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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant, type 1 placenta pravia, have severe constipation, light bleeding while urination on applying pressure for stools. Prescribed Duphaston, Suprox SR. How can I overcome constipation?

Sir, I am 30 yrs old female from India. I am 18 weeks pregnant, with type I placenta pravia diagonised. I am also having severe constipation problem. Natural bowl occurs usually in 2 to 3 days. Stool becomes hard, and had to apply pressure while excreting, If little amount of force is used then there is scanty bleeding while urinating. My doc has advised, Duphaston Tab, FAA Tab and Suprox SR 40mg. How do i overcome from constipation problem, i drink plenty of water. Will i be able to deliver a normal baby or there is complication in Placenta Pravia. Please help?
Mon, 2 Jul 2012
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OBGYN 's  Response
constipation is a common problem in pregnancy, affecting at least half of all pregnant women. The culprits are the pressure of your growing womb (uterus ) on your rectum, along with pregnancy hormones, which slow the transit of food through your digestive tract. Changes in your diet due to morning sickness may also lead to constipation.
Eat high-fibre foods such as cereals and pulses (rajma, chana, ragi), wholegrain breads such as wholewheat chapattis, and fresh fruits and vegetables every day.
Id. It is vital that you drink plenty of fluids when you eat more fibre or it may make the constipation worse.
Cut down on refined foods like instant noodles. Refined flour (maida) is usually used to make white bread, puris, kulchas, naan and biscuits.
Drink plenty of water (at least six to eight glasses a day). You can increase your fluid intake with other drinks as well such as fresh fruit juice, coconut water, chaach, nimbu paani, lassi and buttermilk. A glass of warm water with a squeeze of lime early in the morning is believed to help bowel movements. Calorie-filled colas and sodas are not recomennded.
Include dried fruits like dates, prunes ( munakka) and raisins in your diet. You can add raisins in pulao and kheer or sprinkle flaxseed powder on your toast or parantha.

Don't take over-the-counter laxatives without first consulting your doctor. Some natural laxatives like castor oil and triphala used as home remedies are not suitable during pregnancy. They are purgative in nature, can cause cramping and are best avoided. Castor oil may also interfere with vitamin and mineral absorption in the body.

well abour placenta previa , may a times placenta crawls up and becomes normal ...its very hard to comment at 18 wks abour ur status.
...after 36 wks may be ur gynaec and usg reports will tell u bout ur delivery being normal or c-section ....

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