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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain Along With Nausea And Constipation?

I really need advice I am 33 weeks pregnant. Having pains in top area of abdomen. Unable to poop when I push really hard just some water stuff comes out. Today I passed a tiny bit but was foul smelling and extremely dark. Also have really bad nausea. Been like this since Saturday. What should I do?
Wed, 6 Nov 2019
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General Surgeon 's  Response
Hi,

Noted your history of being 33 weeks pregnant, pain in upper abdomen, nausea and constipation, only small bits of motion that are dark and foul smelling.
As the pregnancy advances there may be difficulty in passing stools and retained one can cause fecolith formation, difficult to evacuate and
so on.
Hence I would advise you the following:
Send the sample of stool for lab tests to see if there is any infection.
Consult your Gynecologist for examination and decide about which stool softener you should take, whether some sort of enema is indicated and to be given or not.
Now that the pregnancy is advanced it is better to take any thing that does not cause hard stools/constipation.
Increase fiber input in diet.
Do not strain at stool.
If there is any evidence of intestinal infection, your Gynecologist will surely give you pregnancy-safe antibiotic.
Take plenty of oral fluids with fibers.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Abdominal Pain Along With Nausea And Constipation?

Hi, Noted your history of being 33 weeks pregnant, pain in upper abdomen, nausea and constipation, only small bits of motion that are dark and foul smelling. As the pregnancy advances there may be difficulty in passing stools and retained one can cause fecolith formation, difficult to evacuate and so on. Hence I would advise you the following: Send the sample of stool for lab tests to see if there is any infection. Consult your Gynecologist for examination and decide about which stool softener you should take, whether some sort of enema is indicated and to be given or not. Now that the pregnancy is advanced it is better to take any thing that does not cause hard stools/constipation. Increase fiber input in diet. Do not strain at stool. If there is any evidence of intestinal infection, your Gynecologist will surely give you pregnancy-safe antibiotic. Take plenty of oral fluids with fibers. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon