Itching on stomach during pregnant
Discussions on "Itching on stomach during pregnant" in "I am pregnant" forum.
6th Feb 2015, 01:51 PM #1Newbie
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- Feb 2015
Itching on stomach during pregnant
Hi all i am 6 month pregnant. I have itching on my stomach. pls help to get relief this problem. is it common?
6th Feb 2015, 02:24 PM #2
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- Jul 2012
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Re: Itching on stomach during pregnant
Hi Sugu, welcome to penmai.com!
Is it normal to feel itchy during pregnancy?
It's not uncommon to feel itchy, particularly around your growing belly and breasts as your skin stretches to accommodate them. Hormonal changes may also be partly to blame.
Some pregnant women find that their palms and the soles of their feet get red and sometimes itchy. This condition may be caused by an increase in estrogen. It usually disappears right after delivery.
You may also find that things that normally make you itchy, such as dry skin, make you even itchier when you're pregnant. Eczema often worsens during pregnancy, though some women find that their condition actually improves. With psoriasis the situation is reversed: Many women report less severe symptoms during pregnancy, while a few find that being pregnant makes their psoriasis worse.
Finally, there are certain conditions unique to pregnancy that may cause you to develop very itchy rashes or to itch all over without a rash (see below).
How can I get relief from the itching?
It depends in part on the cause. If your itchiness is just from your skin stretching or being dry, these simple measures may be enough to give you some relief:
- Avoid hot showers and baths, which can dry out your skin and make the itching worse. Use mild, unscented soap (some scents can cause irritation) and be sure to rinse the soap off well and towel off lightly.
- Take an occasional warm oatmeal bath. (You can buy oatmeal bath preparations in drugstores.)
- Slather on unscented moisturizer after you've showered or bathed.
- Try putting cool, wet compresses on itchy areas.
- Avoid going out in the heat of the day, since heat can intensify the itching.
- Wear loose, smooth cotton clothing.
If you have a serious rash or are extremely itchy, these measures alone will likely not be enough to give you adequate relief. Talk to your caregiver. You may need topical or oral medication, or both.
When should I call my doctor or midwife?
Let your caregiver know if you develop a new rash during pregnancy, have a worsening skin condition, or feel very itchy all over even if you don't have a rash. Your caregiver will want to see you for an evaluation so she can diagnose the problem, recommend appropriate treatment, or possibly refer you to a dermatologist.
Some conditions that cause these symptoms can affect your baby's well-being and require special monitoring.
Can intense itching without a rash be a sign of a problem?
Severe itchiness in the second or, more commonly, the third trimester can be a sign of intrahepatic cholestasis of pregnancy (ICP), a liver problem that affects up to 1 percent of pregnant women in the United States.
When bile doesn't flow normally in the small ducts of your liver, bile salts accumulate in your skin, which makes you itchy. The itching may affect your soles and palms first, but it can occur anywhere, and many women with ICP feel itchy all over. The itchiness can be extremely intense and is typically worse at night.
Itching is the only symptom at first. The condition itself doesn't cause a rash, but you may end up with red, irritated skin with little cuts in areas where you're scratching a lot. Some women have other symptoms, too, such as loss of appetite, mild nausea, and malaise. A minority of women develop mild jaundice.
Call your doctor or midwife if you think you have cholestasis because it may spell trouble for your baby. You caregiver will want to evaluate you and do some blood tests to help make the diagnosis.
ICP increases the risk of stillbirth, so you'll have periodic ultrasounds andfetal heart monitoring to check on your baby. You'll also continue to get blood tests to check your liver function. You'll likely be treated with a medication that may help with liver function and reduce the itching and other symptoms you might have. The medication may possibly lower your baby's risk as well.
If the ultrasound or heart monitoring indicates there's a problem, you'll be delivered without delay. Otherwise, depending on how you and your baby are doing and how far along you are in pregnancy, delivery may wait for a bit to give your baby more time to mature. It's likely, though, that you'll be induced before your due date.
This problem goes away after you deliver your baby, usually in a day or two, though it may take about a week. ICP often happens again in a subsequent pregnancy, so be sure to alert your caregiver. By the way, some women who have had ICP can also develop a similar problem with itching and liver impairment if they use hormonal contraception.
What conditions can cause an itchy rash during pregnancy?
