There are days when a nursing mother has a stomach ache. Of course, this is an unpleasant situation, reception medicines limited. This condition may be physiologically normal or a sign of some disease. This is worth looking into.
Changes in a woman’s body occur not only during pregnancy, but also after it. The period in the first 6 to 8 weeks after birth is called postpartum. At this time, the size of the uterus decreases from 1000 g in the first hours after birth to 50 g by the end of the 8th week. The mammary glands are actively producing milk, the woman is recovering after childbirth.
What you should know about the postpartum period
The postpartum period begins in the first hours after birth. Even in the maternity room, an ice tank is placed on the stomach to stop bleeding. Then women are recommended to lie on their stomachs - this position helps to reduce the size of the uterus. At this moment, the woman experiences aching pain in the lower abdomen. If the birth occurred by caesarean section, then this position (lying on your stomach) should not be taken. Natural childbirth beneficial for a woman’s health, do not insist on performing a caesarean section without sufficient medical indications. There is debate about the consequences of this operation for the child. Of course, there are situations in which C-section is the only way delivery.
In the first hours after childbirth, it is dangerous for a woman in labor to get up, as this can cause loss of consciousness. If you feel an urgent need to get up, then seek help from medical personnel. Throughout the week spent in the maternity hospital, the nursing mother will be accompanied by pain in the lower abdomen, which will intensify while feeding the baby. This is fine. When the baby suckles at the breast, the hormone oxytocin is released, which causes contractions of the uterus, which is necessary for its restoration. How better uterus is reduced, the faster the woman will recover after childbirth.
Two weeks after birth, pain during feeding becomes almost imperceptible. Quantity bloody discharge also decreases. These discharges differ from menstrual discharge; they have a specific smell and are larger in volume. They can last for several weeks, but if their volume does not decrease, and the woman feels excessive fatigue and drowsiness, then this may be a bleeding that threatens the woman’s life.
IN postpartum period You should not expose a woman to physical and emotional stress. Lifting heavy objects can cause serious problems in women's health. In the first month after childbirth, a woman should be assisted in managing household more intense than before birth. It is necessary to monitor the nutrition of a nursing mother. The diet should be complete and nutritious and exclude foods that can cause allergies in the child.
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Deviations from the norm in a nursing mother
What symptoms may occur when a nursing mother is sick? One of the first signs of illness is an increase in body temperature. Be careful when measuring it. If you feel pain in your chest and the thermometer shows 38⁰C, and your condition is not too different from normal, then most likely it is inflammation of the chest. Sometimes it is enough to perform additional pumping several times, and the woman’s condition improves. In some cases it is necessary antibacterial treatment, while feeding the child is acceptable. In case of purulent mastitis, breastfeeding should be stopped. It is worth measuring the temperature in the groin, it characterizes the condition of the uterus.
In the maternity hospital, the nature of the discharge is checked. They should then be checked daily. If they become yellowish, they become bad smell, you need to urgently consult a doctor. This may indicate a violation recovery period, inflammatory processes in the uterus. During the first two weeks after birth, the uterus is poorly protected from infection. Therefore, it is necessary to carefully monitor hygienic condition external genitalia. Sexual relations It is recommended to resume no earlier than 12 weeks after birth.
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Reasons why a breastfeeding woman has a stomach ache
Causes of pain in the lower abdomen:
- Restoration of the body (in the first days after childbirth).
- Gastrointestinal disorders.
- Disorders in the genitourinary system.
Nagging pain in the lower abdomen in a nursing mother 6 months after childbirth indicates the appearance of the first menstruation in the coming days. The absence of menstruation in the first 6 months is due to high level the hormone prolactin, which is responsible for lactation and affects menstrual cycle. This period may be shorter or longer. For women who are not breastfeeding, their first menstruation occurs after 6 to 8 weeks.
The causes of pain may be other. Since it is believed that pregnancy does not occur during breastfeeding, women are negligent about contraception.
For this reason, there may be repeat pregnancy, including ectopic.
In case ectopic pregnancy The pain is quite intense, the lower abdomen hurts very much, there may be discharge. Urgent need to apply for medical care, as a rupture may occur fallopian tube. It should be remembered that a woman is ready for a subsequent pregnancy no earlier than 2 years after the previous one. It is during this time that it happens full recovery her health.
