiving sclerotherapy, as brown lines are caused by the iron content of the red blood cells. Laser therapy can treat stubborn lines or spots, although this treatment cannot be guaranteed to work
• lumps – may occur in larger injected veins. These are called ‘trapped blood’ and are not dangerous. They will either be removed a few weeks after the injection or will clear by themselves
• swelling – may occur in people who have had large veins treated. To prevent swelling, it is best to wear compression stockings after the treatment
• matting – a network of fine blood vessels can develop after sclerotherapy. This can be due to a number of reasons including lack of compression, inadequate compression, hormonal supplements, vitamin E supplements, use of anti-bruising creams or creams containing vitamin E, and inadequate treatment of underlying veins. Matting may resolve spontaneously but this may take a year or longer. It can also be treated using special injection techniques
• ulcers (large sores) – these may form at the site of the injection. They can occur immediately after injection or a few days later. They are rare, but can be painful and usually leave scars after they heal
• inflammation (phlebitis) and blood clots – can affect the treated large veins
• allergy to the irritant solution
• irritation to veins other than the intended varicose vein
• accidental injection of irritant solution into an artery, causing tissue damage.

Inflammation (phlebitis) and blood clots can occur after sclerotherapy if:

• no compression has been applied
• the applied compression has not been enough
• you are on the contraceptive pill or hormone replacement therapy
• you have an underlying tendency to clotting
• the treatment has been performed just after long-distance travel or a major operation
• the underlying source of leakage in the vein has not been treated adequately
• the inflammation extends to the deep veins, causing deep vein thrombosis (DVT). DVT is a rare but serious complication of sclerotherapy. It can extend to the lungs, causing pulmonary embolism (clots in the lungs) and even death
• it is recommended that women stop all hormonal supplements before sclerotherapy (check with your doctor).

Surgery for varicose veins

Major surface veins (long or short saphenous veins) that are varicose are usually treated surgically. Generally, a surgeon makes numerous small incisions (cuts) to reach the vein, rather than one large cut. Depending on the location of the varicose vein, these incisions may, for example, be in the groin or behind the knee.

Surgical techniques include:

• ligation and stripping – the surgeon cuts and ties off the vein (this is called ligation). Stripping the vein involves inserting a slender instrument into the vein through a small incision. The vein is then pulled out through a second incision
• phlebectomy – the surgeon makes small incisions, then removes the veins with a special hook.

Medical issues before varicose vein surgery

Doctors use a number of tests to decide which type of surgery is best for you. These tests include a physical examination and an ultrasound scan. You need to discuss a range of issues with your doctor or surgeon including:

• your medical history, since some pre-existing conditions may influence decisions about surgery and anaesthetic
• any medications you take on a regular basis, including over-the-counter preparations
• any bad reactions or side effects you have experienced from any medications
• whether or not you are pregnant. Varicose vein surgery is generally not advised for women during pregnancy.

Immediately after varicose vein surgery

After a varicose vein operation, you can expect:

• firm bandaging on your legs, to reduce bruising
• pain-relieving medication
• being encouraged to walk around
• a hospital stay of one or two days.

Side effects of varicose vein surgery

Some of the common side effects of varicose vein surgery include:

• swelling, which may take a few weeks to disappear. This is most likely on the feet and ankles
• scarring, although scars tend to be less noticeable than the varicose veins were. The scars fade with time
• brown staining of the skin, although this tends to fade with time
• pain, swelling and bruising in the skin and the calf muscle
• injuries to nerves, causing patches of numbness or ‘pins and needles’. These patches may recover in time (up to two years in some cases) or they may be permanent.

Complications of varicose vein surgery

Varicose vein surgery is considered to be safe, but all surgery has some degree of risk. Possible complications may include:

• infection, particularly if you had skin ulcers
• blood clots forming within deep veins
• bleeding or bruising.

Self-care at home after varicose vein surgery

Be guided by your doctor, but general self-care suggestions include:

• Allow for one (or perhaps two) weeks off work following surgery. You will need to avoid any hard physical exertions during this time.
• Don’t remove your bandages yourself. Leave bandages for your doctor to remove.
• To keep your bandages dry while showering, wrap your bandaged leg in plastic.
• Take at least a half-hour walk every day.
• Sunburn can make scars look worse. Avoid sun exposure if possible for six months.
• Wear a compression stocking for as long as your doctor advises.
• Avoid long periods of standing, or sitting with your legs crossed.
• You may need support stockings if your legs continue to ache.

Long-term outlook after varicose vein surgery

You will need to have a check-up a few weeks after surgery and, again, several months later. About 20 per cent of people who have varicose vein surgery will develop new crops of varicose veins over time.

Other forms of treatment for varicose veins

Some other forms of treatment for varicose veins include:

• The veins are sealed by electrical current (electrodessication).
• The veins are destroyed by laser or high-intensity light.

Where to get help

• Your doctor
• Your surgeon
• Dermatologist
• Australasian College of Dermatologists Tel. 1300 361 821 or (02) 8765 0242

Toxemia, Intestinal Problems, and Heartburn

Find out how pregnancy affects your digestive tract, which trimesters are more likely to cause indigestion 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.

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 work 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.

Each trimester is accompanied by a number of changes in the body, including in the gastrointestinal tract:

Construction

Acid Office 9000 9000 900 Flatulence

Constipation

Heartburn

Violation of the outflow of bile

Hemorrhoids

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 most 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;
• 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.

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 in transport;
• Use of oral contraceptives containing estrogen before pregnancy;
• Frequent migraines;
• BMI 30 and above;
• Elevated levels of stress hormones

Risks of severe morning sickness and how to reduce nausea

Nausea and vomiting are usually not associated with a risk for mother and child and disappear by 16-20 weeks of pregnancy, but it is not necessary to wait so 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;
• 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.

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: