What should a pregnant woman drink for diarrhea? What can pregnant women drink with diarrhea?

Loose stool in pregnant women, which occurs no more than three times a day, is not accompanied by increased vomiting, increased body temperature, pain and does not contain impurities, does not cause concern, its appearance is associated with hormonal changes occurring in the woman’s body. Otherwise, diarrhea can cause dangerous diseases. And since there are many causes of diarrhea, it is important to correctly diagnose it before starting treatment.

Diagnostic methods:

An initial examination, during which the doctor determines the nature of the stool (color, consistency, smell, the presence of impurities or particles of undigested food in the stool), the duration of diarrhea, the number of bowel movements per day, the presence of associated symptoms (vomiting, pain, body temperature).

Instrumental methods:

• irrigoscopy - examination of the large intestine using X-rays by administering a barium enema;
• Magnetic resonance imaging;
• endoscopy.

Not all of the listed instrumental research methods are recommended during pregnancy. The appointment is carried out individually for each case and depends on the duration of pregnancy and the severity of the disease.

Treatment of diarrhea

Diarrhea during pregnancy should be treated with extreme caution; many drugs have a negative effect on the development of the fetus. Medicines should be taken only as prescribed by the attending physician, strictly observing the dosage. Treatment depends on the cause of diarrhea and is prescribed after a full examination. Common methods of treating diarrhea in pregnant women include:

1. Replenishing water balance in the body. To do this, you need to drink as much liquid as possible, it can be water, compote, but not juices from vegetables or fruits.
2. You should take salt solutions that will help reduce the symptoms of intoxication and replenish the level of mineral salts: Regidron, Gudron, Laktosol.
3. Additionally, you can take products such as activated carbon, Enterodes, which have excellent adsorbing properties and help remove toxins from the body more quickly.
4. Pharmacy yogurt is a preparation containing probiotics necessary to maintain and restore microflora in the intestines.
5. If you have frequent diarrhea, you can take Nifuroxazide, which normalizes the microflora and functioning of the gastrointestinal tract.

Treatment of diseases that cause diarrhea

Emotional disorders in pregnant women not only lead to digestive problems, but can also cause great harm to the baby. If diarrhea was caused by emotional stress, then in addition to medications to eliminate the symptoms, sedatives are prescribed: motherwort, passionflower, mint, valerian.

For infectious and viral diseases, unfortunately, you cannot do without taking antibacterial agents. Antibiotics approved during pregnancy include:

• The group of penicillins – amoxicillin, penicillin, oxacillin, ampicillin. Their penicillin is safer for the child.
• Cephalosporins – cefotaxime, cefazolin. These drugs are not recommended only in the first trimester of pregnancy, as they have a negative effect on the development of the fetus. But in case of life-threatening infectious diseases (for example, pneumonia, sepsis), their use is permissible.
• Macrolides – azithromycin, rovamycin, erythromycin, vilprafen.

Therapy with antibacterial drugs should be accompanied by the intake of probiotics or pribiotics to maintain intestinal microflora. In addition, they are necessary to strengthen the immune system, the body’s resistance to infections and viruses. These drugs include: Lactobacterin, Bifidumbacterin, Bifikol, Duphalac, Hilak Forte, etc.

Treatment of pathologies of various organs is also selected taking into account the risk to the health and life of the child and his mother.

Medicines contraindicated during pregnancy

Treatment with many antimicrobial drugs, which pose a great threat to the normal development of the baby, is contraindicated for pregnant women.

List of prohibited drugs

1. Drugs from the aminoglycoside group are known to have a detrimental effect on the fetus, and more precisely on the hearing aid and kidneys. Their use in the early stages of pregnancy can lead to the development of deafness in the child. Among the most dangerous drugs in this group are amikacin and gentamicin.
2. Trichopolum and metronidazole, used for the treatment of genitourinary diseases, have contraindications for the first trimester of pregnancy.
3. Metronidazole is also part of a group of drugs that have an effect on the development of cancer.
4. Sulfonamides, which are dangerous in the early stages, can cause diseases of the circulatory system.
5. Tetracyclines lead to liver damage and slow growth of fetal bones.
6. Bone formation is also adversely affected by fluoroquinolones, the use of which is strictly prohibited during pregnancy.

The use of these contraindicated drugs is possible only in particularly severe cases, when the patient’s condition is fatal.

Traditional methods of treatment

Traditional medicine should be used for mild diarrhea. Diarrhea can be treated in the following ways:

1. Dilute a teaspoon of potato starch for diarrhea in half a glass of cold water. Take no more than twice a day.
2. Decoctions of rose hips and blackberries, prepared from a mixture of these berries or taken separately. To prepare, you need to pour two tablespoons of fruit with a glass of hot water and heat for ten minutes in a water bath. The cooled broth is filtered and drunk one hundred milliliters five times a day.
3. You can cook jelly from lingonberries or cranberries. To do this, you need to pour boiling water over the berries, mash them, strain and, adding potato starch, cook, stirring, over low heat. Drink in small sips throughout the day.
4. Pour a tablespoon of pomegranate peel into a glass of hot water, leave for half an hour and drink instead of tea.
5. Infuse a mixture of mint and lemon balm for about two hours - pour a tablespoon of leaves mixed in equal quantities into a glass of boiling water. This is a great way to eliminate the symptoms of diarrhea and strengthen the nervous system.

Nutrition for diarrhea

The most important thing with diarrhea is maintaining water balance. You need to drink often and in small portions. For drinking, you can use ordinary water without gases, compotes, jelly. It is important to follow a certain diet during diarrhea, in which it is prohibited to consume any dairy products, fried, salty, sour, smoked, spicy, fruits and vegetables, sweets, juices, flour, cocoa and chocolate. The first day of illness should be limited to drinking plenty of fluids; you can eat some bread crumbs, unleavened porridge made from boiled rice, or better yet, rice water. On the second day, you can add stewed vegetables, some boiled lean meat, and fermented milk products to the menu.

Diarrhea (diarrhea) during pregnancy is very common. But is it worth being afraid of him and sounding the alarm? Let's take a closer look at this disorder of the body.

What is diarrhea (diarrhea)

Consequences of diarrhea during pregnancy

When is hospitalization needed?

• There was a threat of termination of pregnancy.
• There are signs of dehydration.
• Diarrhea is accompanied by severe pain.
• Bloody feces.

Main areas of treatment:

• Fighting the causes of the disease. Treatment depends on the pathogen.
• Detoxification of the body. During diarrhea, a large number of toxins enter the bloodstream; they need to be removed so that the consequences are minimal. For this purpose, special preparations are used, which are called enterosorbents.
• Restoring the balance of microflora. During diarrhea, pathogenic flora predominates; in order to stop its harmful effects, it is necessary to populate the intestines with beneficial microorganisms. For this purpose, probiotic drugs are used.

Replenishing fluid loss

Drug treatment

• Activated carbon, including its various modifications.
• Polysorb.
• Ecofuril - has antibacterial properties and contains a probiotic.

Folk remedies for diarrhea

• Boiled egg. Boil an egg hard and eat it. Do not use spices.
• Cook rice porridge. Thick and slightly undercooked. Rice closes the digestive tract well and absorbs harmful substances as a sorbent.
• Decoction of cherry branches. Yes, oddly enough, cherries. It relieves inflammation well and will help the body calm down a little.

Diet for diarrhea

Prevention of diarrhea

• Eat only high-quality, freshly prepared food.
• Drink clean drinking water.
• Do not eat meat, fish and eggs without heat treatment.
• Cook on your own.
• Wash vegetables and fruits thoroughly.
• Pay attention to the expiration date of products in the store.
• Always wash your hands before eating.
• Maintain good hygiene when preparing food.

Many women who are in the social status of a pregnant woman quite often encounter a problem such as intestinal dysfunction, which is caused by constipation, or, conversely, symptoms of diarrhea. How dangerous is diarrhea during such a period and what to do if you have diarrhea during pregnancy? We will try to answer these and some other questions in this article.

No one is immune from such a nuisance as diarrhea: stress, stale or too fatty food, but it especially worries a woman during the period when she is carrying her baby. Loose stools during pregnancy can have various causes (both banal and quite dangerous for the woman’s body and her unborn child), and you should understand them in more detail before deciding what to do about diarrhea during pregnancy and giving the necessary recommendations.

If a pregnant woman has diarrhea, you should immediately notify your obstetrician/gynecologist who is leading the pregnancy. He will professionally help you understand the cause of the disorder and take adequate measures.

So what could be the causes of pathology in the intestines:

• This may be the result of nervous stress.
• The woman could have eaten the “wrong” product the day before - food poisoning or even improper nutrition for the pregnant woman.
• A common cause of this pathology is a viral infection. Such an infection, against the background of a healthy body, goes away on its own within three to four days. But this does not apply to intestinal infections.
• Exacerbation of diseases of the digestive tract of various origins can also provoke diarrhea.
• During the process of carrying a baby, a woman’s belly increases in size, beginning to put pressure on nearby tissues and organs, displacing them, and the ducts may be blocked (the reason for the appearance of gestational jaundice in a pregnant woman). “Goes to” the stomach and other organs. It is worth carefully examining the stool. With these violations, the feces will have a light, slightly yellowish tint, and pieces of undigested food may be observed.
• Diarrhea during pregnancy may be a consequence of hormonal changes in the body, which necessarily occur as soon as a woman transitions to a new status.
• Side effects of some medications that a woman has to take.
• During conception, the level of protection of the body in the body of the expectant mother decreases - the immune system is weakened and a small negative impact is enough for the body to react with such symptoms.
• A sudden change in diet can also lead to indigestion.
• Diarrhea is often a companion to toxicosis during pregnancy. This can be explained physiologically, because the consequences of toxicosis are intoxication of the body of the expectant mother, which, in turn, provokes the disorder.
• There are known cases when gymnastics for women “in an interesting position”, in which intestinal motility is stimulated, can cause attacks of diarrhea.
• But future mothers should know that diarrhea in the fortieth week of pregnancy is a natural process that prepares a woman for childbirth. In this way the body cleanses itself. In such a situation, you should not worry about the unpleasant situation that has arisen.

But whatever the cause of diarrhea, for a representative of the fair sex who is carrying a child, it can cause a high probability of developing pathological abnormalities, both in her body and in the still developing body of the fetus. There may be a risk of losing the baby by terminating the pregnancy.

Doctors classify diarrhea by intensity and duration:

• The cause of the acute form is usually food intoxication caused by poisoning when eating food. This type of diarrhea can usually last for several days. Viral invasion gives a similar picture of pathology.
• Diarrhea that persists for more than one week is classified as persistent diarrhea.
• Chronic diarrhea is an intestinal disorder that lasts more than one month. This clinical picture is already classified as severe pathology.

Mostly, problems with the intestines do not “come” alone. They may be accompanied by: dizziness, nausea, flatulence, dehydration, headaches.

Usually, such symptoms do not cause much concern to the doctor, since they are part of the norm. But if the signs change and the pregnant woman begins to observe:

• Blood streaks and/or mucous discharge in the stool.
• Significant increase in body temperature.
• Dark circles under the eyes, if these are not individual characteristics of the body.
• She is constantly thirsty and feels dry in her mouth.
• Increased decrease in moisture of the skin and mucous membranes. That is, symptoms of dehydration appear. A woman rarely starts going to the toilet “little by little.”
• During defecation, it is clear that the feces have acquired an uncharacteristic suspiciously dark, almost black, tint. This color may indicate internal bleeding.
• Drowsiness.
• The appearance of constant monotonous noise in the hearing organs of a pregnant woman.
• Discharge of dark-colored urine if the day before the woman did not eat any foods that could change the color of urine.
• It is necessary to immediately contact your obstetrician-gynecologist if diarrhea continues in a pregnant woman for more than seven days.

To minimize the risk of disease, a woman should not forget about the basic rules that will reduce the risk of the pathology in question, protecting the pregnant woman from the possibility of poisoning or the possibility of intestinal infectious invasion:

• Food products must be of high quality and only fresh.
• The dishes must also be freshly prepared. Avoid foods that are reheated for tomorrow.
• Stick to the expiration date of products and do not use expired ones.
• Carefully follow all rules of personal hygiene.
• It is very good to wash fruits and vegetables. If possible, you can even pour boiling water over them.
• High-quality heat treatment of fish, meat and dairy products and water is required.
• Refuse fast food products, fast food products and public catering.
• Minimize visits to places with a high density of visitors, especially during epidemics.

So what to do about diarrhea during pregnancy? This is the first thing that comes to mind in such a situation. It must be said right away that you should not self-medicate by prescribing fixative medications to yourself, especially if the diarrhea continues for seven to ten days. In such a situation, the most correct decision would be to immediately contact your doctor or obstetrician - gynecologist who is monitoring the pregnancy.

After all, even a seemingly harmless drug, in a woman’s position, can be dangerous for the still forming and developing fetus. The consequences of such a technique can lead to serious consequences.

Such a disorder of the body in the early stages of gestation brings particular danger. Diarrhea, especially long-term, causes intoxication – poisoning – of the mother’s body, which cannot but affect her child. This danger is due to the fact that in the first trimester all organs and systems are formed in the embryo. Any failure at this stage can provoke a developmental defect in the unborn baby, which is expressed in all sorts of deformities, various pathologies, leading to the child’s disability, or even to termination of pregnancy.

It is worth clarifying that another reason for the danger that prolonged diarrhea brings in the first trimester is that it provokes increased contractile activity of the uterus, and this, as we know, is a direct threat of miscarriage.

Therefore, the issue of timely adoption of adequate measures to stop the problem using effective methods, but not affecting the living space of the fetus, is very important.

Treatment of diarrhea with traditional methods

If intestinal imbalance lasts two to three days, you can first try to adjust your diet; you can also fight the problem using traditional methods, without using pharmacological drugs.

First of all, you should review your diet.

• Complete unloading (fasting) is not permissible for a pregnant woman, and she and the fetus’s body must receive every second a sufficient amount of nutrients, vitamins and microelements, so necessary for the normal development of the child and for the healthy functioning of the mother’s body. Therefore, diet in the broad sense of the word is prohibited in such a situation. The doctor will only adjust her diet, excluding from it for the duration of therapy foods that can weaken feces. A more stringent restriction may apply, based on the clinical picture, only on the first day of therapy.
• During this period, you will have to completely eliminate all smoked and fatty foods, spicy and spicy foods. Whole milk is also strictly prohibited. Minimize the intake of foods with a pronounced taste: salty, sour and sweet.
• Be sure to increase the amount of fluid consumed. This is due to the fact of dehydration of the body, resulting from its increased exit from the body together with feces. The injected liquid will not only replenish the loss, but will also “flush” the organs of the gastrointestinal tract.
• In this situation, it is advisable to avoid taking fresh fruits and vegetables for the period of acute disorder. But so that your baby still gets vitamins, you can eat this salad in small quantities: peel the apple and carrots and chop them on a fine grater. The result is a very tasty and nutritious mixture. If desired, you can add a few drops of vegetable oil.
• Small portions of vegetable or weak chicken broth can be added to a pregnant woman's antidiarrheal diet.
• A pregnant woman must take fermented milk products, especially those that have a short shelf life and also contain “live” lactic acid bacteria. They will help normalize the adequate functioning of the intestines, and indeed the entire digestive tract.

It will not harm a pregnant woman and her unborn baby if she uses one of these recipes to fix loose stools.

• You can try to eat a portion of rice, it is better if it is not dry porridge, but rice with water, a slightly runny consistency. Soup in water is also suitable, but without frying. In addition to rice, you can add carrots and potatoes to it. For a basic one, it is advisable to take the following recipe: take half a liter of water for one teaspoon of rice cereal. Place on the fire and simmer for 40 minutes after boiling. You will get a kind of rice jelly. After straining, take the resulting decoction. It is advisable to drink half a glass every two to three hours. Salt and sugar are not used in this situation. If desired, it is on this basis that it is possible to “build” a soup.
• There is a similar recipe, only the rice is replaced with oatmeal.
• Blueberries strengthen the intestines well. Today they can be purchased without much difficulty at any pharmacy.
• Dried fruit compote has proven itself to be excellent in this situation. You should only exclude dried apricots and prunes. It is useful to take this decoction little by little throughout the day. It not only helps to stop the problem and prevent dehydration of the body, but also “delivers” into the body much-needed vitamins and microelements that are lost during diarrhea.
• You can eat a couple or three cubes of chocolate, but you shouldn’t indulge in a sweet diet.
• The situation can also be alleviated well by crackers made from white bread.
• An effective remedy for diarrhea are decoctions of plants such as fireweed, yarrow, shepherd's purse, sage, wormwood, St. John's wort, calendula, oak bark, coltsfoot, St. John's wort, plantain, medicinal chamomile, nettle and many others. They not only strengthen, but also have anti-inflammatory, anti-agitation characteristics.
• Decoctions of these plants are also suitable. For example, take one part of each plant: oak bark, plantain leaves, Icelandic moss, chamomile flowers, cinquefoil root, St. John's wort herb. Pour two tablespoons of the mixture into a glass of boiling water and keep in a steam bath for about 15 minutes. Then let it brew for 45 minutes. The medicine is ready.
• You can try drinking strong black tea.
• Tea made from viburnum berries is also effective.
• Starch water, easily obtained at home, also performed well. Dilute one teaspoon of potato starch with half a glass of boiled cool water. Take several times a day. The diluted amount is drunk at one time.
• If the cause of diarrhea is the emotional stress of a pregnant woman, tea brewed with mint leaves or motherwort herb is perfect.
• If available, you can try eating quince.
• Tea made from pomegranate peel performed well. To do this, steam one tablespoon of the crushed product with a glass of boiling water and leave for 24 hours (in a thermos).