There are a variety of conditions related to pregnancy that can cause a rash. Symptoms can overlap between one condition and the next, and it can be confusing to try to figure out exactly what's going on so don't try to diagnose yourself. Here are some of the possibilities:
Pruritic urticarial papules and plaques of pregnancy (PUPPP)
Up to 1 percent of pregnant women develop a condition characterized by itchy, red bumps and larger patches of a hive-like rash on their bellies. This is called pruritic urticarial papules and plaques of pregnancy (PUPPP), also called polymorphic eruption of pregnancy.
PUPPP usually begins in the third trimester, though it can begin earlier or, occasionally, during the first two weeks after you give birth. It's more common in women carrying twins and those having their first baby. No one knows what causes PUPPP.
The eruptions, which can itch like crazy, usually show up first on the abdomen around or in stretch marks (if you have any). It may spread to your thighs, buttocks, back, and, more rarely, your arms and legs. Your neck, face, hands, and feet are usually spared.
Your doctor or midwife will probably prescribe a topical ointment to give you some relief. She may also recommend an antihistamine. In severe cases, you may need a course of oral steroids.
The good news is that PUPPP is not risky for you or your baby and usually disappears within a few days after delivery, although it sometimes persists for several weeks. Plus, it seldom appears again in subsequent pregnancies.
Prurigo of pregnancy
This relatively rare condition (sometimes called papular eruptions of pregnancy) is characterized by many tiny bumps that may look like bug bites at first. (Later, due to scratching, you may have little cuts that crust over in places.)
Prurigo of pregnancy typically starts in the late second or early third trimester. The eruptions, which can be extremely itchy and annoying, usually appear on your limbs or your torso. Treatment may include topical medication and antihistamines. A course of oral steroids might be needed in some cases.
Prurigo of pregnancy usually goes away soon after you give birth, though it may last for up to three months after delivery, and it may happen again in a later pregnancy. Fortunately, it appears to pose no risk to you or your baby.
(Some experts now use the term atopic eruption of pregnancy to cover prurigo of pregnancy as well as a very uncommon condition called pruritic folliculitis of pregnancy because they share some things in common with atopic dermatitis, a kind of eczema.)
In very rare cases, a pregnant woman will develop intensely itchy eruptions that start out like hives and then turn into large blistering lesions. This rash is called pemphigoid gestationis (or herpes gestationis because of its appearance, although it has nothing to do with herpes virus).
It usually begins in the second or third trimester, but it can start anytime, including the first week or two after you have your baby. The eruptions often start in or around the belly button and may also affect other parts of your trunk, as well as your arms and legs, including your palms and soles. Oral steroids are often used for treatment.
This condition can come and go throughout pregnancy, and it often flares up during the postpartum period. In fact, it may take weeks or months for it to subside after you give birth. There is some evidence that breastfeeding may help it to resolve more quickly.
Pemphigoid gestationis is more serious than PUPPP or prurigo of pregnancy because it's associated with an increased risk for preterm delivery, fetal growth problems, and possibly stillbirth. So if you develop this condition, your pregnancy will be closely monitored. In a minority of cases, the newborn baby will develop the rash, though it's typically mild and goes away within a few weeks.
Pemphigoid gestationis usually happens again in subsequent pregnancies and tends to be more severe. And there are reports that oral contraceptives trigger a recurrence in some women.
This is another rare condition, which, despite its name, is not related to the herpes virus or to impetigo, a bacterial skin infection. Instead, it's likely a form of psoriasis in pregnancy.
It typically shows up in the third trimester (though it can start earlier) and is characterized by extensive red areas with many small pus-filled bumps, which may coalesce into larger white, elevated pus-filled areas. The rash may appear on your thighs, groin, armpits, around your belly button, under your breasts, and other places as well. It can be painful but is generally not itchy.
Impetigo herpetiformis may also cause systemic symptoms, such as nausea and vomiting, diarrhea, fever, and chills. Other complications are possible. So you and your baby will be closely monitored.It is treated with systemic corticosteroids. Depending on your condition, other medications may be needed as well. It usually goes away after delivery but may recur in a later pregnancy.
6th Feb 2015, 03:29 PM #3
Re: Itching on stomach during pregnant
hi itching on stomach during pregnancy is quiet common for pregnant lady. if you can't bear with this, please ask your gynec for any ointments during your next dr visit. don't get any medicine from medical shops without dr's prescription.