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Although multiple gastrointestinal complaints may occur during pregnancy gastroesophageal reflux, constipation, etc. However, certain complications of pregnancy, such as specific liver diseases, the management of pregnant women with inflammatory bowel disease IBDor the need for endoscopy during pregnancy, may require intervention by a gastroenterologist; therefore, is it is essential that the gastroenterologist keeps up to date with the most frequent complications and potential differential diagnoses of pregnancy Table 1.

Herein, we a comprehensive review of the most common gastrointestinal complications of pregnancy, providing a guide for the gastroenterologist that may be helpful in the management, diagnosis and approach to these Food poisoning cause weight loss. Synopsis of the diseases during pregnancy. Inflammatory bowel disease may be exacerbated during pregnancy.

Hepatitis E is associated with a higher risk of acute fulminant hepatitis and mortality compared to non-pregnant women. An electronic search of PubMed was conducted in order to identify relevant literature on the physiopathology, clinical presentation, treatment, maternal and fetal outcome for both gastrointestinal and liver diseases during pregnancy; this search was complemented by the most Food poisoning cause weight loss guidelines available Food poisoning cause weight loss, ACG, EASL, Royal College of Obstetrics and Gynaecology.

Pregnancy is characterized by a hemodilution state induced by volume expansion due to retention of salt and water. Consequently, there is a fall in hemoglobin and albumin concentrations. Platelet levels may decrease, but usually remain within the normal range. Alkaline phosphatase AP may show a 3- to 4-fold increase due to placental production.

Nevertheless, clotting factor concentrations are affected by pregnancy, with a mild decrease in antithrombin III, protein C and protein S, and an increase in factors I to X, XII and fibrinogen which Dieta para adelgazar mujeres lactantes a pro-coagulant state [ 1 ].

Elevated levels of hormones, such as progesterone, contribute to delayed gastric emptying. Gastric acidity is Food poisoning cause weight loss because of the higher production of gastrin by the placenta [ 2 ]. The fetal intrauterine growth also alters the anatomic relations between the abdominal organs: for example, the appendix may migrate upward after the 3 rd month [ 3 ]. These symptoms begin between the 4 Adelgazar 30 kilos and 6 th week, peak at the 8 th to 12 thand often cease by the 20 th [ 4 ].

Peak symptoms and drug administration often coincide with the most susceptible period to teratogenic effects. The exact mechanism of nausea and vomiting is not completely understood. It is believed that progesterone has an inhibitory effect on the smooth muscle of the pylorus and small bowel, decreasing gastrointestinal motility and delaying gastric emptying [ 4 ]. Multiple and molar pregnancies Food poisoning cause weight loss been associated with more prevalent and severe symptoms, which can be explained by higher levels of human chorionic gonadotropin HCG [ 5 ].

Finally, psychological factors may also play a role. Anxiety, depression, undesired pregnancies and negative relationships with family members have been linked to a higher prevalence of nausea and vomiting [ 4 ]. The approach to nausea and vomiting entails the exclusion of other causes, especially if these symptoms persist during the second and third trimesters.

Most women do not require pharmacological treatment and can be managed with alternative options and dietary modifications [ 6 ]. Diet recommendations include fractionized meals and avoidance of fatty foods and fresh vegetables that can delay gastric emptying [ 4 ].

Daily consumption of 1. Both thiamine vitamin B1 and pyridoxine vitamin B6 have proven their efficacy and are indicated as routine supplements in patients with protracted vomiting [ 4 ]. A Cochrane review evaluated nine randomized trials involving ginger [ 5 ].

Based on expert experience, ginger can be considered a non-pharmacologic option during pregnancy [ 7 ]. Concerning the pharmacological treatment, antiemetics can be an option for women with persistent nausea and vomiting. Histamine receptor blockers anti-H1such as promethazine, cyclizine, cinnarizine, doxylamine and dimenhydrinate, are considered first-line treatment, because no adverse fetal effects have been described [ 4 ]. Doxylamine has the advantage of being safe when symptoms begin weeks.

In a cohort ofpregnancies, Pasternak et al evaluated ondansetron, an H3 receptor blocker, and concluded that it was not associated with a significant increase in spontaneous abortion, stillbirth, major birth defects, preterm delivery or small born infants for gestational age Food poisoning cause weight loss 8 ].

However, there are studies documenting congenital heart defects, especially when ondansetron was taken in the first trimester.