Pain in the lower abdomen can also occur with cystitis. In this case, the number of urination increases, and pain appears. If you have problems with the intestines, abdominal pain may occur, but they are of a different nature and localization. Most often, intestinal diseases occur in women who had digestive problems before pregnancy.
Also, with inflammation of the appendix - appendicitis - there may be pain in the lower abdomen, usually they are localized on one side - the left. They have a small area of development. On palpation the pain intensifies. Of course, if such pain occurs, consultation with a specialist followed by treatment is necessary.
Almost every person faces problems with indigestion and intestinal obstruction. This problem does not escape breastfeeding women either.
The drug market offers a variety of drugs to eliminate the symptoms that accompany indigestion and are aimed at effective treatment, however, if a nursing mother has a stomach ache, then not all medical supplies allowed for use. The fact is that the milk used to feed the baby will contain medications taken by the mother, and not all of them will benefit the child. It is very important to carefully consider the issue of choosing a drug, and, above all, take into account that it should not harm the health of the newborn.
Causes and symptoms of indigestion
Dyspepsia or indigestion is characterized by disruption of food digestion processes and the occurrence of constipation during breastfeeding in mothers.
The causes of dyspepsia can be different, namely:
- Overeating;
- Chronic inflammatory disease of the digestive system;
- Consumption of poor quality, heavy or fatty foods;
- Lack or decreased activity digestive enzymes produced by the pancreas.
The result of these reasons is that the digestive system is simply not able to cope with its functions, and as a result, pain, belching, constipation, heaviness in the stomach, loose stool, heartburn, bloating, slight nausea, general weakness body and dizziness are symptoms of dyspepsia.
Drugs used for stomach pain in a nursing mother
Since the causes of abdominal pain, constipation and diarrhea in a nursing mother are different, the drugs aimed at neutralizing these symptoms are different from each other.
If a nursing mother has a stomach ache due to a lack of digestive enzymes, then their balance can be replenished only after consultation with a gastroenterologist using medications such as Pancreatin, Vestal and Creon 10000. These drugs are indicated for use by women during lactation and are made from the pancreas animals. The drug Pancreatin contains enzymes such as lipase, protease and amylase, which not only promote the breakdown of fats, proteins and carbohydrates, but also normalize digestive processes.
Most often, a deficiency or decrease in the activity of digestive enzymes is accompanied by dysfunction of the liver and biliary tract, so medications containing components that normalize bile secretion, absorption and other indicators, such as Digestal, Festal, Panzinorm Forte and Digestal Forte, may be required. These drugs are allowed to be taken by women during lactation and pregnancy. The most effective and gentle active drug, the effect of which is aimed at relieving symptoms if the stomach hurts during breastfeeding, is Mezim Forte - these tablets can be taken even by very young children.
In cases where a nursing mother has a stomach ache, heartburn may occur, the appearance of which is due to the fact that gastric contents enter the esophagus. To neutralize heartburn, it is necessary to use antacids, which, by neutralizing hydrochloric acid, reduce acidity gastric juice. Drugs that have this effect are represented on the drug market great multitude However, medications such as Almagel, Maalox and Phosphalugel are suitable for use by women during lactation.
The causes of flatulence in nursing mothers may be the consumption of large portions of such food products How fried potatoes, black bread, milk and vegetables, since during childbirth the tone of the stomach muscles is lost, or insufficient absorption of gases in the intestines occurs due to diseases of the gastrointestinal tract. Often flatulence (excessive gas formation) is accompanied by a feeling of fullness and heaviness in the abdomen, hiccups, unpleasant smell from the mouth, belching and paroxysmal abdominal pain, which disappears after the passage of gas. Traditionally, if a nursing mother has a stomach ache and flatulence develops, various infusions of cumin fruits, chamomile flowers, garden or dill seeds, as well as dill oil or fennel oil are used. These drugs facilitate the passage of gas due to their ability to relax smooth muscles and at the same time stimulate intestinal motility. Infusions made from the above ingredients can be combined, and nursing mothers are also allowed to use drugs such as Espumisan and Sab Simplex.