But every expectant mother should remember that the use of medicinal herbs in eliminating this problem should also be taken quite carefully. After all, many harmless, as some people think, “herbs” during such a period can significantly harm an unborn child, and in the worst case, directly threaten the pregnancy itself. Therefore, before you begin to resolve the problem yourself using “grandmother’s methods,” you should definitely undergo a consultation with a qualified specialist.

If a couple of days have passed and the problem has not resolved itself, there is no point in delaying it any longer; you need to contact a qualified specialist. It is better if this turns out to be a causeless worry than to miss a more serious illness or situation and waste valuable time that could cost the life of an unborn child.

Having studied the clinical picture and, if necessary, prescribing an additional examination, the specialist will prescribe a treatment that will be effective for the woman and not dangerous for her baby.

In the later stages of pregnancy (around 33 weeks), intestinal upset is no less dangerous and can be a companion to late toxicosis. Associated symptoms are similar to those given above. In recent weeks, the appearance of diarrhea can act on the contractile muscles of the uterus as an irritant, provoking their activity, which, if quick and effective relief measures are not taken, can lead to the loss of the child. You can't hesitate. Consultation with an obstetrician-gynecologist and, if necessary, his urgent intervention are necessary.

Diarrhea at 36 weeks of pregnancy can indicate an existing pathology, and may be one of the first symptoms of impending labor. At this stage of pregnancy, such a symptom is quite dangerous, because the child is not yet physiologically ready to come into our world. Therefore, in the third trimester, the underlying problem should not be ignored. It is necessary to immediately notify the doctor who is caring for the pregnancy.

Diarrhea at 37 weeks of gestation may have the same causes as the previous week. When this period is reached, visits to places where many different people are present should be minimized. This step will reduce the risk of infection. After all, a woman’s body is so vulnerable during this period. At this stage, the expectant mother moves less, it is more difficult for her to do this, and diarrhea can lead to rapid dehydration of the body, which is dangerous for both the pregnant woman and her child.

Diarrhea at 38 weeks can also be pathological. But if a woman nevertheless listened to her doctor’s recommendations, then with a high probability this “diagnosis” can be excluded. Then diarrhea, often accompanied by contractions, indicates that the woman’s body is preparing for childbirth. If she is in a hospital, you should call a medical professional, informing him of the changed prenatal situation. And if the woman in labor is at home, she should immediately go to the maternity hospital. At this stage, diarrhea is no longer dangerous.

An intestinal disorder at 39 weeks indicates an approaching long-awaited event - the birth of a baby. Diarrhea is a natural self-cleansing of a woman in labor before obstetrics and there is no pathology here. Moreover, you should not take any measures trying to stop this process.

Relief therapy is also complicated by the fact that most pharmacological drugs are contraindicated for use in such a patient during this period, especially in the early stages of fetal development. This fact quite significantly narrows the specialist’s capabilities in the fight against this pathology.

Drug treatment for diarrhea during pregnancy

But there are cases when the patient’s condition causes concern, and the doctor has to make a choice. If you cannot do without medications, even under the threat of a negative impact on the unborn child’s body, the obstetrician-gynecologist has to write out a treatment protocol, which may include antibiotics and drugs that have fixative properties. But you should not “attribute” treatment to yourself - this step is fraught with negative and dangerous consequences.

Initially, the doctor may prescribe a pregnant woman treatment, which includes one of the drugs belonging to the sorbent group of drugs. This can be carbopect, activated carbon, polysorb, carbosorb, purified “White coal”, enterodes, sorbex, carbactin, polyphepan, eneterosgel, ultra-adsorb and others.

Eneterosgel sorbent is taken orally. To increase the effectiveness of therapy, it is better to drink the drug one to two hours before the expected meal time, with a sufficient amount of liquid. Before taking the medicine, open the sachet and dissolve its contents in water, occupying a quarter of a glass. The recommended dosage for adult patients, which includes pregnant women, is one packet, which corresponds to 22.5 grams or one and a half tablespoons of the drug. The number of appointments is determined by the attending doctor; usually no more than three such procedures are allowed, carried out throughout the day.

For attacks of acute diarrhea, a double dosage may be prescribed at the first dose: two sachets, which corresponds to 45 grams or three tablespoons of the drug. Next, the administration regimen involves the introduction of one sachet of energy gel. In case of very severe intoxication of the body caused by intense diarrhea, the recommended dosage can be doubled and taken during the first three days.

After the pathological symptoms have disappeared, it is advisable to continue taking the medication for another three to five days. This is done to consolidate the result obtained.

A contraindication for administering eneterosgel is individual intolerance to the components of the drug, as well as intestinal atony, which is observed in the history of the expectant mother.

With profuse diarrhea, a woman’s body loses not only water, but also the salts necessary for proper functioning. To replenish them, the victim is prescribed to take one of the salt solutions: rehydron, sorbilact, tar, quintasol, trisol, disol, rheosorbilact and others.

Preventing dehydration and balancing the electrolyte balance in the body of the expectant mother, rehydron is taken orally in the form of a solution. The time of admission does not depend on the timing of the meal.

Before taking, the packaging bag is opened and its contents are diluted in a liter of clean boiled water at room temperature. The dosage of the drug taken is 50–100 ml at intervals of three minutes.

After stopping the problem for some time, the woman will have to take a maintenance daily dosage, in an amount of 80 - 100 mg per kilogram of the patient’s weight.

A contraindication to the use of this drug is the increased sensitivity of the pregnant woman’s body to one or more of its components, as well as if the woman has a history of kidney problems and diabetes mellitus.

