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Before I get to the topic of this blog - Pregnancy and Constipation - I have to tell you that I saw the 18 week sonogram picture of my grandbaby yesterday. When I was pregnant with my first child, sonograms were for high risk pregnancies only. When I was pregnant with my second child, they were more common, but still very expensive. I opted not to have one.
When I look at pictures of heads and feet, beautifully formed in the womb. When I hear the good news that all four quadrants of the brain have formed perfectly, that the heart is beating normally, that liver and kidneys are functioning, I am amazed. While this child weighs less than a pound, it is very much a human being.
Not only that - BC has personality. SIL raced bicycles in college. DD tells me that BC's little legs were going constantly throughout the sonogram, so much so that it was hard for the doctor to count all ten toes! He told DD, your little one is bouncing off the walls. I'll need to have lots of energy to keep up when BC comes to visit.
I have learned something about my Darling Daughter during this pregnancy. She has battled constipation all her life. How did I not know that? How did I not take action, given the colon cancer issues in our family? Constipation is just not a thing that teenage girls or young women want to talk about with their mothers. But pregnancy lowers modesty barriers, and we have had some very honest talks.
Until she found out she was pregnant at about 6 weeks, her bowels had been normal - for her - which to my way of thinking is not anywhere close to acceptable. She only had bowel movements on days when her morning routine was normal - in other words work days when the traffic got her to the office calm and on time. Nothing on weekends, nothing on holidays. Even at that, she did not have a bowel movement every day - so for years she had been having 3-4 per week.
Her diet changed dramatically at 6 weeks pregnant. At first grain and fruit were the only things that tasted good. Then she began to crave meat. Salad, which had been a big part of her diet didn't taste good at all. Neither did raw vegetables. Eventually she complained to me that she was really constipated.
Dr. D recommends wheat bran for Type A constipation. DD didn't like the way it made her feel and it didn't help. Same for larch and acacia fiber, both of which work really well for Type O me. Psyllium products irritate both of us. Chewable Calcium Magnesium made her stomach feel inflamed. She was eating 8-10 prunes a day. They tasted good but didn't help the constipation. She was drinking lots of water.
One morning I got a text that said, "I was queasy yesterday and today, but I don't think it was morning sickness. It is more like indigestion, and I think it is related to my being constipated for so long." She went on to say that she couldn't drink water that morning. She was sipping, but that if she took a big drink of water it bubbled back up in her throat.
She said she had researched laxatives on the internet and they were not recommended for pregnant women because when they started muscle contractions in the bowels it could simulate labor and could cause miscarriage.
I was starting to get worried. I had no idea that her normal state was constipated. What she was describing sounded serious to me. She certainly did not need a blockage when she was pregnant. I had exhausted everything I knew to do.
We agreed it was time to email her OB. The doctor emailed back and recommended a stool softener called Colace. It is safe for pregnancy. DD started with the maximum dose. Even at that it took several days before she had any results. It was two weeks before she felt like her intestines were cleaned out.
She tried to cut back on the dose, but the constipation quickly came back. We have accepted the fact that she will just have to stay on a stool softener through this pregnancy. Frankly with our family history, I think she may need to keep Colace on hand for the rest of her life. From what I read, fecal material remaining too long in the colon is the single greatest risk factor for colon cancer.
After the baby comes, I would like to see her give fiber products another try. However, I am glad to know about a product that works and is considered safe even for mothers and their unborn babies.
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