Changes in Bowel Movements During Pregnancy: When to Seek Help - Gastroenterology and Hepatology

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During pregnancy, many women experience changes in their bowel habits due to hormonal fluctuations, dietary changes, and the physical pressure of the growing uterus on the intestines. In your case, you mentioned that since week 31 of your pregnancy, your bowel movements have changed from being dry to becoming wet and sticky, with associated symptoms such as anal itching, increased gas, and a burning sensation. These changes can be concerning, and it’s important to understand what might be causing them and when to seek medical help.

Firstly, the changes in your bowel movements could be attributed to several factors. Hormonal changes during pregnancy, particularly the increase in progesterone, can slow down the digestive process, leading to constipation. However, as you approach the later stages of pregnancy, the pressure from the growing uterus can also lead to changes in bowel habits, including diarrhea or softer stools. The presence of sticky stools may indicate that your body is not absorbing nutrients properly or that there is an increase in mucus production in the intestines.

The symptoms of anal itching and a burning sensation could be related to several issues, including hemorrhoids, which are common during pregnancy due to increased pressure in the pelvic area, or a possible infection. Increased gas can also be a normal part of pregnancy due to hormonal changes affecting digestion and the slowing of intestinal motility.

While probiotics can be beneficial for gut health, if you have not noticed any improvement in your symptoms, it may be worth considering other dietary adjustments. Ensure you are consuming a balanced diet rich in fiber, including fruits, vegetables, and whole grains, which can help regulate bowel movements. Staying hydrated is also crucial, as adequate fluid intake can prevent constipation and help maintain healthy bowel function.

Regarding your question about whether you should see a gastroenterologist before delivery, it may be a good idea if your symptoms persist or worsen. A healthcare provider can help rule out any underlying conditions, such as infections or gastrointestinal disorders, that may require treatment. Additionally, they can provide tailored advice on managing your symptoms effectively.

In summary, while changes in bowel movements during pregnancy can be common, especially as you approach the later stages, it is essential to monitor your symptoms closely. If you experience severe discomfort, persistent changes in bowel habits, or any other concerning symptoms, do not hesitate to reach out to your healthcare provider. They can offer guidance, reassurance, and appropriate interventions to ensure both your health and the health of your baby during this critical time.