Daily Health Tips: Pregnancy

Q1: Dear Doctor Ketch. I’m 8 weeks gone. But i don’t always feel pregnant even though the signs are there. I don’t feel the baby. Please help

Q2: Good day Doc. Compliments. Please I am 7 months pregnant. Lately I notice a small pile coming out of my anus. It sometimes pains me if I don’t push it in after using the toilet. I heard it’s as a result of the pregnancy. Please Doc I am scared. What is the cause and the possible cure? Thanks and God bless you.

Thanks, both, for writing in.

I will address pregnancy generally (in terms of what to expect every trimester) and of course, address the concerns raised here along the way J

Generally, the symptoms of first trimester pregnancy include:

Breast tenderness
Discharge: A thin milky discharge is normal during pregnancy
Heart burn
Frequency of urination

Tiredness and fatigue

Food cravings and aversions
Morning sickness/nausea

What do you expect during the second trimester? Well, usually, if you had had a traumatic first trimester with nausea and vomiting, this would usually ease up during the second trimester 😀 Unfortunately, this may not be the case in all women!

Different women feel the movement of their babies at different times. It usually ranges between the 16th and 25th week of pregnancy. Of course for pros, like women who have had babies before 😀 they recognize the movements earlier.

You may start to experience more back aches as the weight you have put on starts to take its toll. Be sure to sit up straight on chairs with proper back support to help with this. Sleeping on your side with a pillow between your legs will also help.

Your breasts are probably big enough to necessitate a bigger bra size. Be sure to get a comfortable and good support bra.
Heart burns, constipation and leg cramps are more frequent at this time too. Heart burns occur due to one of the hormones produced during pregnancy. For leg cramps, be sure to let your doctor know that you have these cramps, especially if they are not helped by applying a cold pack to it or stretching.

A thin milky discharge is normal during pregnancy and is seen during this period. But if this becomes yellow, greenish or foul smelling, please see your doctor.

Other symptoms that may become more common include bleeding gums, varicose veins and nose bleeds as you experience more blood flow due to the effect of pregnancy hormones. To guard against bleeding gums, use a soft-bristled brush during the pregnancy.

You could also have haemorrhoids as the person who posted this question, obviously has J. These haemorrhoids develop when there is undue pressure in the pelvic and anal area as can occur in pregnancy (especially the last 6 months.

Piles, known as haemorrhoids in medical lingo are swollen veins in the anal canal. They can be internal, external or both internal and external can co-exist. Internal haemorrhoids occur when veins swell within the rectum and external haemorrhoids are found under the skin around the anus.

These haemorrhoids develop when there is undue pressure in the pelvic and anal area as can occur when people strain to pass faeces (if they have diarrhoea or are constipated), in pregnancy (especially the last 6 months), in obese people, people who eat diets low in fibre and people who practice anal intercourse. When women strain in labour, haemorrhoids can also be made worse. For those who love to visit the toilet with their newspapers and spend ages reading them in there, well, you’ve got breaking news! 😀 Sitting on the toilet seat for prolonged periods can also cause haemorrhoids. As people grow older, the support structures for these veins also grow weaker…naturally 😀

Some internal haemorrhoids can be small veins which stay within the rectum. Usually these internal haemorrhoids, stay inside the anus causing no problems. Other internal haemorrhoids can be big veins that sag and protrude out of the anal canal. Straining would cause their delicate surfaces to bruise and bleed. Sometimes, the straining is sufficient to cause the haemorrhoids to protrude out of the anal canal. This is probably what has been described above in the question. When the haemorrhoids are compressed by anal muscles, the pain is made worse and the pressure can lead to cutting off of blood supply to the haemorrhoids.

External haemorrhoids can clot due to irritation forming a hard, painful lump under the skin around the anus.
People with haemorrhoids will complain of streaks of blood in the stool after stooling, blood on the tissue after cleaning up, anal pain, anal itching or a lump around the anus.

Treatment involves the use of ointments to relieve pain, inflammation and itching. There are other minimally invasive and surgical options available that range from rubber band ligation to surgical removal of the haemorrhoids.
You can also limit the discomfort you have by keeping the anal area clean, using wet wipes (non-perfumed) to clean up after using the loo, sit on a bowl of plain warm water for about 15 minutes about twice or three times per day and also use some pain relief, if in pain.

To prevent this, ensure that your diet has sufficient amounts of fruits and vegetables. Remember that if you take a regular flat plate, half of this should be filled with fruits and vegetables, half of the plate with complex carbohydrates and the last half with proteins.

Limit the time you spend sitting on the toilet seat (read your newspapers elsewhere :D), use the toilet as soon as you feel pressed (that way the fluid in the stool is not absorbed making the stool hard) and then don’t strain when you do go. Drink sufficient quantities of water daily, exercise (to keep everything moving along nicely :D). If you are still worried, please see your doctor J
In the third trimester (from 27 weeks to 40 weeks), you continue to grow bigger 😀 Get yourself ready for baby by reading up on what to expect.

So, all the best to you two.

Let us know when you deliver your bundles of joy 😀

Have a good night, y’all 😀


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