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Suggest Medications For Post Cholecystectomy Syndrome While Trying To Conceive
Hello sir! I m diagnosed post cholecystectomy syndrome. My condition is chronic and I take cholestrymine to manage my symptoms. My husband and I are trying for a baby and I have read it s classified K, for pregnancy. I have an OB appt later this month, which medications can I ask about and consider for pregnancy? Thank you
Wed, 20 Dec 2023
Hello,
Post-cholecystectomy syndrome are the symptom developments after gallbladder removal. They would be symptoms like abdominal pain, indigestion, bloating, and diarrhea. Cholestyramine is sometimes used to manage diarrhea during this time by binding bile acids.
During pregnancy, the approach to managing gastrointestinal symptoms might involve more conservative measures due to concerns about potential effects on the developing fetus. Medications classified as Category K (classified by the U.S. FDA) are those where the benefits might outweigh potential risks, but safety data in pregnant individuals may be limited.
Here are some medications or approaches that might be considered or discussed with your healthcare provider:
1. Dietary Modifications: Often, modifications to your diet can help manage post-cholecystectomy syndrome symptoms. This might involve avoiding fatty or greasy foods and eating smaller, more frequent meals.
2. Cholestyramine: Cholestyramine is sometimes used to manage bile acid-related diarrhea. As you've mentioned, it's classified as Category K for pregnancy. Your healthcare provider may assess its risks versus benefits during pregnancy and discuss whether it's safe to continue or if alternatives should be considered.
The cholestyramine does not enter the bloodstream, so it is unlikely that it will reach a baby in the womb and cause birth defects directly. On the other hand, cholestyramine might absorb substances from the mother's body, including certain vitamins, effecting the baby's development.
3. Other Medications: Depending on your symptoms, other medications might be considered. For instance, certain antacids, anti-nausea medications, or medications to control diarrhea might be options.
4. Holistic Approaches: Some individuals find relief through holistic approaches such as dietary changes, herbal supplements, or acupuncture. However, it's crucial to consult your caring doctor before trying any alternative or complementary therapies, especially during pregnancy.
Try to discuss all your symptoms and medications you are taking alongside the above-mentioned approaches.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Albana Sejdini, General & Family Physician
Post-cholecystectomy syndrome are the symptom developments after gallbladder removal. They would be symptoms like abdominal pain, indigestion, bloating, and diarrhea. Cholestyramine is sometimes used to manage diarrhea during this time by binding bile acids.
During pregnancy, the approach to managing gastrointestinal symptoms might involve more conservative measures due to concerns about potential effects on the developing fetus. Medications classified as Category K (classified by the U.S. FDA) are those where the benefits might outweigh potential risks, but safety data in pregnant individuals may be limited.
Here are some medications or approaches that might be considered or discussed with your healthcare provider:
1. Dietary Modifications: Often, modifications to your diet can help manage post-cholecystectomy syndrome symptoms. This might involve avoiding fatty or greasy foods and eating smaller, more frequent meals.
2. Cholestyramine: Cholestyramine is sometimes used to manage bile acid-related diarrhea. As you've mentioned, it's classified as Category K for pregnancy. Your healthcare provider may assess its risks versus benefits during pregnancy and discuss whether it's safe to continue or if alternatives should be considered.
The cholestyramine does not enter the bloodstream, so it is unlikely that it will reach a baby in the womb and cause birth defects directly. On the other hand, cholestyramine might absorb substances from the mother's body, including certain vitamins, effecting the baby's development.
3. Other Medications: Depending on your symptoms, other medications might be considered. For instance, certain antacids, anti-nausea medications, or medications to control diarrhea might be options.
4. Holistic Approaches: Some individuals find relief through holistic approaches such as dietary changes, herbal supplements, or acupuncture. However, it's crucial to consult your caring doctor before trying any alternative or complementary therapies, especially during pregnancy.
Try to discuss all your symptoms and medications you are taking alongside the above-mentioned approaches.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Albana Sejdini, General & Family Physician
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