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HI Team, My Wife Is 8 Months Pregnant And Was

Posted on Fri, 12 Oct 2018

Question: HI team,

My wife is 8 months pregnant and was recently found positive for dengue she had severe fever (starting 17th sep) in the range on 101-102 for 2 day along with severe body pain ,initially we gave crocin 500mg which was increased by her gynecologist to 650 Mg,

her fever has subsided yesterday but since today morning her body started itching badly we got her checked via skin doctor and she suggested LFT to be done and as per LFT report it liver is deranged and she might be suffering from cholestatic pruritis and suggested udiliv 500 mg

my queries are as

1. what is the impact of above complications on my wife and baby
2. as per gynae LFT might be deranged due to dengue and only itching medicine should be given as per skin doctor need to check with gastroenterologist for the report need expert opinion on same
4. any other test medicine to ensure safety of baby and mother

Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

If Serum Bile acids test was done kindly upload it too. If not done, kindly get it done.

Is she having any skin lesions?

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Dr.P.Ratnakar Kini (44 minutes later)

She has no skin lesions , serum bile test was not done (will upload shortly )/, her skin doctor has suggested udiliv 300 mg 3 times a day please suggest on same

Thank you

Answered by Dr. Dr.P.Ratnakar Kini (14 hours later)

Brief Answer:
Continue Udiliv

Detailed Answer:
Hi,
Let her continue taking Udiliv.
Kindly get back to me with serum bile acid test report.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (17 hours later)

Sir Bile serum report attached ,

currently itching has been concentrated on hand fingers and feet only after udiliv , one thing I forgot to mention that ongoing medications included raricap 100 mg and maczorb , since dengue fever has subsided since 24th we have stopped taking paracetamol , food intake is quite light with very less oil and more fluid intake ,

please recommend on any additional medicines , or any changes in ongoing medicines, diet changes/ intake for safety of fetus and Mother ,

we have pre-scheduled checkup with gynae on 29th September.

Follow up: Dr. Dr.P.Ratnakar Kini (8 minutes later)

note : She vomited just now after today's lunch

Answered by Dr. Dr.P.Ratnakar Kini (5 hours later)

Brief Answer:
Continue Udiliv

Detailed Answer:
Hi,
Thanks for uploading the report.
The serum bile acids is on the higher side.
Intrahepatic cholestasis of pregnancy is the probable cause.

The following needs to be done -
1. Take Udiliv till delivery
2. Periodic follow up with the obstetrician for assessing the fetal well being and decide about the time of delivery.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dr.P.Ratnakar Kini (39 minutes later)

sir just one last query after taking udiliv she tends to vomit please suggest if digene can be given or only ORS , or any other medicine suitable , sir very much thank you for your guidance

Answered by Dr. Dr.P.Ratnakar Kini (12 minutes later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
If there is only occasional vomiting she can ignore it with attention towards adequate hydration.
If vomiting is persistent/recurrent, she can take perinorm after consulting her doctor.

Regards,
Dr.R.K.

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad