Digestive and Bowel Problems

Constipation

As many as 40 percent of pregnant women experience constipation when they’re pregnant. This is because the intestinal tract muscles relax, and it takes longer for food to pass through. A growing uterus, which puts pressure on the bowel, hormonal changes and decreased physical activity can also contribute to the problem. To help cope with constipation:

• Drink lots of fluids (8 glasses of water, milk or juice daily).
• Exercise if you can (walk, swim).
• Increase your fibre intake, by eating whole grain breads and cereals, fruits and vegetables or legumes.
• When having a bowel movement, elevate your feet slightly on a stool and relax your pelvic floor.

Gas

Gas is caused by the pressure of the uterus on the intestines, which can prevent the contents of the intestines from moving through as quickly as usual. To avoid this problem:

• Chew your food slowly and thoroughly.
• Eat small, frequent meals.
• Exercise.
• Have regular bowel movements.
• Avoid gulping liquids or drinking with a straw.
• Don't chew gum or suck on hard candies.

Heartburn

Heartburn occurs when the sphincter muscles relax during pregnancy, allowing food and digestive juices to back up into the esophagus. To help prevent this problem:

• Eat small meals and avoid greasy or spicy foods.
• Do some slow, deep breathing.
• Avoid lying down for one to two hours after eating.
• If possible, elevate the head of your bed three to four inches, by placing blocks or books under the top legs.
• Consult your doctor before taking antacid tablets or other medications.

Hemorrhoids

Hemorrhoids occur because of the pressure of the uterus on the lower bowel. Constipation, being overweight, a lack of exercise or excessive sitting can contribute to the problem. Rest assured that your hemorrhoids will likely get better or go away after you give birth.

To deal with hemmorhoids while pregnant, try to prevent constipation in the ways suggested above. You can also try:

• cold compresses
• over-the-counter hemorrhoid pads and ointments, many of which contain the herb witchhazel
• bedrest if necessary

Cold meals don't have the food odour of heated meals and can help you cope with nausea.

Nausea and Vomiting

Nausea and vomiting in early pregnancy is due to hormonal changes. To cope:

• Have small, frequent meals (5 or 6 a day).
• Eat crackers before getting up in the morning.
• Get up gradually.
• Drink fluids before or after meals, not with your food.
• Avoid fried or fatty foods.
• Try sucking on a lemon wedge.
• Eat foods at room temperature (not hot), so they will have less food odour.
• Have a snack before bedtime.

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