Gastroenterology Book

Diarrhea

  • Diarrhea in Pregnancy

Inflammatory Bowel Disease

Peptic Ulcer Disease

http://www.fpnotebook.com/

Diarrhea in Pregnancy

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  1. See Also
    1. Diarrhea
    2. Gastrointestinal Medications in Pregnancy
  2. Evaluation
    1. See Diarrhea
  3. Management: Symptomatic
    1. Medications safe in pregnancy
      1. Loperamide (Imodium)
        1. Possibly associated with fetal cardiac malformation
        2. Avoid in first trimester
      2. Simethicone (synergistic effect with Loperamide)
      3. Fiber supplementation with Psyllium (Metamucil)
    2. Medications to avoid in pregnancy
      1. Kaolin-pectin (Kaopectate)
        1. Was considered antidiarrheal of choice in pregnancy
        2. New formulation contains bismuth (see below)
      2. Bismuth Subsalicylate
        1. Risk of Salicylate absorption
      3. Atropine-Diphenoxylate (Lomotil)
  4. References
    1. Black (2003) Am Fam Physician 67(12):2517
    2. Larimore (2000) Prim Care 27(1):35

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