Constipation during breastfeeding is usually accompanied by symptoms such as malaise, weakness, headache, insomnia, irritability and loss of appetite, which are caused by those toxic substances, which are absorbed from the delayed feces. Constipation during breastfeeding can lead to an increase in pathogenic bacteria, due to which the absorption and synthesis of B vitamins is disrupted. When constipation occurs, laxatives are used, among which the main ones are herbal remedies such as rhubarb root, buckthorn bark, joster fruits, senna leaves, anise and castor oil, sabur, aloe juice, seaweed, flax-seed, agar-agar and various bran, defecation after consumption of which occurs after 12-20 hours. In addition to the above herbal remedies If a nursing mother has a stomach ache and constipation occurs, medications such as Regulax, Mucofalk and saline laxatives such as magnesium hydroxide, sodium phosphate and Carlsbad salt are indicated for use, the effect of which - defecation - occurs 3-6 hours after use. 
Stomach hurts when breastfeeding: diet for a nursing mother
The occurrence of abdominal pain, constipation and diarrhea in a nursing mother is often due to poor nutrition.
The most common diet myth for breastfeeding mothers is that they need a strict diet. It is very important to consider that a woman during lactation spends at least 500 kcal per day on feeding her baby, and this is not the only thing she has to do during the day. Carrying out household chores, shopping and going to markets, caring for a child, and working part-time indicate that nursing mothers should eat a nutritious and varied diet in order to replenish the calories expended in the body, and following a strict diet during this period will only lead to depletion of the body.
So, if a nursing mother has a stomach ache, you should definitely remember that this indicates mistakes made when preparing the diet. What the mother absorbs during the day is passed on to the baby through breast milk, therefore, so that none of them have health problems, a woman’s diet during lactation should be as balanced as possible.
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Pregnancy, childbirth and lactation bring a young mother not only the joy of motherhood and positive emotions from communicating with the baby, but also large number new problems with her health. Similar pathologies include the condition of a woman when her stomach hurts during breastfeeding.
The causes of this pain symptom are quite diverse. And the very nature and localization of pain in nursing women is very different. To prevent abdominal pain during lactation, you should find out the cause of such manifestations.
Read in this article
Causes of discomfort in the abdominal area
The occurrence of a painful stimulus in a young mother can be either purely physiological in nature or be associated with various acute and chronic pathology female body. If painful sensations in the abdomen are observed in the first 2 - 3 months after birth, a similar picture is most often associated with the restoration of organs and systems in a nursing mother after the birth of a child.
Difficulties in the first months after childbirth
Most often, young mothers go to the doctor with the complaint that their stomach hurts after breastfeeding. If this happens within 10 - 15 weeks after birth, then the reason most often lies in the contraction of the uterus, which increases in size several times during pregnancy.
On average, during the period of bearing a child, the uterus reaches a weight of 1 - 1.5 kg, but already during the first day it decreases significantly. Their normal sizes female reproductive organ should reach by 2 - 3 months.
To successfully contract the uterus and reduce the risk of inflammatory processes It recommends that women spend most of their time lying on their stomach or side. In this case, a certain compromise has to be achieved, since such a position does not always contribute to the production of a sufficient amount of milk. Of course, such a recommendation does not apply to patients who have undergone a cesarean section.
To enhance the contractile function of the myometrium, young mothers are prescribed special drugs, in particular, oxytocin. It is its effect on the uterus that can lead to severe pain.
We should not forget that this hormone is also produced in the female body, which is facilitated by irritation of the nipples when the baby sucks. This is why many women experience pain in the lower abdomen during breastfeeding for 20 to 30 days after childbirth.
At the end of this period, the intensity of the pain gradually decreases, the uterus becomes of normal size. And if a woman does not have problems with other organs, further lactation will proceed without any painful sensations in the abdomen and pelvis area.
Other causes of pain in nursing mothers
Experts identify several causes of pain in the abdomen in women during lactation. Most often these are various diseases of organs and systems that are acute or chronic.
- Most often, gastrointestinal diseases lead to painful sensations in the abdomen in young mothers. A pregnant woman experiences changes in her hormonal and endocrine system, which often leads to a failure of acidity in the stomach, disruption of the liver and pancreas. Changes in diet during childbirth and after the start of breastfeeding aggravate these processes. Gastritis, chronic pancreatitis and hepatitis is detected in approximately 50% of nursing mothers.
- - a common cause of abdominal pain during hepatitis B. Many young mothers, having read about the dangers of fruits in the first months of a baby’s life, completely stop eating them. Because of this, their body does not receive enough fiber, which manifests itself as constipation. Before you start panicking, it’s worth remembering the last time mom went to the toilet. Fears after ruptures during childbirth can also lead to constipation.
- can also cause unpleasant, painful sensations in the abdomen. No matter how hard mommy tries to eat the best and freshest, unfortunately, not everyone manages to avoid low-quality products. Additionally, vomiting, diarrhea, nausea, colic, and cold floors may occur. You should immediately take medications that remove toxins. If the condition does not improve, you should call an ambulance.
- Overeating. Due to constant restrictions during pregnancy after childbirth, many young girls begin to actively absorb everything that was prohibited. Since the body is weaned from this food, enzymes for processing are not released as actively, and abdominal pain, bloating and a feeling of heaviness may occur.
- Diseases of the genitourinary system worsen no less regularly during lactation. A large percentage of women have kidney problems even during pregnancy. Confirmation this fact is the percentage increase in gestosis, the main symptom of this pathology and visible changes in the urine. Therefore, cystitis may well lead to pain in the lower abdomen during breastfeeding.
- Many women forget that after 6 - 8 months of breastfeeding, breastfeeding is restored. menstrual function , since the amount of the hormone prolactin, which promotes the secretion of milk in the female body, by this time decreases almost 3-4 times. Go to normal state normal female physiology is often accompanied by pain in the abdomen.
We should not forget that it is the lactation period that is quite dangerous for unplanned pregnancy, including ectopic. Therefore, unprotected sexual intercourse should be avoided until the baby is 5-6 months old.
Quite often, the cause of the development of pain in a young woman is simply banal poisoning or simply certain errors in the diet. This is dangerous because such conditions will definitely affect the baby’s health, since most toxins and harmful substances can enter his body with mother’s milk.
At the slightest suspicion of food poisoning You should stop breastfeeding and consult a doctor for help and advice.
How to help a nursing woman with abdominal pain during lactation
First aid in the event of such a condition depends on whether the patient clearly understands the cause of the development of the pain syndrome. If a woman has a stomach ache during breastfeeding, it is necessary to clearly localize the location of the pain. When pain is noted in the upper half of the abdomen and in the epigastric region, such symptoms are most often caused by an exacerbation of gastritis.
It is important to understand what caused the appearance discomfort. Most often, this can be caused by poor diet or eating poor quality food. Pain in the abdomen of a girdle nature indicates a disruption of the pancreas.
What can a nursing mother use for such conditions? It should be remembered that most medications can be harmful to the baby, so the choice of medications is quite limited:
- If pain occurs in the stomach area, the drug of choice is Smecta. This medicine is approved for use during lactation and relieves heartburn well and removes it from a woman’s body. harmful substances. It is possible to use drugs “Omeprazole” or “Almagel A”. Using data dosage forms the feeling of heaviness in the stomach is relieved and stopped pain syndrome.
- In case of disorders of the pancreas, which, in addition to nagging pain, is also characterized by dyspeptic symptoms, it is recommended to take enzymes, in particular “Pancreatin”. However, no more than 1 - 3 tablets are allowed, since enzymes can cause bowel problems in the baby
- If your stomach hurts when breastfeeding, and this is accompanied by excessive gas formation, experts advise using conventional dill water, castor oil or Espumisan. Also good effect can give the drug “Regulax”, which practically does not pass into breast milk.
- If the reason lies in constipation, then you can use the usual glycerin suppositories for children or increase the amount of yogurt in the diet. Also, do not forget about,.
Often many women try to solve a similar problem with the help. This cannot be done for two reasons. Firstly, most anesthetics are highly soluble in human milk, which can affect the baby’s health. In addition, the use of analgin or baralgin can change the picture of the disease, and it will be difficult for specialists to determine the true cause of the pain symptom in the mother.
When your stomach hurts after breastfeeding, you should not self-medicate. Any change in the mother’s condition always affects her child. And even if a woman clearly knows the cause of the development of pain, consulting a specialist in this case will help avoid many complications.
