Common Pregnancy Concerns & Safe Medications
Constipation: Increase daily water intake and continue daily exercise. May use Citrucel, Fibercon, Metamucil, Senakot or Benefiber. Use daily stool softeners, such as Colace. Milk of Magnesia may be used occasionally.
AVOID: stimulant laxatives such as Ex-Lax, Correctol, mineral oil.
Contractions/Cramping: Occasional, mild pelvic cramping is common during pregnancy and may be treated with rest, hydration, and Tylenol. If pains are persistent, occurring multiple times per hour prior to 37 weeks gestation, please contact our office at (864) 220-4209 for an appointment.
Cough & Cold: Symptoms may be treated with Robitussin, Actifed, Sudafed, Tylenol Cold & Sinus, cough drops, cool-mist vaporizer, and saline nasal spray. Stay well-hydrated with plenty of fluids.
Dehydration: We recommend consuming at least 8 glasses of water per day, or more with extra activity.
Diarrhea: Use Kaopectate or Imodium-AD as directed and increase fluid intake.
Headache/Body Aches: Increase fluid intake, use Tylenol (2 Regular or 1 Extra Strength) every 6 hours.
AVOID: Advil/Ibuprofen/Motrin, Aleve, Aspirin unless recommended by your physician.
Heartburn/Indigestion/Gas: Use Maalox-Plus, Mylanta, Rolaids, Tums or Gaviscon. If these are not helpful, try Pepcid-AC or Zantac, as directed.
Hemorrhoids: Tucks pads and warm water (sitz) baths as needed. You may use Preparation-H or Anusol.
Nausea &Vomiting: Acupressure bands, Dramamine, Emetrol, Ginger capsules, Ginger tea, Vitamin B6/Unasom may be used. Stay hydrated with sips of liquids such as Gatorade or use popsicles/crushed ice. Call for worsening symptoms or if unable to keep down liquids.
Sore Throat: May use Chloraseptic spray or throat lozenges.
Vaginal Discharge: Commonly increased during pregnancy. Call the office for an appointment if discharge is associated with bleeding, itching, or irritation.
Mercury in Fish and Shellfish
A balanced diet including fish and shellfish during pregnancy can contribute to heart health through protein and essential nutrients in addition to omega-3 fatty acids. It is important to consider that nearly all fish and shellfish contain mercury, but certain varieties contain dangerously high levels that may harm an unborn child’s developing nervous system. Because of these risks, the Food and Drug Administration and the Environmental Protection Agency are advising pregnant and nursing mothers to avoid some types of fish, in favor of fish and shellfish with low mercury levels.
Fish to avoid:
- King Mackerel
Recommendations: Eat up to 12 ounces per week of fish and shellfish that are low in mercury, such as: shrimp, canned light tuna, salmon, pollock, and catfish.
Check local advisories concerning the safety of fish from local lakes, rivers, and coastal areas. If no specific recommendations are found, you may consume up to 6 ounces per week of fish caught in local waters.