Pregnancy Concerns: Cold Medications and Leg Pain Explained

Cold medicine & leg pain

Hello, Doctor: I apologize for taking your time, but I would greatly appreciate your help in answering the following questions.
Thank you so much!
1.
On Sunday, I had a fever that reached 39 degrees Celsius.
When I went to the emergency room to get medication, the doctor told me that there are not many medications safe for pregnant women, so I was only given 2 pills.
On Monday, during my prenatal check-up, the doctor prescribed me 4 pills, which made me a bit worried about the potential effects on my baby.
Could you please review the medications? The generic names are: Dextromethorphan HBr 20mg, Lysozyme chloride, Loratadine 5mg/tab, Pseudoephedrine 120mg/tab, Dicloxacillin 250mg/cap, and Acetaminophen 500mg.
2.
I had a high fever until Monday afternoon when it finally subsided.
Will having a fever during this time affect my baby?
3.
I am currently 14 weeks pregnant, and I felt fetal movement a few days ago.
Is this too early? (This is my second pregnancy.)
4.
Oranges are considered a cooling fruit.
Is it safe for pregnant women to eat them? If I eat about 6 a day, would that be too much?
5.
My legs have been very sore these past few days, and I feel extreme soreness in my thighs when walking.
Is this normal? I have heard that early pregnancy does not usually involve soreness, and if there is significant soreness, it could indicate a risk of miscarriage.
Is this true? I am really worried.
I apologize for asking so many questions, and I appreciate your understanding.
Thank you very much!

Qing, 20~29 year old female. Ask Date: 2006/12/12

Dr. Jian Hongmou reply Obstetrics and Gynecology

1.
You are currently using commonly prescribed medications in obstetrics and gynecology.

2.
Regular prenatal check-ups.

3.
The average fetal movement time after the second pregnancy is about 16 weeks; 14 weeks is also considered normal.

4.
Oranges can be consumed, but six a day seems a bit excessive.

5.
Generally, mild leg cramps are normal during pregnancy, but if you experience severe thigh pain while walking, it is advisable to rest.
If there is no improvement, please visit a hospital for further evaluation.

Reply Date: 2006/12/12

More Info

When it comes to managing cold symptoms and leg pain during pregnancy, it's essential to approach the situation with caution and awareness of the medications being used, as well as the physiological changes occurring in your body.
1. Medication Safety: You mentioned being prescribed several medications, including Dextromethorphan, Loratadine, Pseudoephedrine, Dicloxacillin, and Acetaminophen. Generally, Acetaminophen is considered safe for use during pregnancy for pain relief and fever reduction. Dextromethorphan is a common cough suppressant, and Loratadine is an antihistamine that is also deemed safe. Pseudoephedrine, a decongestant, can be used but should be taken with caution, especially in the first trimester, as it may affect blood flow to the placenta. Dicloxacillin is an antibiotic that is typically safe for treating bacterial infections during pregnancy. However, it's crucial to use these medications under the guidance of your healthcare provider, as they can assess the risks and benefits based on your specific situation.

2. Impact of Fever on the Baby: You expressed concern about the high fever (39 degrees Celsius) you experienced. Elevated body temperature during the first trimester, especially if it exceeds 38.9 degrees Celsius (102 degrees Fahrenheit), can potentially increase the risk of certain complications, including neural tube defects. However, if the fever was managed and resolved quickly, the risk to the baby may be minimized. It's always best to consult your healthcare provider for personalized advice.

3. Feeling Fetal Movement: At 14 weeks pregnant, feeling fetal movement is not typical for first-time mothers, but it can occur earlier in subsequent pregnancies. This is often due to the mother's familiarity with the sensations of fetal movement. If you are feeling movement, it is generally a positive sign, but always consult your doctor if you have concerns.

4. Dietary Concerns: Regarding your question about oranges (柳丁), they are generally safe to consume during pregnancy and can provide beneficial vitamin C. However, moderation is key. Eating six oranges a day may be excessive and could lead to gastrointestinal discomfort due to high acidity and sugar content. A balanced diet with a variety of fruits and vegetables is recommended.

5. Leg Pain: Experiencing leg pain and discomfort during pregnancy is common due to hormonal changes, increased blood volume, and weight gain. While mild discomfort can be normal, severe pain, especially if it is persistent or worsening, should be evaluated by a healthcare provider. It's important to differentiate between normal pregnancy-related discomfort and signs of potential complications. If you are concerned about the severity of your leg pain or if it is accompanied by other symptoms (such as swelling, redness, or warmth), it is advisable to seek medical attention.

In summary, while managing cold symptoms and leg pain during pregnancy, it is crucial to use medications that are safe and to monitor any symptoms closely. Always consult with your healthcare provider for tailored advice and to address any concerns you may have about your health and the health of your baby. Remember, your well-being is paramount, and seeking help when needed is a sign of strength.

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