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Adelgazar 72 kilos Consequently, it is recommended as second-line therapy [ 9 ]. Phenothiazines are another first-line treatment option, including prochlorperazine, chlorpromazine and perphenazine. Studies have not shown increased risk for major malformations [ 6 ]. Finally, metoclopramide, a dopamine antagonist, can also be safely prescribed. However, it crosses the placenta and is Food poisoning cause weight loss a second-line treatment option, given its potential extrapyramidal effects on both the fetus third trimester and the mother first trimester [ 9 ].

When present, GERD persists during the entire pregnancy and usually resolves after delivery. Complications such as erosive esophagitis, bleeding or strictures are rarely described [ 4 ]. For mild symptoms, lifestyle and dietary modifications are recommended [ 6 ]. Conservative measures include avoiding eating late at night, elevating the head of the bed by cm and lying on the left side [ 10 ].

If symptoms persist, medication may be necessary. First-line treatment is based on antacids Food poisoning cause weight loss 10 ]. Antacids containing calcium, and magnesium are considered safe in pregnancy. Furthermore, patients prefer to use this medication because it relieves the symptoms promptly and can be taken on demand.

No teratogenic effects of these drugs have been observed in animal studies [ 11 ]. Bicarbonate-containing agents, https://pisda.bajarde-peso.site/foro9145-que-hacer-cuando-haces-dieta-y-no-bajas-de-peso.php as sodium bicarbonate, should be avoided as they can precipitate metabolic alkalosis and fluid overload in the mother and fetus [ 410 ].

A further concern with aluminum antacids is the potential developmental retardation described when women take high doses of this medication Food poisoning cause weight loss 12 ]. The potential fetal toxicity when using sucralfate is associated with its aluminum component.

However, no maternal or fetal adverse effects have been observed, and therefore sucralfate is usually considered safe during pregnancy [ 13 ]. Histamine type 2 antagonists are often the next-line therapy. Both cimetidine and ranitidine have been used with excellent safety profiles [ 410 Adelgazar 40 kilos. Although there is a safety concern with proton pump inhibitors PPIsin a recent meta-analysis Gill et al did not find an increased risk for major congenital malformation with Food poisoning cause weight loss use during pregnancy [ 14 ].

However, some studies in the past reported dose-related embryonic and fetal mortality in animal studies with Food poisoning cause weight loss [ 4 ]. Prospective data have shown the safety of this drug [ 15 ]. Pasternak et alin a cohort study, did not find a significant increase of major birth defects with exposure to PPIs during the first trimester of pregnancy odds ratio [OR] 1.

In an individual analysis, there was no significant association between the use of Food poisoning cause weight loss specific PPI and the risk of major birth defects [ 16 ]. Altogether, PPIs are nowadays considered to be safe in pregnant women and are usually reserved for GERD complications or for women who did not respond to previous treatments [ 13 ]. All agents that decrease gastric acidity should be used with caution, as they can lower iron absorption.

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The risk of constipation seems to be higher if documented in previous pregnancies and is associated with iron intake. The higher prevalence of constipation in early pregnancies suggests that sex hormones are the Como puedo comer adelgazar influence.

Progesterone induces relaxation of smooth muscle, leading to hypomotility of the small and large bowel. In addition, Food poisoning cause weight loss has been proposed that pregnant women have an increased absorption of colonic water, explained by higher levels of aldosterone induced by sexual hormones such as estrogen and progesterone.

Iron intake during pregnancy can worsen constipation complaints. Finally, mechanical factors can also contribute in late pregnancy. The combined movements of the intestinal tract and uterus have been found to impede the onward movement of solid feces, obstruct defecations and initiate constipation [ Food poisoning cause weight loss19 ].

Although a vast majority of pregnant women are found to have functional constipation, it is important to exclude mechanical causes and pay particular attention to the possibility of diabetes or hypothyroidism [ 18 ]. Non-pharmacological management of constipation includes adequate water intake and a high-fiber diet.

Food volume may exacerbate the symptoms, especially in the second trimester, and fractionized meals may be an alternative [ 1718 ]. Drug therapy is reserved for refractory patients because it may be associated with complications. Nevertheless, they do not relieve acute symptoms and may Food poisoning cause weight loss several days to act. Osmotic laxatives, such as lactulose, Food poisoning cause weight loss glycol PEGglycerin and sorbitol, are considered safe and animal studies have shown no teratogenic effects [ 18 ].

Food poisoning cause weight loss

Food poisoning cause weight loss In fact, the American Gastroenterological Association position statement considers PEG as a low-risk drug and the preferred drug for chronic constipation in pregnancies [ 2021 ]. TCM slimming products. Calories and losing weight - The number of calories an individual need daily depends on height, weight, gender age and activity Food poisoning cause weight loss.

Know how much calories you burn per day. Consume a variety of plant foods - Food high in fat and animal-based protein contain high calories which can increase risk of becoming obese. Dietary fiber found in plant foods help maintain weight, prevent constipation, and lower risk of diabetes Adelgazar 50 kilos heart disease.

Drink water and eat high fiber fruits and vegetables before meal. Exercise regularly - Exercise improves cardiopulmonary unction, prevent coronary heart disease and increase flexibility of the body and joints. Exercise is highly beneficial to the lymphatic system, as movement of muscles improves the flow of lymph fluid Food poisoning cause weight loss boosting the immune system and helping to defend against diseases.

Collagen is not absorbed into the skin as the collagen molecules Food poisoning cause weight loss too large. Synthetic collagen is sourced from pig and cows, whose collagen structures are Food poisoning cause weight loss from humans. It might also cause inflammatory reactions 3. Human cannot replenish collagen by consuming animal-based collagen beverages because collagen is just like any other protein, it gets broken down into amino acids in the body.

Antioxidants helps prevent free radical damage to the skin, thereby delaying visible signs of aging. So, what should we do? Consume large quantity of a wide variety of plant foods and reduce intake of animal-based food 2. Consume wholesome food which are high in antioxidants.

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The critical fight inside Democrats' establishment primary. Even if there is a little light, everyones attention is focused on the stage spotlight, and no one will pay attention to this dark corner Ye Mei easily put on Food poisoning cause weight loss clothes and put on a mask She was going out of the stadium directly from the back.

Xiao Pan said I have seen it, but I will not know if it is still here Okay Hurriedly walked by the side.

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The length of the top and the hem is worthy of the Food poisoning cause weight loss denim short skirt, and the snowwhite long legs without stockings extend all the way to the black fingerless high heels on the jade feet. You, dare you hit me? Where are you? Darkness and the weird sound of strong winds walking through the cracks Most people have scared their legs to become weak, but. Ye Zhenan didnt blame him, smiled and said, Its okay Food poisoning cause weight loss talk again, anyway, who said something to the kid?

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Food poisoning cause weight loss

Pregnancy is characterized by numerous physiological changes that may lead to a diversity of symptoms and frequently to gastrointestinal complaints, such as heartburn, nausea and vomiting, or constipation. Chronic gastrointestinal diseases require treatment maintenance during this period, raising the challenging question whether outcomes beneficial to the mother may be harmful for the fetus.

In addition, certain diseases, such as acute fatty liver of pregnancy, only develop during pregnancy and may require urgent procedures, such as fetus delivery. Even though they Food poisoning cause weight loss not present in our day-to-day practice, knowledge of pregnancy-related diseases is fundamental and Food poisoning cause weight loss between gastroenterologists and obstetricians is often necessary. Herein, we review pregnancy-related diseases and systematize the most appropriate treatment choices according to the recent literature and guidelines, so that the article can serve as a guide to the gastroenterologist regarding the medical approach to pregnancy-related gastrointestinal and liver diseases and their therapeutic management.

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Pregnancy is a challenging period for the gastroenterologist. Although multiple gastrointestinal complaints may occur during pregnancy gastroesophageal reflux, constipation, etc. However, certain complications of pregnancy, such as specific liver diseases, the management of pregnant women with inflammatory bowel disease IBDor the need for endoscopy during pregnancy, may require intervention by a gastroenterologist; therefore, is it is essential that the gastroenterologist keeps up to date with the most frequent complications and potential differential diagnoses of pregnancy Table 1.

Herein, we a comprehensive review of the most common gastrointestinal complications of pregnancy, providing a guide for the gastroenterologist that may be helpful in the management, diagnosis and approach to these situations.

Synopsis of the diseases Food poisoning cause weight loss pregnancy. Inflammatory bowel disease may be exacerbated during pregnancy. Hepatitis E is Food poisoning cause weight loss with a higher risk of acute fulminant hepatitis and mortality compared to non-pregnant Food poisoning cause weight loss. An electronic search of PubMed was conducted in order to identify relevant literature on the physiopathology, clinical presentation, treatment, maternal and fetal outcome for both gastrointestinal and liver diseases during pregnancy; this search was complemented by the most recent guidelines available ECCO, ACG, EASL, Royal College of Obstetrics and Gynaecology.

Pregnancy is characterized by a hemodilution state induced by volume expansion due to retention of salt and water. Consequently, there is a fall in hemoglobin and albumin concentrations. Platelet levels may decrease, but usually remain within the normal range. Alkaline phosphatase AP may show a 3- to 4-fold increase due to placental production.

Nevertheless, clotting factor concentrations are affected by pregnancy, with a mild decrease in antithrombin III, protein C and protein Food poisoning cause weight loss, and an increase in factors I to X, XII and fibrinogen which favors a pro-coagulant state [ 1 ]. Elevated levels of hormones, such as progesterone, contribute to delayed gastric emptying.

Gastric acidity is increased because of the higher production Adelgazar 10 kilos gastrin by the placenta [ 2 ]. The fetal intrauterine growth also alters the anatomic relations between the abdominal organs: for example, the appendix may migrate upward after the 3 rd month [ 3 ].

These symptoms begin between the 4 th and 6 th week, peak at the 8 Food poisoning cause weight loss to Food poisoning cause weight loss thand often cease by the 20 th [ 4 ]. Peak symptoms and Food poisoning cause weight loss administration often coincide with the most susceptible period to teratogenic effects. The exact mechanism of nausea and vomiting is not completely understood. It is believed that progesterone has an inhibitory effect on the smooth muscle of the pylorus and small bowel, decreasing gastrointestinal motility and delaying gastric emptying [ 4 ].

Multiple and molar pregnancies have been associated with more prevalent and severe symptoms, which can be explained by higher levels of human chorionic gonadotropin HCG [ 5 ]. Finally, psychological factors may also play a role. Anxiety, depression, undesired pregnancies and negative relationships with family members have been linked to a higher prevalence of nausea and vomiting [ 4 ].

The approach to nausea and vomiting entails the exclusion of other causes, especially if these symptoms persist during the second and third trimesters. Most women do not require pharmacological treatment and can be managed with alternative options and dietary modifications [ 6 ]. Diet recommendations include fractionized meals and avoidance of fatty foods and fresh vegetables that can delay gastric emptying [ 4 ]. Daily consumption of 1.

Both thiamine vitamin B1 and pyridoxine vitamin B6 have proven their efficacy and are indicated as routine supplements Adelgazar 50 kilos patients with protracted vomiting [ 4 ].

A Cochrane review evaluated nine randomized trials involving ginger [ 5 ]. Based on expert experience, ginger can be considered a non-pharmacologic option during pregnancy [ 7 ]. Concerning the pharmacological treatment, antiemetics Food poisoning cause weight loss be an option for women with persistent nausea and vomiting.

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Histamine receptor blockers anti-H1such as promethazine, cyclizine, cinnarizine, doxylamine and dimenhydrinate, are considered first-line treatment, because no adverse fetal effects have been described [ 4 ]. Doxylamine has the advantage of being safe when symptoms begin weeks. In a cohort ofpregnancies, Pasternak et al evaluated ondansetron, an H3 receptor blocker, and concluded that it was not associated with a Food poisoning cause weight loss increase in spontaneous abortion, stillbirth, major birth defects, preterm delivery or small born infants for gestational age [ 8 ].

However, there are studies documenting congenital heart defects, especially when ondansetron was taken in the first trimester. Consequently, it is recommended as second-line therapy [ 9 ]. Phenothiazines are another first-line treatment option, including prochlorperazine, chlorpromazine and perphenazine. Studies have not shown increased risk for major malformations [ 6 ].

Finally, metoclopramide, a dopamine antagonist, can also Adelgazar 72 kilos safely prescribed. However, it crosses the placenta and is considered a second-line treatment option, given its potential extrapyramidal Food poisoning cause weight loss on both the fetus third trimester and the mother first trimester [ 9 ].

When present, GERD persists during the entire pregnancy and usually resolves after delivery. Complications such Food poisoning cause weight loss erosive esophagitis, bleeding or strictures are rarely described [ 4 ].

For mild symptoms, lifestyle and dietary modifications are recommended [ 6 ]. Conservative measures include avoiding eating late at night, elevating the head of the bed by cm and lying on the left side Food poisoning cause weight loss 10 ].

If symptoms persist, medication may be necessary. First-line treatment is based on antacids [ 10 ].

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Antacids containing calcium, and magnesium are considered safe in pregnancy. Furthermore, patients prefer Food poisoning cause weight loss use this medication because it relieves the symptoms promptly and can be taken on demand. No teratogenic effects of these drugs have been observed in animal studies [ 11 ].

Bicarbonate-containing agents, such as sodium bicarbonate, should be avoided as they can precipitate metabolic alkalosis and fluid overload in the mother and fetus [ 410 ]. A further concern with aluminum antacids is the potential developmental retardation described when women take high doses of this medication [ 12 ].

The potential fetal toxicity when using sucralfate is associated with its aluminum component. However, no maternal or fetal adverse effects have been observed, and therefore sucralfate is usually considered safe during pregnancy [ 13 ]. Histamine type 2 antagonists are often the next-line therapy. Both cimetidine and ranitidine have been used with excellent Adelgazar 72 kilos profiles [ 410 ]. Although there is a safety concern with proton pump inhibitors PPIsin a recent meta-analysis Gill et al did not find an increased risk for major congenital malformation with PPI use during pregnancy [ 14 ].

Food poisoning cause weight loss, some studies in the past reported dose-related embryonic and fetal mortality in animal studies with omeprazole [ 4 ]. Prospective data have shown the safety of this drug [ 15 ]. Pasternak et alin a cohort https://vagido.bajarde-peso.site/noticias12607-auriculoterapia-para-bajar-de-peso-contraindicaciones-del.php, did not find a significant increase of major birth defects with exposure to PPIs during the first trimester of pregnancy odds ratio [OR] 1.

In an individual analysis, there was no significant association between the use of any specific PPI and the risk of major birth defects [ 16 ]. Altogether, PPIs are nowadays considered to be safe in pregnant women Food poisoning cause weight loss are usually reserved for GERD complications or for women who did not respond to previous treatments [ 13 ]. All agents that Food poisoning cause weight loss gastric acidity should be used with caution, as they can lower iron absorption. The risk of constipation seems to be higher if documented in previous pregnancies and is associated with iron intake.

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The higher prevalence of constipation in early pregnancies suggests that sex hormones are the major influence. Progesterone induces relaxation of smooth muscle, leading to hypomotility of the small and large bowel. In addition, it has been proposed that pregnant women have an increased absorption of colonic water, explained by higher levels of aldosterone induced by sexual hormones such as estrogen and progesterone. Iron intake during pregnancy can worsen constipation complaints.

Finally, mechanical factors can also contribute in late pregnancy. The combined movements of the intestinal tract and uterus have been found to impede the onward movement of solid feces, obstruct defecations and initiate constipation [ 1819 ]. Although a vast majority of pregnant women Food poisoning cause weight loss found to have functional constipation, it is important to exclude Food poisoning cause weight loss causes and pay particular attention to the possibility of diabetes or hypothyroidism [ 18 ].

Food poisoning cause weight loss

Non-pharmacological management of constipation includes adequate water Food poisoning cause weight loss and a high-fiber diet. Food volume may exacerbate the symptoms, especially in the second trimester, and fractionized meals may be an alternative [ 1718 ]. Drug therapy is reserved for refractory patients because it may be associated with complications. Nevertheless, they do not relieve acute symptoms and may need several days to act.

Osmotic laxatives, such as lactulose, polyethylene glycol PEGglycerin and sorbitol, are considered safe and animal studies have shown no teratogenic effects [ 18 ]. In fact, the American Gastroenterological Association position statement considers PEG as a low-risk drug and the preferred drug for chronic constipation in pregnancies [ 2021 ]. On the other hand, stimulant laxatives, such as sennosides and bisacodyl, should be avoided during pregnancy.

Medications not recommended include mineral oil, castor oil and saline hyperosmotic agents [ 421 ]. Table 2 summarizes the recommended treatment options for common gastrointestinal complaints. Summary of treatments of common gastrointestinal complaints.

Description of pharmacological and non-pharmacological treatment for nausea and vomiting, GERD and constipation. It is also indicated whether they are first- or second-line therapy. HG usually starts before the 22 Adelgazar 72 kilos week of gestation, affects 0.

In a Canadian population-based cohort study, Fell et al reported Food poisoning cause weight loss increased risk of HG associated with hyperthyroid Food poisoning cause weight loss, psychiatric illness, previous molar pregnancy, pre-existing diabetes and asthma [ 24 ]. Currently, three major etiologies have been described in the literature.

Firstly, high levels of HCG can have a stimulating effect on the secretory process in the upper gastrointestinal tract. The production of thyroid-binding globulin also increases under estrogen stimulation, leading to a decrease in free thyroxine T4.

The transient decrease in the free T4 level causes stimulation of the thyroid and the patient can develop gestational transient thyrotoxicosis, leading to vomiting. Therefore, the higher levels of estrogens during pregnancy can raise the risk of HG [ 25 ].

HG is a diagnosis of exclusion. It is usually accompanied by hyponatremia, hypokalemia, low serum urea, raised hematocrit, metabolic hypochloremia alkalosis and ketonuria. Ultrasound assessment of pregnancy is mandatory, because HG may be associated with multiple and molar pregnancies [ 23 ]. No single therapy has emerged as significantly beneficial and the medical approach is based on electrolyte correction and prevention of dehydration [ 23 ].

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