[24F] With chronic intermittent diarrhea during early pregnancy

Patient Description

A 24-year-old female, currently 6 weeks pregnant, reports experiencing chronic intermittent diarrhea for more than a couple of months. The diarrhea is mainly loose, sometimes watery, and occurs about twice a day. The patient has not noticed any specific foods that exacerbate the condition and maintains the same diet for years. There has been no recent travel, and she has not experienced any other symptoms such as abdominal pain, cramping, blood in stool, fever, chills, nausea, or vomiting. Her weight has remained stable, and she has not tried any treatments or medications to manage the diarrhea. The patient is less nauseous compared to her previous pregnancies and has not had any complications or unusual symptoms during this pregnancy. She has no other medical conditions or chronic illnesses, does not use substances like alcohol, tobacco, or recreational drugs, and has no family history of gastrointestinal issues or chronic diarrhea. The patient is currently taking Lurasidone (40 mg) and Wellbutrin (150 mg) daily, as well as prenatal vitamins.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Irritable Bowel Syndrome (IBS): IBS is a common condition that affects the large intestine and can cause symptoms like diarrhea, constipation, bloating, and abdominal pain. It is often a chronic condition that can be managed with lifestyle changes and medication.

    • Treatment: Treatment for IBS often includes dietary changes, stress management, and sometimes medications to manage symptoms. A healthcare provider may recommend a low-FODMAP diet, which involves avoiding certain types of carbohydrates that can trigger symptoms.
  • Medication Side Effects: Both Lurasidone and Wellbutrin can cause gastrointestinal side effects, including diarrhea. Since you are taking these medications daily, they could be contributing to your symptoms.

    • Treatment: If medication side effects are suspected, a healthcare provider may adjust the dosage or switch to a different medication. Do not stop or change your medication without consulting your healthcare provider.
  • Hormonal Changes Due to Pregnancy: Pregnancy can cause changes in bowel habits due to hormonal fluctuations. These changes can sometimes lead to diarrhea or constipation.

    • Treatment: Staying hydrated, eating a balanced diet, and getting regular exercise can help manage these symptoms. Always consult your healthcare provider before making any significant changes to your diet or exercise routine during pregnancy.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Dietary Adjustments: Consider keeping a food diary to track what you eat and how it affects your symptoms. This can help identify any potential food triggers.
  2. Stay Hydrated: Drink plenty of fluids, especially water, to stay hydrated. This is particularly important during pregnancy.
  3. Manage Stress: Stress can exacerbate gastrointestinal symptoms. Practice stress-reducing techniques such as deep breathing, meditation, or gentle exercise.
  4. Consult Your Healthcare Provider: Discuss your symptoms and medications with your healthcare provider to determine if any adjustments are needed.
  5. Use MDandMe: Utilize the MDandMe app to journal your symptoms, track your progress, get insights, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Abdominal Pain: If you develop severe or persistent abdominal pain, it could indicate a more serious condition.
  • Blood in Stool: If you notice blood in your stool, seek medical attention promptly.
  • Dehydration: Signs of dehydration include excessive thirst, dry mouth, dark urine, and dizziness. This is especially important to monitor during pregnancy.
  • Worsening Symptoms: If your symptoms worsen or do not improve with initial management, consult your healthcare provider.

Remember, while this information can help you understand your symptoms, it is not a substitute for professional medical advice. Always consult a healthcare provider for a formal diagnosis and treatment plan.

Show More

1
 Hugs
0
 Comments

Save

5 mo ago


People Also Ask


Can pregnancy cause changes in bowel habits like diarrhea?

Yes, pregnancy can cause changes in bowel habits due to hormonal fluctuations, which can lead to diarrhea or constipation. It's important to stay hydrated and maintain a balanced diet.


What are the common side effects of Lurasidone and Wellbutrin?

Both Lurasidone and Wellbutrin can cause gastrointestinal side effects, including diarrhea. If you suspect your medication is causing these symptoms, consult your healthcare provider for advice.


How can I manage IBS symptoms during pregnancy?

Managing IBS during pregnancy can involve dietary adjustments like a low-FODMAP diet, stress management techniques, and staying hydrated. Always consult your healthcare provider before making significant changes.


When should I seek medical attention for diarrhea during pregnancy?

Seek medical attention if you experience severe abdominal pain, blood in your stool, signs of dehydration, or if your symptoms worsen or do not improve with initial management.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories


Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback