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Hemorrhoids are common in pregnancy as a result of constipation and increased intra-abdominal pressure. Hemorrhoids can cause bleeding, pain, and itching. [31] Treatment is symptomatic, including improving underlying constipation. Symptoms may resolve spontaneously after pregnancy, although hemorrhoids may remain in the days after childbirth. [32]
The National Institute of Health and Care Excellence (NICE) break constipation in adults into two categories: chronic constipation of unknown cause, and constipation due to opiates. [44] In chronic constipation of unknown cause, the main treatment involves the increased intake of water and fiber (either dietary or as supplements). [18]
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Obstructed defecation is one of the causes of chronic constipation. [23] ODS is a loose term, [ 21 ] consisting of a constellation of possible symptoms, [ 7 ] caused by multiple, complex [ 24 ] and poorly understood [ 25 ] disorders which may include both functional and organic disorders. [ 19 ]
Those who are pregnant or breastfeeding, as the safety of these medications in pregnancy has not been established. People with severe gastrointestinal disorders , such as gastroparesis, where ...
These researchers went on to conclude that paradoxical pelvic floor contraction is a common finding in healthy people as well as in people with chronic constipation and fecal incontinence, and it represents a non-specific finding or laboratory artifact related to untoward conditions during examination, and that true anismus is actually rare.
Usually, laxatives are a consideration after lifestyle changes to relieve constipation, like taking up a regular exercise routine and increasing fiber or water intake, have already been tried.
Potential severe hypertensive states of pregnancy are mainly: Pre-eclampsia – gestational hypertension, proteinuria (>300 mg), and edema. Severe pre-eclampsia involves a BP over 160/110 (with additional signs). It affects 5–8% of pregnancies. [20] Eclampsia – seizures in a pre-eclamptic patient, affect around 1.4% of pregnancies. [21]
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