If necessary, but only as prescribed by a doctor, to relieve painful spasms resulting from increased intestinal motility, antispasmodics can be prescribed: papaverine suppositories, drotaverine, no-spa, spazoverine or spasmol.

No-spa is administered orally into the patient’s body. The recommended daily dosage of the drug is prescribed in the range of 120 – 240 mg, spaced over two to three approaches. The amount of the drug corresponding to 240 mg should not be exceeded during the day; a single dose should not be more than 80 mg.

It is not recommended to prescribe the drug in question if a pregnant woman suffers from a severe form of renal and/or liver, cardiac dysfunction, as well as in case of hypersensitivity to the active substance or any of the auxiliary chemical compounds of the drug.

If the pregnancy has “passed” the 30th week, the obstetrician-gynecologist can more easily decide to introduce antidiarrheal drugs, which are produced on the basis of loperamide, into the treatment protocol. These pharmacologists include entrobene, diarol, loperacap, lopedium, diara, imodium, superilop, loperamide and others.

Entrobene is taken in the form of capsules, without chewing, or in the form of tablets, which are placed on the tongue (a few seconds are enough for the medicine to dissolve and, together with saliva, enter the body - you should not wash it down).

In the case of acute diarrhea, the starting dosage is 4 mg. After the severity of the attack is relieved, they proceed to taking half the dosage - 2 mg. The drug is taken after each bowel movement with liquid feces. You just shouldn’t exceed the maximum daily value of 16 mg.

The schedule for taking the drug in the form of drops (0.002% solution) is similar: the starting amount of the drug is 60 drops, after which the amount is halved (up to 30 drops at a time). The maximum daily intake should not be exceeded, equal to 180 drops, spread over six injections.

If diarrhea has become a chronic disease, a specialist can prescribe maintenance therapy corresponding to 16 mg taken by the pregnant woman throughout the day, which is divided into four doses.

A contraindication to the use of entrobene is the woman’s increased intolerance to the components of the drug, as well as if she has a history of diverticulosis, shigellosis, intestinal obstruction, salmonellosis, dysentery, infections of the gastrointestinal tract, ulcerative colitis, liver failure.

If it is diagnosed that the cause of diarrhea is a pathogenic microflora, in exceptional cases it is allowed to take an antimicrobial drug that effectively stops the reproduction and the very existence of the vast majority of microorganisms, pathogens that provoke intestinal disorders. Such a drug can be enterofuril, nifuroxazide, lecor, ecofuril, stopdiar, ersefuril and others.

Nifuroxazide is taken in the form of tablets whole, without crushing, or in the form of a suspension, together with a sufficient amount of water. The injection time does not depend on the time of food intake. The main thing when taking the drug in question is the requirement to maintain equal periods of time between doses.

Nifuroxazide - suspension is prescribed in an amount of 5 ml, which corresponds to one measuring spoon, four times a day, at equal intervals.

The duration of the treatment course is usually five to seven days.

Nifuroxazide is contraindicated for use if the patient has increased individual sensitivity to the component composition of the drug.

If medically necessary, the attending physician is able to decide on the introduction of certain antibiotics into the treatment protocol.

But attacks of diarrhea must not only be stopped, the balance of flora in the intestines must also be restored. For this purpose, probiotics are prescribed - preparations that contain live microorganisms that, when used in adequate quantities, cause an improvement in the health of the host. To achieve the expected effect, it is necessary to take a course of one of such drugs as bactisubtil, acipol, bifi-form, bificol, bifidumbacterin, biosporin, linex, florin forte and others.

Baktisubtil is taken one hour before the expected introduction of food. The dose of the drug is four to eight capsules per day for seven to ten days. A contraindication to the use of the drug in question is its individual intolerance.

If a woman suffered from this disease even before conception or did not particularly choose what she eats, then the occurrence of diarrhea is a very real prospect. But if we consider that the expectant mother is now responsible not only for her health, but for the life and health of her baby, then the problem of diarrhea, in this light of its manifestation, appears in a more dangerous form. So what to do about diarrhea during pregnancy? The answer to this question can be found in the article above. We just need to warn you once again that when this pathology appears, you should not self-medicate and try to cope with the problem on your own. Only a qualified specialist can deal with it more professionally and effectively. Under his control, you can be more calm about the fate of your unborn child. Self-medication using “grandmother’s methods” is justified only in case of minor diarrhea lasting one to two days.

For a healthy body, diarrhea is not dangerous, and the disease goes away within a few days. For women carrying a baby, diarrhea is harmful and increases the risk of developing fetal pathologies and even miscarriage.

This condition always requires the help of a specialist and drug treatment. In this article we will look at what pregnant women can drink if they have diarrhea.

Diarrhea in pregnant women is accompanied by the same symptoms as in ordinary people. The main symptoms are pain and cramps in the abdomen, frequent urge to go to the toilet and changes in stool consistency. If the cause is an infection entering the body, then there is a risk of developing congenital pathologies, hypoxia, various abnormalities, and fetal death (in later stages).

Pain and cramping can lead to early labor and miscarriage (in early pregnancy).

Additional symptoms:

• bloating and flatulence;
• increased body temperature;
• vomit;
• chills;
• nausea;
• drowsiness and weakness;
• headache;
• spasms in the intestines.

When is it necessary to see a doctor without self-medication?

In some patients, symptoms disappear within a few days and do not pose a danger to the fetus. But there are symptoms that require urgent consultation with a specialist:

• black stools, dizziness and weakness;
• diarrhea does not go away for a long time and is accompanied by fever, chills and vomiting;
• the presence of blood and mucus in the stool.

Such symptoms may indicate the presence of internal bleeding or an exacerbation of a peptic ulcer.

Also, symptoms of dehydration pose a danger to mother and baby: thirst, dry skin, dry mouth, frequent urge to urinate, lethargy, and dark urine.

Indications and contraindications for self-treatment

Diarrhea in pregnant women can be caused by various reasons and in some cases is a manifestation of a serious illness. Therefore, in this case, independent treatment is unacceptable. Most medications are prohibited for use by pregnant women, as they negatively affect the organs and systems of a small body.