Diet after childbirth
A woman’s nutrition during lactation simultaneously pursues several different goals. Daily diet should not only help satiate the baby, stimulate a sufficient amount of milk in the woman, but also help physical recovery female body after childbirth.
But still, the main distinguishing feature of the diet during lactation should be the complete safety of products for mother and baby. To do this, all dishes must be fresh and prepared from quality ingredients. This will help avoid digestive problems and constipation.
First of all, a young mother needs to replenish her daily intake of proteins, fats and carbohydrates. And according to experts, a woman’s energy loss per day is about 1000 kilocalories. How to compensate for such a loss:
- Allowed for nursing mothers meat products, representing poultry, lamb and young beef. Pork remains prohibited until 3-4 months of breastfeeding. There are no restrictions, but you should not focus on sturgeon fish and caviar. These products are highly allergic and may be harmful to the child.
- When planning a diet, you should remember the need for a large amount dietary fiber, the source of which is black and gray coarse, raw vegetables. These products will help to avoid problems with the gastrointestinal tract in the mother and baby, and will reduce the risk of developing a situation where a young mother has a stomach ache when breastfeeding.
- Fruits are allowed in fresh, vegetable and olive oil. Sweets should be limited during this period, as glucose can cause distress in the baby.
- You should not drink carbonated drinks.
Watch the video about nutrition for a nursing mother:
But there are also a large number of foods that a young mother during lactation should completely exclude from the diet or severely limit their consumption. This includes any vegetables and fruits that cause allergic reactions. Citrus, tropical fruits, strawberries, raspberries and even ordinary onions and garlic are prohibited during this period.
Of course, any alcoholic drinks, tobacco, strong tea, honey, chocolate and much more.
Abdominal pain during breastfeeding is quite common and, as mentioned above, its causes can be very diverse. A woman during lactation has enough fragile organism with impaired functions, therefore, for any painful symptoms You should immediately seek medical advice. Self-medication during this period is criminal in relation not only to your health, but also to the health of the little person.
After the birth of a child, a young mother may face a variety of health problems. One of the most common complaints after childbirth is constant pain in the stomach. The causes of pain in the stomach can be poor nutrition or the presence of gastrointestinal diseases. If pain of any kind occurs, you should immediately consult a doctor.
Reasons
If you have a stomach ache or feel discomfort in your abdomen after childbirth, you need to determine the cause of the illness. Discomfort can occur for several reasons. Self-diagnosis in this case it is practically impossible. Remember that abdominal pain may be dangerous symptom various diseases. Let's look at the main causes of abdominal discomfort after childbirth and during breastfeeding.
- Exacerbation chronic diseases. If a woman had gastrointestinal diseases during pregnancy, these diseases could worsen during childbirth. If you have any stomach diseases, you must carefully follow your doctor's recommendations to avoid exacerbations. If you experience abdominal pain after childbirth, you should visit a gastroenterologist.
- Change of schedule and food. Often during breastfeeding, when a mother changes her eating schedule and begins to eat foods that are unusual for her, the stomach may react with soreness and bloating.
- Stomach prolapse. During pregnancy, all of a woman's organs are displaced. Childbirth can worsen the displacement, which can cause the stomach to prolapse. Prolapse of the stomach or gastroptosis is common cause abdominal pain after childbirth.
- Muscle pain. Often, women may confuse muscle pain after childbirth with stomach pain. Such sensations are typical for women who have undergone difficult childbirth. If the child was squeezed out by manual pressure to the fundus of the uterus, in the first days after birth the mother may feel moderate or sharp pains in the stomach area.
- Stress. Postpartum stress often causes stomach discomfort. At the same time, it is thrown into the stomach increased content acid, which irritates the mucous membrane and causes pain. Stressful conditions also include irritable bowel syndrome.
Why might it appear? iron deficiency anemia in a woman after childbirth
Diseases of internal organs
Often the cause of stomach pain is a disease of one of the internal organs. The disease can be either chronic or acquired after childbirth. Common causes are diseases of the colon and small intestine, stomach, pancreas, gall bladder or liver.
