Pregnancy is characterized by numerous physiological changes that may lead to a diversity of symptoms and frequently to gastrointestinal complaints, such as heartburn, nausea and vomiting, or constipation. Chronic gastrointestinal diseases require treatment maintenance during this period, raising the challenging question whether outcomes beneficial to the mother may be harmful for the fetus. In addition, certain diseases, such as acute fatty liver of pregnancy, only develop during pregnancy and may require urgent procedures, such as fetus delivery. Even though they are not present in our day-to-day practice, knowledge of pregnancy-related diseases is fundamental and collaboration between gastroenterologists and obstetricians is often necessary. Herein, we review pregnancy-related diseases and systematize the most appropriate treatment choices according to the recent literature and Bad diet during pregnancy, so that Bad diet during pregnancy article can serve as a guide to the gastroenterologist regarding the medical approach to pregnancy-related gastrointestinal and liver diseases and their therapeutic management. Pregnancy is a challenging period for the gastroenterologist. Although multiple gastrointestinal complaints may occur during pregnancy gastroesophageal reflux, constipation, etc. However, certain complications of pregnancy, such as specific liver diseases, the management of pregnant women with inflammatory bowel disease IBDor the need for endoscopy during pregnancy, may require intervention by a gastroenterologist; therefore, is it is essential that the gastroenterologist keeps up to date with the most frequent complications and potential differential diagnoses of pregnancy Table 1. Herein, we a comprehensive review of the most common gastrointestinal complications of pregnancy, providing a guide for the gastroenterologist that may be helpful in the management, diagnosis and Bad diet during pregnancy to these Adelgazar 72 kilos. Synopsis of the diseases during pregnancy. Inflammatory bowel disease may be exacerbated during pregnancy. Hepatitis E is Bad diet during pregnancy with a higher risk of acute fulminant hepatitis and mortality compared to non-pregnant women. An electronic search of PubMed was conducted in order to identify relevant literature on the physiopathology, clinical presentation, treatment, maternal and fetal outcome for both gastrointestinal and liver diseases during pregnancy; this search was complemented by the most recent guidelines available ECCO, ACG, EASL, Royal College of Obstetrics and Gynaecology. Pregnancy is characterized by a hemodilution state induced by volume expansion due to retention of salt and water. Consequently, there is a fall in hemoglobin and albumin concentrations. Platelet Bad diet during pregnancy may decrease, but usually remain within the normal range. Alkaline phosphatase AP may show Bad diet during pregnancy 3- to 4-fold increase due to placental production.
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- Gastrointestinal diseases during pregnancy: what does the gastroenterologist need to know?
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Table 2 Summary of treatments of common gastrointestinal complaints. Liver diseases Liver diseases during pregnancy can be divided into disorders unique to pregnancy, those coincidental with pregnancy, and pre-existing liver diseases exacerbated by pregnancy [ 39 ].
Figure 1. Acute fatty liver of pregnancy ALFP ALFP is a rare but Bad diet during pregnancy serious disorder that occurs in the third trimester of pregnancy between the 30 th and 38 th weeks or early postpartum [ 40 ]. Endoscopy in pregnancy Gastrointestinal endoscopy is usually considered Bad diet during pregnancy safe procedure. Concluding remarks The medical approach to the pregnant women is challenging. Footnotes Conflict of Interest: None.
References 1. Liver diseases in pregnancy: diseases unique to pregnancy. World J Gastroenterol. Alterations in physiology and anatomy during pregnancy. Augustin G, Majerovic M. Non-obstetrical acute abdomen during pregnancy.
Gastrointestinal diseases during pregnancy: what does the gastroenterologist need to know?
Body C, Christie JA. Gastrointestinal diseases in pregnancy Nausea, vomiting, hyperemesis gravidarum, gastroesophageal reflux disease, constipation, and diarrhea. Gastroenterol Clin North Am. Interventions for nausea and vomiting Bad diet during pregnancy early pregnancy. Cochrane Database Syst Rev. Management of Bad diet during pregnancy and liver diseases during pregnancy. Can nausea and vomiting be treated with ginger extract?
Eur Rev Med Pharmacol Sci. Ondansetron in pregnancy and risk of adverse fetal outcomes. N Engl J Med. The management of nausea and vomiting of pregnancy and hyperemesis gravidarum.
Gastroesophageal reflux disease in pregnancy. Best Pract Res Clin Gastroenterol. Ching C, Lam S. Antacids: indications and limitations.
Contemporary understanding and management of reflux and constipation in the general population and pregnancy: a consensus meeting. Aliment Pharmacol Ther.
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Review article: the management of heartburn in pregnancy. The safety of proton pump inhibitors PPIs in pregnancy: a meta-analysis. Am J Gastroenterol. Mahadevan U. Gastrointestinal medications in pregnancy. Pasternak B, Hviid A.
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Use of proton-pump inhibitors in early pregnancy and the risk of birth defects. Diet, physical inactivity and the prevalence of constipation throughout and after pregnancy.
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Matern Child Nutr. Cullen G, O'Donoghue Bad diet during pregnancy. Constipation and pregnancy. Wald A. Constipation, diarrhoea and symptomatic hemorrhoids during pregnancy. European Collaborative study group on Inflammatory Bowel Disease Does pregnancy change the disease course? A study in a European cohort of patients with inflammatory bowel disease. Bailit J.
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Hyperemesis gravidarium: epidemiologic findings from a large cohort. Am J Obs Gynecol. Bad diet during pregnancy SK, Kenny L. Review on hyperemesis gravidarum. B Risk factors for hyperemesis gravidarum requiring hospital admission during pregnancy.
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Obstet Gynecol. A, Hsieh C. Nausea and vomiting in Bad diet during pregnancy in relation to prolactin, estrogens, and progesterone: a prospective study. Pregnancy and the patient with inflammatory bowel disease: fertility, treatment, delivery, and complications. A meta-analysis Bad diet during pregnancy the influence of inflammatory bowel disease on pregnancy.
Pregnancy outcomes in women with inflammatory bowel disease: a large community-based study from Northern California. The second European evidenced-based consensus on reproduction and pregnancy in inflammatory bowel disease. J Bad diet during pregnancy Colitis.
Pregnancy does not affect fecal calprotectin concentration in healthy women. Turk J Gastroenterol. Fecal calprotectin is not affected by pregnancy: clinical implications for the management of pregnant patients with inflammatory bowel disease. Inflamm Bowel Dis. Serum calprotectin as a biomarker for Crohn's disease.
Gastrointest Endosc. Canadian Association of Gastroenterology The Toronto consensus statements for the management of inflammatory bowel disease in pregnancy. Critical review of the current recommendations for the treatment of systemic inflammatory rheumatic diseases during pregnancy and lactation.
Autoimmun Rev. Birth defects after maternal exposure to corticosteroids: prospective cohort study and Dietas rapidas of epidemiological studies. Surgical treatment of acute manifestations of Crohn's disease during pregnancy.
J R Soc Med. Liver diseases unique to pregnancy.
Pusl T, Beuers U. Intrahepatic cholestasis of pregnancy. Phosphorus Foods Diet Guide. Una guía de la dieta nutricional de los alimentos bajos de fósforo para la vida sana y la forma física.
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Descripción One of the most asked questions related to pregnancy is what to eat during pregnancy and what to avoid. Novedades Historial de actualizaciones. Información Vendedor In Keol Kim.
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