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Heather

Reged: 12/09/02

Posts: 7092

Loc: Seattle, WA

Diagnosis and management of IBS, constipation, and diarrhea in pregnancy.
07/18/03 11:47 AM

Gastroenterol Clin North Am. 1992 Dec;21(4):793-802. Related Articles, Links

Diagnosis and management of irritable bowel syndrome, constipation, and diarrhea in pregnancy.

West L, Warren J, Cutts T.

Department of Internal Medicine, University of Tennessee, Memphis.

Irritable bowel syndrome, constipation, and diarrhea may complicate a pregnancy. Complaints of IBS and constipation may be managed by nonpharmaceutical methods. A careful history should be conducted to determine whether these complaints are of an acute or a long-standing nature. Conservative treatment of IBS is recommended and may include stool-bulking agents, a high-fiber diet, elimination of offensive foods, and the behavioral treatment of passive muscle relaxation, biofeedback or supportive psychotherapy. Constipation is generally self-limiting. It also may be treated conservatively with stool-bulking agents, increases in dietary fiber, and the addition of pelvic muscle exercises, preferably using electromyographic biofeedback. Laxatives should be used judiciously (Table 1). Diarrhea is caused most often by infectious agents in pregnancy but may also be from food poisoning or a viral disease. Infectious diarrhea may be treated by mild antidiarrheal agents and safe antibiotics. Fluid replacement is the mainstay of treatment, and care should be taken, remembering that the treatment involves two patients. These complaints can generally be managed conservatively, but persistent cases should be investigated as in a nonpregnant patient.

Publication Types:
Review
Review, Tutorial

PMID: 1478735 [PubMed - indexed for MEDLINE]
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Subject	Posted by	Posted on
Gender / Hormones	Heather	07/14/03 01:57 PM
Constipation and Risk of Cardiovascular Disease among Postmenopausal Women	Heather	08/03/11 03:58 PM
Differences in Gastrointestinal Symptoms According to Gender in Rome II Positive IBS and Dyspepsia	Heather	03/11/10 01:51 PM
Gender-related differences in prepulse inhibition of startle in irritable bowel syndrome	Heather	03/11/10 01:48 PM
No evidence of sex differences in heritability of irritable bowel syndrome	Heather	03/31/08 11:36 AM
Acupuncture for the treatment of pain from a gender perspective.	Heather	03/31/08 11:27 AM
The menstrual cycle and its effect on inflammatory bowel disease and irritable bowel syndrome	Heather	11/07/07 02:35 PM
Irritable Bowel Syndrome Is More Common in Women Regardless of the Menstrual Phase	Heather	11/07/07 02:31 PM
Pelvic floor dysfunction and IBS in patients with interstitial cystitis.	Heather	10/10/07 12:33 PM
Women with IBS have abnormal pain modulation	Heather	10/10/07 12:01 PM
Anxiety or Depression with IBS Affects More Women Than Men	Heather	09/24/07 11:31 AM
Colonoscopies more difficult and painful for women and people with IBS	Heather	09/24/07 11:22 AM
Role of gender and early childhood in constipation	Heather	09/13/07 11:09 AM
Changes in Bowel Function: Pregnancy and the Puerperium	Heather	03/01/07 01:39 PM
Drugs for gastrointestinal disorders in pregnant women.	Heather	05/13/06 03:20 PM
Functional bowel disorders in patients with pelvic organ prolapse and incontinence	Heather	12/08/05 12:10 PM
Sex specific alterations in autonomic function among patients with irritable bowel syndrome	Heather	11/12/05 01:16 PM
Women With Interstitial Cystitis at Risk for Irritable Bowel Syndrome and Depression	Heather	09/22/05 04:39 PM
Women and Men Perceive Pain Differently	Heather	09/13/05 12:55 PM
Overlapping Conditions in Women With Irritable Bowel Syndrome	Heather	04/24/05 03:58 PM
Bowel habit in irritable bowel syndrome in women: Defining an alternator	Heather	04/10/05 06:18 PM
Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain	Heather	03/28/05 12:18 PM
Irritable bowel syndrome, chronic pelvic inflammatory disease and endometriosis	Heather	02/19/05 05:43 PM
A gene for diarrhoea-predominant IBS in women?	Heather	11/28/04 02:21 PM
Autonomic Cardiovascular Responses Are Impaired in Women With Irritable Bowel Syndrome	Heather	09/12/04 03:41 PM
Abdominal Bloating: Relation to Rectal Hypersensitivity and Menstrual Cycle	Heather	06/27/04 01:55 PM
Catching Colon Cancer in Women Can Be Tough	Heather	04/13/04 03:32 PM
Women More Sensitive to Pain Than Men	Heather	04/13/04 03:31 PM
Gender Differences In Brain Response To IBS Pain	Heather	11/18/03 03:32 PM
After Menopause, IBS Lessens in Women	Heather	11/04/03 03:34 PM
Is hormone replacement therapy associated with an increased risk of irritable bowel syndrome?	Heather	07/25/03 11:43 AM
Sleep disturbance influences gastrointestinal symptoms in women with irritable bowel syndrome.	Heather	07/18/03 01:00 PM
Symptoms across the menstrual cycle in women with irritable bowel syndrome.	Heather	07/18/03 12:58 PM
Does a physically active lifestyle improve symptoms in women with irritable bowel syndrome?	Heather	07/18/03 12:54 PM
Relation between hysterectomy and the irritable bowel	Heather	07/18/03 11:48 AM
Diagnosis and management of IBS, constipation, and diarrhea in pregnancy.	Heather	07/18/03 11:47 AM
Physician perception of IBS management in women and men.	Heather	07/15/03 06:38 PM
Gender issues in the management of IBD and IBS	Heather	07/15/03 06:11 PM
Gender differences in gut transit	Heather	07/15/03 06:07 PM
Bowel dysfunction in postmenopausal women.	Heather	07/15/03 06:04 PM
Irritable Bowel Syndrome Worse During Periods	Heather	07/14/03 03:25 PM
Sex-related differences in IBS patients: Central processing of visceral stimuli	Heather	07/14/03 02:40 PM

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