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General Practice 2023

Pedra na vesícula in pregnancy: symptoms, causes and treatment

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Pedra na vesícula in pregnancy: symptoms, causes and treatment
Pedra na vesícula in pregnancy: symptoms, causes and treatment

The gallstone in pregnancy is a situation that can happen as a result of being overweight and unhe althy diet during pregnancy, which favors the accumulation of cholesterol and the formation of stones, which can lead to the appearance of some symptoms such as abdominal pain, nausea, vomiting and fever, for example.

A gallstone does not prevent pregnancy or affect the baby, however, it can favor the development of some complications, such as infections or severe vomiting, which can result in dehydration.

Therefore, it is important to consult the obstetrician and have nutritional follow-up if symptoms indicative of gallstones appear so that the most appropriate treatment can be started.

Main symptoms

Symptoms of gallstones during pregnancy are more common in the third trimester of pregnancy, however, they may appear earlier in overweight women, the main ones being:

  • Abdominal pain on the right side, especially after eating;
  • Back pain;
  • Nausea and vomiting;
  • Fever above 38ÂșC
  • Goosebumps;
  • Yellowish skin or eyes;
  • Lighter stools.

It is important that the presence of gallstones during pregnancy is identified and treated according to the doctor's advice, to avoid the development of complications such as infection or severe vomiting that can lead to dehydration and/or decrease the condition. nutritional status of the pregnant woman and hinder the development of the fetus.

Causes of gallstones in pregnancy

The gallbladder stone is a situation that can happen as a result of hormonal changes that happen during pregnancy and that can make it difficult to empty the gallbladder, which promotes the accumulation of cholesterol and the formation of stones inside..

This situation occurs more frequently in women who are overweight, have a high-fat diet during pregnancy, high blood cholesterol levels or diabetes.

How the treatment is done

The treatment for gallstones in pregnancy should be done under the guidance of the obstetrician as soon as the first symptoms appear and aims to improve the he alth of the woman and, consequently, the baby. Treatment usually includes regular physical exercise and a diet low in fatty foods, such as fried foods or sausages, to reduce symptoms.

In addition, the doctor may also prescribe the use of anti-inflammatory and analgesic drugs, such as Indomethacin or Acetominophen, which help reduce symptoms if diet and exercise are not enough.

Is surgery recommended?

Surgery for gallstones during pregnancy is not recommended, only in very severe cases, so when the first symptoms of gallstones appear, you should go to the obstetrician for diagnosis and treatment.

When indicated, the surgery should be performed when the woman is in the second trimester of pregnancy, because before that there may be a risk of miscarriage and after that period there may be a risk for the woman due to the size of the baby that ends up making it difficult access to the gallbladder. In addition, surgery should only be performed in cases of severe gallbladder infection, severe pain or risk of miscarriage due to malnutrition of the mother, for example. In these cases, laparoscopy is used to reduce the risks of surgery for pregnancy.

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