Question 1

I'm 32 weeks pregnant and I've been having this annoying itching on my hands and legs, but only at night. It's really bothering me. I got my liver function test done and it seems like my SGPT and SGOT levels, along with AP, are higher than normal. Everything else looks okay though. I've attached the report. Is there a chance I've got cholestasis or is there any risk I should be worried about with these results?

Accepted Answer

Based on your symptoms of itching in the hands and legs at night, along with high levels of SGPT, SGOT, and AP in your liver function tests, there is a possibility of cholestasis. Cholestasis is a condition where the normal flow of bile from the liver is impaired, leading to a buildup of bile acids in the body which can cause itching. To manage cholestasis during pregnancy, you can take Ursodeoxycholic acid (UDCA) at a dosage of 300mg to 600mg per day. UDCA helps to improve liver function and reduce itching in cholestasis. Additionally, you may also be prescribed antihistamines like Chlorpheniramine to help with the itching. It is important to follow up with your obstetrician for further evaluation and management of your condition. Regular monitoring of your liver function tests and close observation of your baby's well-being may be necessary to ensure a safe pregnancy outcome.

Question 2

I'm feeling some pain after fingering my vagina yesterday. Now it hurts when I walk or when I pee, and there's this dull pain in my lower abdomen. Could you suggest any tablets or remedies to help ease this pain?

Accepted Answer

It sounds like you might be experiencing irritation or inflammation, which can occur after vigorous activity. I recommend seeing a doctor to rule out any infection or injury, but in the meantime, taking an over-the-counter pain reliever like ibuprofen (if you're not allergic) may help reduce the discomfort. Drink plenty of water, and avoid any further irritation.

Question 3

I'm a bit worried because my period that started on April 5th and ended on the 11th seemed normal, but then after starting some heavy workouts at the gym on April 14th, I noticed some menstrual spotting with black clots beginning on April 24th. Is it common for exercise to cause this, or should I be concerned about something else?

Accepted Answer

It is not uncommon for women to experience spotting or changes in their menstrual cycle when they start a new exercise routine, especially if it is intense or involves heavy workouts. The black color clots may be due to the shedding of old blood from the uterus. This is usually not a cause for concern and can be a result of the physical stress placed on the body during exercise. However, if the spotting persists or is accompanied by severe pain or other concerning symptoms, it is advisable to consult with a healthcare provider.

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More Obstetrics & Gynaecology Health Queries

I'm feeling some pain after fingering my vagina yesterday. Now it hurts when I walk or when I pee, and there's this dull pain in my lower abdomen. Could you suggest any tablets or remedies to help ease this pain?

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