Dr. Cheryl Serr
Cheryl Wiley, FNP
Care for You and Your Growing Miracle
Answers To Your Questions About Pregnancy
For allergies: Benadryl, Claritin, Zyrtec, Chlor-Trimeton, Alavert, Tavist, Xyzal, and saline nose spray. NO Sudafed or Allega, Vistaril, Clarinex. Note that Sudafed is the “D” in allergy medicines such as “Claritin-D”. NO nasal steroids.
For asthma: Asthma may get better or worse in pregnancy. Although most asthma inhalers are labeled, “Category C” (may pose a risk in pregnancy), most doctors agree that an asthma attack / decreased oxygen poses more risks to mom and fetus than the medication.
For a cold: Vitamin C 1000mg a day. Sore throat lozenges, sprays and cough drops. Robitussin cough syrup. Vicks Vaporizers. Saline nose spray. Note that Airborne, Echinacea and other herbs have not been studied in pregnancy. NO Nyquill, Musines or other “multi-symptoms cold relievers”.
For constipation: Pregnant women are prone to constipation because the hormones of pregnancy slow the movement of the intestines. To prevent constipation the most important thing is to drink enough water: 8-10 glasses a day. You can add one glass of prune juice a day and a fiber supplement / stool softener such as Colace, Surfak, FiberCon, Metamucil, Citrucel. Also Gas-X for gas. NO suppositories or laxatives because they can cause contractions.
For Insomnia: Benadryl and Tylenol PM (which contains Benadryl). White noise makers.
For indigestion / reflux: Pregnant women are prone to reflux because the pregnancy hormones slow the transit of food out of the stomach and loosen the muscle between the esophagus and the stomach. In the last trimester the growing uterus also pushes the intestines up against the stomach. Eat more frequent but smaller meals. Avoid spicy foods. You can take Pepsid, Prevacid, Tagamet, Zantac, Tums. NO Pepto-Bismol (because it has aspirin).
For hemorrhoids: Pregnant women are prone to hemorrhoids due to constipation and the pressure of the uterus on the blood vessels around the anus. You can use Tucks, Anusol, Preparation H, witch hazel, and do sitz / Epson salt baths.
For a yeast infection: You can take Acidophilus / lactobacilli probiotics or eat yogurt with “live cultures”. After the first trimester it is OK to use Monistat or other over-the-counter yeast medications and use Vagisil for itching.
For poison oak: Benadryl pills and lotions. Aveno lotion and bath flakes.
Avoid artificial sweeteners. Eat healthy food. Now is the time to cut out junk food / fast food. Vegetarians need to make sure they are getting enough protein and iron.
A recent study showed that newborn baby blood can be contaminated with pesticides (from produce) and steroids, antibiotics and growth hormones (from our meat). We suggest that all our pregnant patients try to eat organically grown foods.