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Diarrhea During Pregnancy - Causes, Symptoms, and Treatment

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Diarrhea during pregnancy is a common problem. Read below to learn about the same.

Medically reviewed by

Dr. Sanap Sneha Umrao

Published At June 19, 2023
Reviewed AtJune 19, 2023

Introduction

Diarrhea is a common digestive problem affecting anyone, including pregnant women. During pregnancy, hormonal changes and other factors can cause the digestive system to become more sensitive, making pregnant women more susceptible to diarrhea. Diarrhea during pregnancy can be uncomfortable and potentially dangerous if not properly managed, leading to dehydration and other complications.

Is Diarrhea During Pregnancy Occur in Every Pregnant Woman?

Diarrhea is not necessarily common in every pregnant woman, but it can occur in many women during pregnancy. The hormonal changes in pregnancy affect the digestive system and make it more sensitive, leading to diarrhea in some women. Additionally, pregnancy can alter dietary habits and raises the risk of exposure to bacteria and viruses that can cause diarrhea. However, many women do not experience diarrhea during pregnancy at all. It is important for pregnant women who do experience diarrhea to speak with their healthcare provider to know the underlying reason and receive appropriate treatment.

Is Diarrhea Causes a Threat to Pregnancy?

Diarrhea during pregnancy can threaten the mother and the developing fetus if not properly managed. Diarrhea causes dehydration, which can cause complications, including preterm labor, low birth weight, and even miscarriage. Additionally, if the diarrhea is caused by an infection, such as food poisoning, there is a risk that the infection spreads to the developing fetus and causes harm.

What Are the Reasons for Diarrhea During Pregnancy?

  • Hormonal Changes - During pregnancy, the body undergoes hormonal changes that can affect the digestive system. These changes cause the muscles in the digestive tract to relax, leading to diarrhea.

  • Diet - Consuming certain foods that are difficult to digest or contaminated with bacteria can also cause diarrhea during pregnancy. Pregnant women should avoid spicy, greasy, fried foods, caffeine, and alcohol.

  • Prenatal Vitamins - Some prenatal vitamins contain high levels of iron and other nutrients that can cause diarrhea. Pregnant women should speak with the doctor about alternative vitamin options.

  • Infections - In some cases, diarrhea during pregnancy may be caused by bacterial or viral infections. Pregnant women need to practice good hygiene and avoid contact with individuals who may have an infection to prevent the spread of illness.

  • Antibiotics - Pregnant women prescribed antibiotics may experience diarrhea as a side effect. Antibiotics disrupt the natural balance of present bacteria in the digestive tract, leading to diarrhea.

  • Stress can also affect the digestive system and cause diarrhea during pregnancy. Pregnant women should try to manage stress through deep breathing exercises and meditation.

What Are the Symptoms of Diarrhea During Pregnancy?

The symptoms of diarrhea during pregnancy can include:

  • Loose or Watery Stools: Diarrhea is characterized by loose, watery stools that may be more frequent than usual.

  • Abdominal Cramps: Pregnant women with diarrhea may experience abdominal cramps ranging from mild to severe.

  • Nausea and Vomiting: Some women with diarrhea may also experience nausea and vomiting.

  • Fatigue: Diarrhea can cause fatigue and weakness as the body loses fluids and electrolytes.

  • Dehydration: Pregnant women with diarrhea may become dehydrated, leading to symptoms such as dry mouth, increased thirst, and dark urine.

  • Fever: In some cases, diarrhea during pregnancy may be accompanied by a fever.

  • Blood in the Stool: If an infection causes diarrhea, there will be blood in the stool.

  • Headache: Diarrhea can cause headaches and other symptoms of dehydration, such as dizziness and confusion.

  • Loss of Appetite: Diarrhea during pregnancy can cause a loss of appetite and worsening malnutrition.

  • Weight Loss: Persistent diarrhea and loss of appetite lead to weight loss, which can be a concern during pregnancy.

  • Foul-smelling Stools: Diarrhea can cause stools to have a foul odor, which can be unpleasant and uncomfortable.

  • Bloating and Gas: Some women with diarrhea may also experience bloating and gas, which can be uncomfortable.

  • Rectal Pain: Diarrhea can cause irritation and inflammation of the rectum, leading to pain and discomfort.

  • Difficulty Sleeping: Diarrhea and the associated symptoms, such as abdominal cramps and bloating, can interfere with a pregnant woman's sleep, leading to fatigue and exhaustion.

What Are the Treatment Options for Diarrhea During Pregnancy?

  • Fluids - Pregnant women who experience diarrhea should drink plenty of fluids to prevent dehydration. Water, clear broths, and oral rehydration solutions are all good options.

  • Diet - Pregnant women should avoid spicy, greasy, fried foods, caffeine, and alcohol, which can exacerbate diarrhea. Instead, they should consume foods that are easy to digest, including bananas, rice, applesauce, and toast (BRAT diet).

  • Rest - Resting and taking it easy can help reduce stress on the digestive system and aid in recovery.

  • Medications - In some cases, a doctor may prescribe medication to help reduce diarrhea symptoms, such as Loperamide.

  • Probiotics - Probiotics include live bacteria that help in healthy digestion. Pregnant women should discuss with their healthcare provider about using probiotic supplements.

  • Underlying Conditions - If the diarrhea is caused by a medical condition ( infection or inflammatory bowel disease), the healthcare provider may recommend further treatment or refer the patient to a specialist.

What Are the Complication of Diarrhea During Pregnancy?

If left untreated, diarrhea during pregnancy can lead to complications, such as:

  • Dehydration: Diarrhea can cause the body to lose fluids and electrolytes, leading to dehydration. Severe dehydration can cause complications such as preterm labor, low birth weight, and even miscarriage.

  • Malnutrition: Persistent diarrhea can cause malnutrition, as the body may not absorb nutrients from food properly.

  • Infection: If the diarrhea is caused by an infection, such as food poisoning, it carries a risk that the infection may spread to the developing fetus and cause harm.

  • Preterm Labor: Dehydration and malnutrition caused by diarrhea can increase the risk of preterm labor, and causes various complications such as respiratory distress syndrome and cerebral palsy.

  • Low Birth Weight: Dehydration and malnutrition increases the risk of the low birth weight, leading to health problems later in life.

Conclusion

Diarrhea is a common digestive problem that can affect pregnant women. While it is not necessarily common in every pregnant woman, those who do experience diarrhea during pregnancy should seek medical attention to determine the underlying cause and receive appropriate treatment. Pregnant women who experience persistent or severe diarrhea or have symptoms such as fever or blood in the stool should seek immediate medical attention to help prevent potential complications such as dehydration, preterm labor, low birth weight, or even miscarriage. By staying hydrated, following a healthy diet, resting, and seeking medical attention when necessary, pregnant women can help manage diarrhea during pregnancy and ensure a healthy pregnancy and delivery.

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Dr. Sanap Sneha Umrao
Dr. Sanap Sneha Umrao

Obstetrics and Gynecology

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