How can I safely manage norovirus while pregnant with UC?

Question

Hello Doctor,I am 31 years old and 24 weeks pregnant. My toddler had norovirus last week, and now I am feeling nauseated and crampy. I have not vomited yet, but I am concerned about dehydration or fever affecting the baby.

When should I go to the hospital?
Are there any anti-nausea medications or electrolyte drinks that are safe during pregnancy?
I also have mild ulcerative colitis. Will that complicate things if I start vomiting or get diarrhea?

Any guidance would be appreciated.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

During pregnancy, certain anti-nausea medications are considered safe, including vitamin B6 (Pyridoxine), Doxylamine (Unisom), and other oral antihistamines like Diphenhydramine (Benadryl).

While the norovirus itself does not directly harm the baby, the dehydration and stress it causes can lead to complications such as premature labor. Therefore, maintaining proper hydration is crucial during pregnancy. Safe electrolyte drinks include coconut water, sports drinks like Gatorade, and electrolyte supplements such as Pedialyte (all serve to replenish fluids and electrolytes). It is advisable to avoid sugary or carbonated beverages.

Additional recommendations:

Ensure adequate bed rest and consider isolation to prevent spreading the virus.
Practice frequent handwashing with soap and water, especially before preparing food and after using the restroom.
Regularly clean surfaces with disinfectants.
Consume bland foods like potatoes, crackers, soup, and rice; avoid fatty and spicy foods.
If you are unable to retain fluids orally or notice signs of dehydration (example: dizziness, decreased urination, dry mouth), seek immediate medical attention for intravenous fluids. It is important not to go more than 24 hours with vomiting or diarrhea without adequate fluid intake.

Regarding ulcerative colitis (inflammation of the large intestine), norovirus can exacerbate symptoms in individuals with this condition, potentially leading to more severe flare-ups.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.