Dr. Salinger Says…

This article written by Darren Salinger, M.D. OB/GYN contains information about what to expect during pregnancy. It discusses medications that can be used as well as those to be avoided during pregnancy. Also included are food and diet tips. Conditions such as constipation, heartburn, back pain, and pelvic pain are discussed and recommendations are given. These questions are the most commonly asked questions by patients that are answered by Dr. Salinger.

Pregnancy 

The changes that take place during the short span of human pregnancy are profound.  Many of these changes occur soon after fertilization and continue throughout the entire pregnancy.  Most of these incredible adaptations are in response to the growing fetus and the hormonal changes the fetus produces in its mother.

Changes…Start at 4-5 Weeks of Pregnancy

Most women will notice subtle changes as early as four to five weeks of pregnancy.

The first changes to be noticed are:

  • Breast tenderness (sometimes with nipple discharge);
  • Heightened sense of smell (your favorite food or perfume may be intolerable);
  • Nausea with or without vomiting (this is called morning sickness, but often this problem can occur throughout the day);
  • Increased frequency of headaches;
  • Increased frequency of heartburn; and
  • Pelvic cramping or tenderness.

Usually these conditions go away spontaneously around 14 to 16 weeks of pregnancy.

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Hemorrhoids in the Western World

Hemorrhoids are much more prevalent in the Western World compared with “Third World Countries.” Hemorrhoids are associated with constipation, heavy physical work, and the effects of erect posture. Hemorrhoids are common during pregnancy. In addition to hemorrhoids, industrialized countries are at an increased risk for colorectal cancer. If you suspect you have hemorrhoids, always talk to your doctor. Do not self-diagnose!

Hemorrhoids

Hemorrhoids are one of the most frequent problems people in westernized countries face. There are estimates of up to 75 to 90 percent occurrence rates of hemorrhoids in the U.S. population (1, 2, 3, 4, 5). 

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