Asked for Female | 26 Years
Why am I constipated at 14 weeks pregnant?
Patient's Query
Subjective: - 26-year-old woman, 14 weeks pregnant. - Severe constipation despite high-fiber diet, drinking 3-4 liters of water daily, and taking stool softeners. - No urge to pass stool, feeling of rectal fullness. - Lower left abdominal pain. - Recent treatments: Exercises, administered enema three times with no significant relief. - Previous trial: Lactulose and polyethylene glycol (Miralax) with no effect. - CBC showed severe anemia. Objective: - Constipation with lack of urge to defecate. - Lower abdominal discomfort, specifically on the left side. - No signs of infection from CBC. Assessment: - Severe constipation possibly exacerbated by severe anemia and pregnancy-related hormonal changes. - Lower left abdominal pain likely due to stool buildup in the colon.
Answered by Dr. Samrat Jankar
Pregnancy can cause hormonal changes that may contribute to severe constipation, especially when combined with anemia. The feelings of fullness and lower abdominal discomfort indicate the need for further evaluation. While you’ve tried several methods, it’s crucial to consult your gynecologist for tailored treatment options. They may suggest changes in medication or additional tests to rule out other issues. In the meantime, gentle movements, warm baths, and a balanced diet can help alleviate some discomfort.

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- Subjective: - 26-year-old woman, 14 weeks pregnant. - Sever...