The syndrome can also be a sign of diseases such as gastritis and stomach ulcers. Only diagnostics can reveal the presence and extent of these diseases. If you consult a doctor in a timely manner, you can hope for gentle treatment and a speedy recovery.
Abdominal pain is insidious and dangerous. It can occur with diseases of organs that are not related to abdominal cavity. So, for example, pain in the abdomen can appear due to pathologies of the appendages, kidneys, lungs or uterus. For staging accurate diagnosis you need to contact a specialist.
Spasms
Another common cause of abdominal pain is cramping. Experts note that the causes of the disease still remain unknown. At this violation not observed pathological changes organ functions and tissues. Treatment is based on removal muscle spasm. Presumably the disease develops against the background nervous shocks and stress. It is noted that only adults suffer from spasms.
If this disorder occurs, it is necessary to undergo a thorough diagnosis of the abdominal organs in order to exclude other causes of pain. Only after analyzing the condition of all organs and systems will the doctor be able to prescribe adequate treatment.
However, there is no need to attribute any pain to a spasm. Pain is a signal that some kind of disorder is occurring in the body. It doesn’t just arise and go away. Our body is designed in such a way that we can learn about problems in the functioning of organs in time and eliminate them.
Which doctor should I contact?
If you experience abdominal discomfort, you should visit a gastroenterologist. In the event of acute and burning pain, you need to call an ambulance immediately emergency assistance. Only by research results can we find out real reasons occurrence of stomach pain.
The need for calcium during breastfeeding
The first step to determining the cause of pain is interviewing the patient. In this case, it is necessary to clearly describe the location and intensity of pain. If pain becomes your companion after childbirth, be sure to tell your doctor about it.
During the initial examination, the following diseases can be identified:
Gastritis. The localization of pain with gastritis is felt in the upper or middle part of the stomach. The pain intensifies after eating. With this disease, the sensations may be sharp or nagging in nature.
Such pain is also characteristic of a stomach ulcer. An ulcer is a complication of untreated gastritis and often requires surgical treatment.
Postpartum gastric prolapse.
This pathology is characterized by heaviness in the stomach, which increases after eating.
Cases of bloating and discomfort are common. The pain is aching. Localization in the pit of the stomach. Patients with this diagnosis also experience nausea and lack of appetite.
Often nursing mothers face the problem of irritable bowel. This disease can develop from a combination of reasons. The transition to a new schedule and diet, combined with postpartum stress, becomes an impetus for the development of the disease. The main signs of the disease are intestinal dysfunction, which may be accompanied by constipation or diarrhea. There is also a feeling of discomfort and It's a dull pain in the stomach.
If you had diseases of the abdominal organs before pregnancy, you should also notify your doctor. You need to have it with you medical card, where all your chronic and acquired diseases are reflected.
Treatment
Based on the diagnostic results, the doctor will prescribe you a comprehensive treatment that will eliminate not only the pain syndrome, but also the causes of its occurrence. If you know the causes of discomfort, you can try to cope with them yourself. So, for example, if pain occurs due to poor nutrition, you need to stop eating for a while. Drink more fluids. Avoid heavy and fatty foods.
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For stomach cramps, you can get a massage. Using circular movements in a clockwise direction, massage the area around the navel. This massage will quickly relieve spasms, help the movement of gases and relieve pain. If massage is ineffective, you can take an antispasmodic. To relieve spasms, drugs such as no-spa, spasmalgon, etc. are used. Remember that only the attending physician can prescribe medications for the mother while breastfeeding!
To prevent the onset of pain, preventive measures must be taken. If you notice that discomfort occurs after eating fatty foods, you need to adjust your diet and eating schedule. You need to eat small portions 5-6 times a day. Food should be light. The mother should include as many vegetables, fruits and herbs in her diet as possible.
Don't forget about water. While breastfeeding, you need to drink at least 3 liters of water per day. Be careful not to overfill your stomach. Overeating is a common cause of stomach discomfort. If you experience constipation, which is also a common cause of pain, follow a special diet.
Digestive disorder, or dyspepsia characterized by disruption of food digestion processes. The reasons for this can be very different - chronic inflammatory diseases of the digestive system, overeating, consumption of poor quality, unusual or heavy, fatty foods. Digestive system does not cope with its function, and as a result - pain and heaviness in the stomach, belching, bloating and rumbling in the abdomen, loose stools (or, conversely, constipation), weakness, dizziness, mild nausea.