It is important to be examined and identify the cause of the disease in order to prescribe safe and effective treatment.

Treatment

Preparations for replenishing water and salt balance

Regidron

Contains sodium citrate, sodium chloride, glucose and potassium chloride. The drug replenishes the supply of electrolytes that are necessary for the normal functioning of the circulatory system. Due to changes in blood consistency, it is difficult for the heart to pump it. As a result of deterioration in blood supply, the necessary vitamins and microelements do not reach the organs and systems. The body especially needs sodium and potassium.

Contraindications: the main contraindication is glucose intolerance. The medicine should be used with caution in patients with impaired renal function and diabetes mellitus. Directions for use: 1 sachet of the drug is diluted in a liter of boiled water. The dosage depends on the person's weight. Prescribed at the rate of 10 ml per 1 kg of body weight per day. The resulting solution is consumed in small portions throughout the day. The prepared solution is stored in the refrigerator for no more than a day. The course of treatment is no more than 4 days.

Price: 200-320 rub.

Hydrovit

The composition is identical to Regidron. Available in bags without flavoring additives and with strawberry flavoring. Designed to restore water-salt balance and regulate the acid-base environment in children and adults, in order to prevent fluid loss during physical and thermal stress.

Contraindications: renal failure, severe and incessant vomiting, high potassium content in the body, depressed consciousness, impaired absorption of carbohydrates in the intestines. Directions for use: the solution must be prepared before use. The sachet is dissolved in a glass of boiled drinking water, mixed thoroughly and consumed in small portions. Can be stored for no more than a day in the refrigerator. For newborns and children under 3 years of age, the daily dose is 3-5 sachets. From 3 to 12 years, 1 sachet after each bowel movement. Children over 12 years of age and adults: 2 sachets after each bowel movement. The use of the drug must be continued until the symptoms disappear completely.

Price: 180-250 rub.

Sorbents

Smecta

The safest drug from the group of adsorbents, approved for use in pregnant women and children from birth. Available in bags for preparing a solution of 10 pieces in a cardboard package with the addition of vanilla or orange flavoring. The composition includes diosmectite. Smecta effectively adsorbs bacteria, viruses, toxins, and allergens on its surface and promotes their rapid removal from the body.

Contraindications: high sensitivity to the components of the drug, intestinal obstruction, osmotic diarrhea. Prescribe with caution to patients with chronic constipation. Directions for use: Newborns and children under two years of age are prescribed one sachet per day. Adults and children over 2 years old: 2-3 sachets per day. The bag must be dissolved in 50-100 ml of water and mixed thoroughly. For infants, dissolve in 50 ml of expressed breast milk.

Price: 150-180 rub.

Enterosgel

The drug is available in the form of a gel and paste. The drug has a wide spectrum of action. It has an adsorbing effect, effectively removes toxins and allergens from the body, has an enveloping effect on the stomach and intestines, reduces the manifestation of toxicosis and improves the functioning of the liver, kidneys and intestines. It is used for intoxication, toxicosis of pregnant women, cancer, diarrhea, dyspepsia, peptic ulcers, allergies.

Contraindications: intestinal atony, intestinal obstruction.

Directions for use: The drug is used one hour before meals three times a day. Single dose for children under 7 years of age – 5 g. drug, 7-14 years old - 10 g., children over 14 years old and adults a tablespoon or 15 g.

Price: 350-380 rub.

Activated carbon

The most famous adsorbent drug. It is widely used in medicine and is approved for use in pregnant and nursing mothers, as it is not absorbed into the blood. The effect of the drug is due to its ability to adsorb toxic and harmful substances, allergens, bacteria and viruses on its surface.

Contraindications: chronic constipation, internal bleeding and ulcers in the gastrointestinal tract.

Directions for use: The drug is prescribed at the rate of 1 tablet per 10 kg of body weight up to three times a day. If concomitant use of other drugs is necessary, an interval of 3 hours must be maintained. The tablets can be crushed and mixed with water. Thus, the effect of the drug will develop faster. If coal is used repeatedly, then it is necessary to eat fermented milk products.

Preparations for normalizing microflora

Linux

A drug from the group of probiotics. The bacteria in the product kill pathogenic microflora and eliminate dysbacteriosis, restoring normal intestinal microflora. Widely used for diarrhea, dyspeptic disorders and allergic manifestations.

Contraindications: individual intolerance to the components of the drug.

Directions for use: adults and children over two years of age are prescribed 2 capsules 3 times a day, newborns and children under 2 years of age are prescribed 1 capsule 3 times a day. Linex Forte and Linex for children in bags are taken once. People who cannot swallow the capsule can open it and mix the contents with water, juice and take orally.

Price: 280-510 rub.

Hilak Forte

Available in the form of a solution for internal use, in bottles of 30, 100 ml and sachets. Has a sour smell and taste. Widely used to normalize intestinal microflora.

Contraindications: individual intolerance to the components, acute form of diarrhea with fever and the presence of blood in the stool.

Directions for use: Used by children from two years of age. Adults are prescribed 40-60 drops three times a day, children from 2 to 12 years old, 20-40 drops per dose.

Price: 180-400 rub.

Bifiform

Contains bacteria that restore intestinal microflora. Used in adults and children from birth.

Contraindications: individual intolerance. Suitable for children from two years of age and adults, 2 capsules once. For younger children, they produce an oil solution, powder and chewable tablets.

Price:320-450.

Sedatives

Persen

Prescribed if diarrhea is caused by emotional tension and stress. The composition includes plant extracts of valerian, motherwort, lemon balm and mint. The drug normalizes the activity of the nervous system, improves heart function, relieves stress, and normalizes sleep.

Contraindications: high sensitivity.

Price: 230-260 rub.

Motherwort extract

Medicinal herbal raw materials are best suited for pregnant women. Motherwort relieves tension, helps with insomnia, reduces high blood pressure and heart rate. Helps well with colic, nausea and flatulence.

Contraindications: individual intolerance.

Price: 50-80 rubles. Tablets - 20-40 rub.

Valerian extract

Prescribed to women from the second trimester of pregnancy. The medicine has a sedative effect, normalizes sleep, relieves stress, dilates blood vessels and lowers heart rate. Before use, it is advisable to consult a specialist.

Contraindications: children under 3 years of age, intolerance to the drug components, deficiency of lactase, sucrase.

Antibiotics and antivirals

Drugs from these groups should be used only as prescribed by a doctor.

Nifuroxazide (Enterofuril, Ersefuril)

An antimicrobial drug widely used for diarrhea of ​​infectious origin. Available in capsules and suspensions for internal use. The product has an antidiarrheal, bactericidal effect, removes pathogenic microflora and activates the immune system.

Contraindications: hypersensitivity to the components of the drug, children under 1 month (for suspension), children under 3 years (for capsules).

Directions for use: Adults take 200 mg four times a day.

No-shpa can be used to relieve spasms; before use, consultation with a doctor is necessary. Loperamide, Diara, Lopedium can be taken to stop diarrhea only in the third trimester.

List of prohibited drugs:

• Antibacterial drugs (streptomycin, kanamycin, tetracycline, chloramphenicol, biseptol, griseofulvin, bactrim);
• Quinine preparations;
• Nonsteroidal anti-inflammatory drugs (Aspirin, Ibuprofen, Nurofen, Melokisikam, Nimesulide);
• Antispasmodics (Spazmalgon, Spazgan, Trimedat, Duspatalin);
• Retinoids;
• Trimethadine;
• Amitopterin;
• Progestins;
• Trimethadine;
• Thalidomide;
• Methyltestosterone.

ethnoscience

Pour a glass of boiling water over the pomegranate peel and let it brew for 20-30 minutes. Then drink as tea 3-4 times a day.

Starch water is good for diarrhea.

To do this, pour 1 tablespoon of starch into a glass of water, mix well and drink.

You can cook jelly from blueberries. Blueberries have an astringent effect and are good for diarrhea in children and adults. It also contains vitamins and microelements that are beneficial to the body. You need to take 1 glass 3-4 times a day.

Take 1 tablespoon of walnut leaves and add two glasses of water. Then cook over moderate heat for 20 minutes. Remove from heat and cool. Take a tablespoon four times a day. Keep unused infusion in the refrigerator.

An infusion of viburnum fruits is good for relieving diarrhea. For 1 liter of boiling water, take a glass of dried viburnum. Cook on fire for 10 minutes. Then the infusion is filtered and two tablespoons of honey are added and cooled.

This medicine is taken 3 tablespoons three times a day.

Diet and nutrition

On the first day of diarrhea, it is recommended to refrain from eating. You can drink water, jelly, strong tea, broths, and white bread croutons. All this will prevent dehydration of the body and relieve it. The next day you can eat unleavened porridge, without adding sugar, salt or spices. Rice water will help protect the intestinal walls and relieve irritation. This decoction must be used three times a day. It is important to exclude fried, smoked, spicy and dairy products from your diet.

All food should be at room temperature, as hot or cold will disrupt the functioning of the gastrointestinal tract.

In combination, herbal infusions of chamomile, mint and lemon balm leaves help well. Raw materials can be purchased at the pharmacy in bags or in bulk. The plants can be consumed individually or as collections.

• carbonated drinks;
• fruit juices;
• meat;
• coffee;
• apricots;
• grape;
• cucumbers;
• fermented milk products;
• fresh fruits.

Prevention

Diarrhea at any stage increases the risk of abnormalities in the development of a small organism. Therefore, every woman should carefully monitor her body and follow the following prevention methods:

• compliance with hygiene rules, thoroughly wash all products;
• do not skip examinations by specialists;
• follow a diet, eat small portions 5-6 times a day;
• take prenatal vitamins.

The pregnancy period is the happiest for the expectant mother. To avoid unwanted effects, she must take care of herself and her baby.

It is important not to self-medicate and seek help from a specialist in time, since only a doctor can prescribe medication.

Before birth The female body is especially vulnerable. This is due to changes in physiology, hormonal imbalance, weakened immunity and a number of other reasons. When they appear, they can cause discomfort. Let's figure out whether diarrhea can occur and how to deal with it.

How to recognize diarrhea

An upset esophagus reveals itself as abdominal pain, sometimes quite sharp. At the same time, the urge becomes more frequent, the nature of the stool changes - instead of hard, it becomes foamy, watery or mushy.

Typical symptoms are:

• General weakness, sometimes with chills;
• Severe flatulence and intestinal cramps;
• Vomiting;
• Temperature increase;
• Headache.

Diarrhea is often the body's reaction to poor quality food. The described manifestations can be observed for 7–10 days. If after this period your digestion has not returned to normal, you should consult a doctor. Urgent consultation with a specialist is needed if complications such as:

• Prolonged diarrhea with “background” headaches and constant vomiting;

Important! When consuming seafood and some exotic fruits, the likelihood of allergic diarrhea increases. In case of gastric instability, they are completely excluded from the diet.

• mucus or blood clots in stool;
• Black discharge, which is accompanied by dizziness and weakness.

Doctors can name many such factors, while focusing on the time of onset of such disorders.
In the early stages, this is a kind of reaction of a somewhat weakened body to hormonal changes. Diarrhea during pregnancy in the third trimester is a signal that labor is approaching. And if diarrhea began at 36 - 37 weeks (or later), then there is a chance that they will begin very soon.

Other reasons include:

• Food poisoning;
• Nervous disorders;
• The body does not produce some enzymes. Sometimes this is due to genetic predisposition;

Did you know? The placenta can come out up to 20 – 30 minutes. Moreover, the woman in labor does not feel any pain.

Is diarrhea dangerous during pregnancy?

Pregnancy itself carries many risks, and problems like diarrhea are dangerous for both the expectant mother and the baby.

Note that a slight stool disorder is not a threat, but long-term (more than 10 days) diarrhea with frequent urges requires medical intervention.

This primarily concerns dehydration. With constant loss of fluid, mineral salts also leave the body. If their balance remains disturbed for a long time, the functioning of the vital systems of the body is disrupted.

Important! If you have diarrhea, drink about ½ glass of water every hour. But this amount can be adjusted according to the principle “we’ll add as much as we get.” Sometimes even a third of a glass is enough.

Cells that do not receive the required amount of fluid inhibit the development of the child’s organs, which in severe cases leads to the development of defects (and in rare cases, to the death of the fetus). Therefore, fluid reserves must be constantly replenished.
Everything in the body is interconnected. For example, during diarrhea, the intestines work “for wear”, and its active contractions at the reflex level can spread to the uterus, and this tones its tissue. As a result, there is a danger of fetal rejection.

Serious infections also leave their mark, especially if the woman in labor belongs to the “age” category (over 35 years old).

How to treat diarrhea during pregnancy

Diarrhea during pregnancy requires identifying its cause, and only then deciding how to treat it. Both medicines and traditional medicine are used.

What medications can pregnant women take?

With such problems, immediately consult a doctor. Only a specialist can give a prognosis and prescribe it.

Did you know? The world's population is growing at a record pace. Every three seconds there is one newborn born in the world!

Self-medication is generally excluded, especially when preparing for childbirth. Conventional medications may not give the desired effect or even cause harm, so do not take anything without consultation.
Most often, mild, non-addictive drugs are prescribed:

• Smecta;
• Enterosgel;
• Regidron;
• Activated carbon.

Severe vomiting and profuse diarrhea are eliminated saline solutions such as “Regidron”, “Trisol”, “Gudron”. They help maintain the body's water balance.
Sedatives and antispasmodics are prescribed only by a doctor. Of course, valerian and no-spa can be found in every home medicine cabinet, but immediately you can't swallow them– they will relieve neuroses and pain, but may also have contraindications.

In the third trimester, the doctor may prescribe loperamide-based tablets and capsules (Diara, Entrobene, Lopedium and the like). True, they are not recommended when stool is disrupted due to the action of pathogens (shigellosis, dysentery and salmonellosis).

Important! The doctor needs to know the full picture of the medical history. Don't be afraid to tell everything about a sensitive issue.

Diarrhea in the early stages and its treatment also occur without such medications - they can be taken only after the 30th week.

Infections in the intestines are fought with the help of antibiotics, the most popular of which remains Nifuroxazide.
To consolidate the results of drug treatment, probiotics “Baktisubtil”, “Linex”, “Bifiform” and similar compositions are used. At this stage, fermented milk products will also be useful - Biokefir will also do.

Folk remedies

You can also strengthen your stool and normalize digestion with the help of traditional medicine. Let’s make a reservation right away: not all tinctures and herbs can be used by expectant mothers.

If there is a suspicion of an allergy, then they refuse to take “grandmother’s” remedies. In reality, they help with minor diarrhea. Pay attention to these homemade medicines:

• Starch water. Add a teaspoon of starch to half a glass of cool boiled water. The mixture is drunk at one time;

Did you know? The shape and location of the abdomen do not indicate the gender of the unborn child - the rumor is clearly exaggerating. It depends on the characteristics of the figure.

• Blueberry jelly, which is drunk three times a day after meals;

• Tincture of blackberry leaves, 3 tablespoons per day;
• Pomegranate infusion tea. The peel is crushed to a pulp and 1 tablespoon is poured with a glass of boiling water. Insist for a day;
• Honey-viburnum decoction. A glass of dried fruit is poured with a liter of boiling water and put on fire, boiling for 10 minutes. After straining, add 3 tablespoons of honey. 1/3 glass three times a day will be enough;
• Finely chopped pear is poured with boiling water (2 cups) and boiled for 15-20 minutes over low heat. Then the liquid is infused under the lid for three hours and decanted. Drink on an empty stomach, four times a day (1/2 cup).

How to eat when upset

During the first 24 hours, they try to limit themselves to drinking plenty of fluids - the usual at this time will not add strength. To prevent dehydration, drink water, strong tea, and consume low-fat broths and fruit drinks. You can add white bread crackers to your diet.

Important! Black bread is also one of the “heavy” foods. It often contains seasonings that are best avoided.

From the second day you can eat unleavened porridge or rice. Make a decoction from rice that relieves irritation and normalizes stool formation. Here is his recipe:

put a teaspoon of rice in 0.5 liters of water. Cook over low heat for 40 minutes. After straining, cool the drink and leave for a couple of hours. Take ¼ cup every three hours. For better absorption, eat rice porridge a little between meals.

During the active phase of diarrhea, you will have to forget about the following products for a while:

• Meat, any milk, fruit;
• Any food that is fried, as well as salty and spicy.
• “Heavy” fruit juices, carbonated drinks, coffee.

Prevention of diarrhea

Trying not to harm yourself and your child, it is better to review your diet and menu. During pregnancy, the body experiences double stress; it will have to be helped, and not loaded with heavy foods and harmful seasonings.

If you have previously had problems with digestion, then raw fruits and vegetables rich in fiber are excluded (they provoke loose stools).

Preventive measures are as follows:

• Eating freshly prepared homemade food;
• Purchasing fresh food;

Did you know? Your feet can actually grow one size during pregnancy. This is how swelling manifests itself, less often it is the action of the hormone relaxin, which slightly relaxes the ligaments.

• Heat treatment of products (cooking or boiling);
• Taking prenatal vitamins;
• Compliance with hygiene rules;
• Minimum visits to crowded places, especially during the cold season and during viral epidemics.

Now you know how to treat diarrhea during pregnancy and what to do to neutralize it. We hope that prevention will help avoid unpleasant sensations and diarrhea will bypass. Good health to mothers and babies!