itchy belly
Introduction
Introduction Pregnant women's stomach itch refers to pregnant women with unexplained abdominal itching during pregnancy, which is a kind of itchiness of pregnant women. There are many causes of skin itching in pregnant women, such as skin disease, rash, toxic skin rash, papular dermatitis, which may cause itchy skin in pregnant women. For the itching of the belly caused by cholestasis, the number of fetal movements can prevent cholestasis. Learning to correctly count the number of fetal movements can detect fetal movement abnormalities in the first time when the fetus is suffering from intrauterine hypoxia, and seek medical advice in time. In the absence of any treatment, the symptoms of pruritus caused by cholestasis during pregnancy usually last until delivery, so when the itching persists for more than 3 days, it must go to the hospital for a diagnosis.
Cause
Cause
Cause:
1. Pregnancy dermatosis: More than 15% of pregnant women may encounter this skin disease. The whole body may be itchy, usually in the six or seven months of pregnancy. There is no change in the skin except for itching, and there are no rashes or blisters. The cause of the disease is generally thought to be related to an increase in estrogen during pregnancy and has no effect on the fetus.
2. Pregnancy rash: About 2% of pregnant women may develop the disease, usually between the 4th month and the 9th month of pregnancy. Small rashes appear on the skin, most often on the limbs, and look like insect bites. Some pregnant women think that it is caused by lice or fleas on pets. It is actually caused by pregnancy itself and has no effect on the fetus.
3. Toxic skin rash in pregnancy: The prevalence rate is about 1%, most of them are born in short-obese pregnant women, most often in the presence of stretch marks. It is currently believed to be related to hormonal imbalance. It is comforting that this skin itching does not harm the fetus.
4. Papular dermatitis during pregnancy: The incidence is very low, and all parts of the body may be affected. When the disease occurs, the skin of the whole body will have a rash. The cause of the disease is still unclear, but it may cause miscarriage or fetal death, so be careful.
5. Pregnancy, rash and eczema are also common causes of itching in pregnant women. The former is caused by the mother's rejection of the part of the gene and chromosome from the father in the child. In addition to the itching of the belly, rash and itching may occur in the thigh or even the upper limb, and some may also have pigmentation. The latter (eczema) is common in pregnant women who are sweating, metabolically active, or obese pregnant women. In addition to the above-mentioned common reasons, some diseases may also cause itching during pregnancy, so remind pregnant women and their families that the belly is itchy and it is best to promptly report it to the doctor to find out the cause.
6. Itching may be cholestasis. Bilirubin is secreted by liver cells and enters the gallbladder through the liver capillary tube to form bile. After eating, the stimulated bile duct contracts, causing bile to drain into the duodenum. The main role of bile is to assist digestion and absorption of the gastrointestinal tract. The bile salts contained therein can emulsify fat and promote the body's absorption of fatty vitamins. Pregnancy cholestasis can be explained by the fact that a large amount of bile flows back into the bloodstream because of poor excretion, thus causing some adverse consequences. In medicine, gestational cholestasis is due to the production of a large amount of androgen in the placenta during pregnancy, which changes the permeability of the cell membrane. The function of excreting bile is weakened, leading to cholestasis, formation of bile, and bile acid and bilirubin. Flows into the bloodstream, leading to a series of clinical symptoms of pruritus in the third trimester.
7. If the pregnant mommy's skin becomes dry, it is recommended to bathe with a mild weak acid cleansing product. After bathing, apply moisturizing skin care products. If the uncomfortable situation affects the daily routine, please ask The physician prescribes a prescription.
Examine
an examination
Related inspection
Amniocentesis bacteria check amniotic fluid bacteria test
Symptoms: Itchy stomach.
Check: B-ultrasound, blood routine examination.
The belly continues to itch. It should be considered whether there is intrahepatic cholestasis of pregnancy. It is caused by the synthesis and secretion of a large amount of estrogen and progesterone during pregnancy, which may cause blood circulation disorder between pregnant women and fetuses, affecting the maternal The exchange of matter and gas, the fetus is in a hypoxic state, growth and development is slow, and even cause stillbirth, should go to the regular hospital to check the bile acid.
Diagnosis
Differential diagnosis
Pregnant women's leg cramps: refers to pregnant women often have calf cramps during pregnancy, medically known as lower limb paralysis.
Pregnant woman calves itching: This situation occurs more often after the second trimester, especially in the chest, abdomen, lower limbs, and severe rashes - red pimples, often smashed due to severe itching, seepage marks , crusting, called pregnancy pruritus.
Stomach pain in pregnant women: refers to the symptoms of frequent pain in the stomach of the woman during pregnancy, or a strong burning sensation in the stomach.