Enzyme deficiency
The most common manifestations of gastrointestinal tract (GIT) pathology are disturbances in the processes of digestion and absorption. The development of this pathology may be due to insufficient production of digestive enzymes or a decrease in their activity. For compensation lack of digestive enzymes, produced by the pancreas, after preliminary consultation with a gastroenterologist, nursing women can use the drug PANCREATIN (VESTAL, CREON 10000), which is obtained from the pancreas of animals. Pancreatin contains enzymes: amylase, lipase and proteases (trypsin, chymotrypsin, etc.), which promote the breakdown of proteins, fats, carbohydrates and normalize digestive processes. Pancreatin is partially destroyed in the stomach, so drugs resistant to the action of gastric juice are created that release the drug in the intestines. Typically, they take the form of dragees, film-coated tablets, or microspheres placed in a capsule. Often, disturbances in the production of enzymes are accompanied by dysfunction of other organs that ensure normal digestion of food - the liver, biliary tract, therefore, pancreatin-containing drugs are included additional components, normalizing absorption, bile excretion and other indicators. To such medicines include DIGESTAL, DIGESTAL FORTE, FESTAL(pancreatin + bile components + hemicellulase), PANZINORM FORTE(pancreatin + cholic acid+ pepsin + amino acid hydrochlorides + hydrochloric acid). Preparations containing pancreatin differ in the activity of the enzymes they contain. Among the most “mild” correctors of pancreatic dysfunction is the drug MEZIM FORTE. Pills MEZIM FORTE covered with a special shell that protects enzymes from the action of gastric juice. The drug can be taken by pregnant and lactating women, as well as children from a very early age.Heartburn
Another unpleasant symptom, signaling gastrointestinal diseases, - heartburn. This is a burning sensation behind the sternum, which often spreads up to the pharynx. The appearance of heartburn is caused by the reflux of gastric contents into the esophagus. To eliminate this symptom, antacids are used (from the Greek anti - against, acidus - sour), which reduce the acidity of gastric juice by neutralizing hydrochloric acid. There are a large number of such drugs. They are divided into absorbable , the main components of which are sodium bicarbonate, calcium carbonate, magnesium oxide And non-absorbable (Aluminum phosphate, aluminum hydroxide, magnesium hydroxide, magnesium carbonate And magnesium citrate). The use of absorbable antacids is limited due to the development adverse reactions. These drugs act quickly but do not last long, and when neutralizing hydrochloric acid, they produce carbon dioxide, which can cause bloating and belching. In addition, the presence of carbon dioxide can cause secondary release of hydrochloric acid, which will aggravate the patient's condition. Non-absorbable antactides are insoluble in water, have little or no penetration into the blood, and have no effect. systemic action on the body, local only. They act more slowly, but they give a longer lasting effect, do not form carbon dioxide, some of them have adsorbing properties, that is, they are able to absorb various, including harmful, substances from gases and liquids. IN large doses magnesium compounds cause laxative effect, and aluminum - locking. Breastfeeding women can take non-absorbable antacids in the dosages indicated on the packages; the more common name for these drugs is MAALOX, PHOSPHALUGEL, ALMAGEL.
Flatulence
When consuming certain foods, such as potatoes, milk, brown bread, vegetables, or when there is insufficient absorption of gases in the intestines (due to loss of muscle tone, as well as due to various gastrointestinal diseases), increased gas formation often occurs, or flatulence. It is usually accompanied by heaviness and a feeling of fullness in the abdomen, belching, hiccups, paroxysmal pain in the abdomen that disappears after the passage of gas, bad breath, etc. As traditional means for flatulence, infusions and tinctures of chamomile flowers, caraway fruits, dill (fennel) or garden seeds, as well as fennel oil or dill oil are often used. They facilitate the passage of gases by relaxing smooth muscles (lung antispasmodic effect) and at the same time stimulate motor activity(motility) of the intestines. Tinctures of medicinal herbs can be combined. Breastfeeding women can also use products based on simethicone - ESPUMIZAN, SAB SIMPLEX.
