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SIBO/IBS in pregnancy
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nic14120 posted:
I posted previously about some issues I have been having. I am newly pregnant, and prior to becoming pregnant I was facing issues with upper left quardrant discomfort and excessive belching. H-pylori tested and eradicated. I am still left with this discomfort that seem to have returned, but was previously coming in waves. I went a good period with minimal belching, and I seem to be back to excessive. The discomfort comes and goes. The GI specialist would like me to do a 2 hours hydrogen breath test to test for small intestinal bacteria overgrowth (SIBO). I am nervous to take this test as being newly pregnant, although assured it was fine by the dr's office. Anyway, say that the test is positive, info online indicates that serious antibiotic course would be required. I did read some study that indicates higher rate of miscarriage with IBS. That very much concerns me. I am wondering is someone with SIBO can control their diet, have successful vitamin absorbtion still and not have this affect their baby in any way?
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georgiagail responded:
Yes; without question.

Gail
 
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nic14120 replied to georgiagail's response:
Thank you, Gail. That's reassuring. Do you know outside of bloodwork, is there any way to know I'm not absorbing nutrients, more so, if the baby is not getting what it should?
 
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georgiagail replied to nic14120's response:
Unless you're living in a third world country where adequate food is not available, suffer from a severe eating disorder or have uncontrollable diarrhea (indicating severe malabsorption) both you and the fetus will be getting all the nutrients you both need in the food you are consuming.

Quite honestly, most pregnant women do not need additional vitamin supplementation during pregnancy, although it is often recommended as a sort of "insurance policy" just in case ones diet isn't the best in terms of choices. Interestingly enough, it's often the diet BEFORE conception that plays a greater role in the health of both the mother and the fetus rather than the diet during pregnancy; however, most women don't realize that and so might not make an improvement in their dietary choices until they find out they are pregnant.

At any rate, there really is no need for further testing to determine nutrient absorption unless you fall into one of the categories I mentioned above.

Gail
 
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nic14120 replied to georgiagail's response:
Thank you so much, Gail! I have always respected your information. I have been getting it on this site for a good 9 years!! That makes me feel a lot better because a lot of what I read online indicates that the bacteria in the small intestine could prevent absorption and could cause deficiencies in iron, and B levels. I know Iron I super important, esp at this stage of 4-5 weeks. May I also ask, I am taking a prenatal that is good based. I noticed it turns my urine a bright yellow. Does that mean a good sign that my body is absorbing and expelling well?
 
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georgiagail replied to nic14120's response:
Yep; it means that absorption from the small intestine is happening as it normally should, the body is using what vitamins and minerals it needs and the kidneys are expelling the rest. Sometimes this colorful urine (bright yellow or green!) can be a bit shocking at first!

Gail
 
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nic14120 replied to georgiagail's response:
Thank you very much for calming my fears. Seeing as I will most likely be gestational again, do you know if a gluten free GD diet is possible? To help aid proper digesting/minimize excess bacteria from SIBO
 
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georgiagail replied to nic14120's response:
Sure but unless you have celiac disease, a gluten free diet is not needed. Honestly, gluten free has lately become the "designer" diet of the year and totally unnecessary for about 90 percent of folks on it.

It's not a bad diet, just not really necessary.

Gail
 
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nic14120 replied to georgiagail's response:
I tested negative for the hpylori and celiacs in Sept of this year via the endoscopy. I was reading online that spleen can be enlarged due to someone being anemic. I know you said the diet/nutrients prior to conception are just as critical. As I mentioned, my primary dismissed the 13cm spleen and said I was too mild to be concerned, no bloodwork was done. That was July. I now worry that I have since become anemic and possibly still, and the effects it could be having on my very developing fetus. I know I can't do much until I go for my bloodiest mon am, but are there any tell tell signs to say its possible? Esp since the prior spleen enlargement. I think I mentioned that I read that SIBo can cause a b-12 or iron deficiancy. Can one still have a healthy developed fetus with a slight deficiancy? I am planning to call to get into my ObgYn sooner than 2 weeks as they asked, and pray my bloodwork does not reveal any concerns.
 
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georgiagail replied to nic14120's response:
Yes; one can have a healthy developed fetus with small intestine bacteria overgrowth, iron deficiency or B-12 deficiency, none of which you've been diagnosed with at this time.

You are worrying far too much about all of this over a spleen that is just very mildly larger than the norm.

Gail
 
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nic14120 replied to georgiagail's response:
thank you! As you probably already guessed, I obsess and worry, a lot!! I am coming back here and letting you know what the dr's report as you have been very helpful and reassuring! Have a blessed day!
 
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georgiagail replied to nic14120's response:
Yes; please let us know this report. I suspect it will be just fine.

BTW, with both my pregnancies I had terrible GERD even in the first few months of the pregnancy. Heartburn so bad no matter what I ate I felt like the fire eater at the circus. I understood why this might happen at the end when one resembled having swallowed a beach ball but not early on. Did a bit of research to find out the sphincter muscle at the end of the esophagus loosens during pregnancy, often allowing stomach acid to slap back up into the esophagus.

Gail
 
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nic14120 replied to georgiagail's response:
Ouch, that sounds so painful!! I have heard women have that and Tums doesn't even help:( I have had GERD only a handful of times and it's pretty painful!!

Thank you again for your time!
 
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nic14120 replied to georgiagail's response:
Hi Gail- question: I am taking Rainbow light brand prenatal vits. I seem to be needing to pass my bowels as soon as I wake up. I noticed yesterday and this am that I have what appears to be a white film around the outside of my stool. My stool is usually always formed. This was as well. Not to be TMI, but they usually always float right down, this am I noticed it floated a few seconds before they sunk down. In your opinion, do you think I should call for a parasite panel to be done via a stool sample? I've never had my stool checked. I do have a mucousy constant cough going on for a few days, not sure if it could be related.
 
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georgiagail replied to nic14120's response:
Do you need a parasite panel check? No...

Gail


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