Friday, 30 September 2016
Gallbladder Disease And Pregnancy: Guide :How To Aware Of Gallbladder Disease Before ...
Gallbladder Disease And Pregnancy: Guide :How To Aware Of Gallbladder Disease Before ...: This may cause pain in the right upper quadrant or epigastrium, which may radiate to the back or shoulder tip. Nausea and vomiting may be ...
Guide :How To Aware Of Gallbladder Disease Before Pregnanacies And Symptoms That Shows In Upper Abdomen
This may cause pain in the right upper quadrant or epigastrium, which may radiate to the back or shoulder tip. Nausea and vomiting may be associated. There is associated tenderness and guarding in
For patients requiring operative intervention, laparoscopic
cholecystectomy has emerged as a safe and effective method of treatment.
Some liver disorders occur only during pregnancy. Others (such as
gallstones, cirrhosis, or hepatitis) may have been present before the
pregnancy, or they may occur coincidentally with the
Liver or gallbladder problems may result from hormonal changes
during pregnancy. Some changes cause only minor, transient symptoms.
Cholestasis of pregnancy
The normal hormonal effects of pregnancy can slow the movement of
bile through the bile ducts. This slowing is called cholestasis.
Cholestasis of pregnancy can increase the risk of the following:
Premature birth
Stillbirth
Passage of stool (meconium) before birth, which can lead to
breathing problems in the fetus ( called meconium aspiration syndrome)
The most obvious symptom is itching all over the body (usually in
the last few months of pregnancy). No rash develops. Urine may be dark, and
jaundice may develop.
If itching is intense, a drug called ursodeoxycholic acid, taken
by mouth, may be prescribed.
The disorder usually resolves after delivery but tends to recur in
subsequent pregnancies or with use of oral contraceptives.
Fatty liver of pregnancy
This rare disorder can develop toward the end of pregnancy. The
cause is unknown.
Symptoms include nausea, vomiting, abdominal discomfort, and
jaundice. The disorder may rapidly worsen, and liver failure may develop.
Preeclampsia (a type of high blood pressure that develops
Diagnosis is based on results of liver function tests and may be
confirmed by a liver biopsy. The doctor may advise women to immediately end the
pregnancy.
The risk of death for pregnant women and the fetus is high in
severe cases, but those who survive recover completely. Usually, the disorder
does not recur in subsequent pregnancies.
Gallstones
Gallstones appear to be more common during pregnancy. Pregnant
women who develop gallstones are closely monitored.
If a gallstone blocks the gallbladder or causes an infection,
surgery may be necessary. This surgery is usually safe for pregnant women and
the fetus.
Cirrhosis
Cirrhosis (scarring of the liver) increases the risk of
miscarrying or giving birth prematurely.
Cirrhosis can cause varicose veins (widened, convoluted veins) to
develop around the esophagus (called esophageal varices). Pregnancy slightly
increases the risk that these veins will bleed
Hepatitis
Acute viral hepatitis may increase the risk of premature birth. It
is also the most common cause of jaundice during pregnancy.
Hepatitis B may be transmitted to the baby immediately after
delivery or, less often, during the pregnancy. Most infected babies have no
symptoms and have only mild liver dysfunction. But they are
Women with chronic hepatitis, especially if cirrhosis is present,
may have difficulty becoming pregnant. If they become pregnant, they are more
likely to miscarry or to give birth prematurely. If these
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