Doctor insights on:
Intrahepatic Cholestasis Of Pregnancy Serum Bile Acid Elevated
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Yes: There may be some familial predisposition to this disorder as it seems to apear in clusters of related women. It is also more common with multiple pregnancies (twins/triplets) and recurrence risk is as high as 50% or more in subsequent pregnancies. Resolution of symptoms is usually very prompt after delivery. ...Read more
Until pregnancy ends: Cholestasis of pregnancy is a considition which generally occurs in the 3rd trimester and is characterized by intense pruritis without rash and increase serum levels of free bile acids. The condition lasts until the pregnancy ends. The pruritis sometimes can be controlled with medications, such as ursodiol. ...Read more
See your doc: The one we know it works in relieving the symptoms if itching is the ursodeoxycolic acid. But in pregnancy this is a very serious condition that requires frequent fetal monitoring, maternal monitoring and potentially delivery before your due date. Please see and ob/gyn specialized in high risk pregnancy if you don't have one. ...Read more
Delivery: It usually goes away at or shortly after delivery. ...Read more
Icp causes itching: I have only had one patient with icp in 27 years of practicing obstetrics. Diagnosis is made by elevated bile salts (detectable by lab test) and the treatment is cholestyramine. Pregnancy outcome should be unaffected by the condition. So icp is rare and makes you miserable, but should not affect your baby. One case however hardly makes me an expert so second opinions welcome. ...Read more
Are any special tests needed, or can a regular obgyn doctor see me for my intrahepatic cholestasis of pregnancy?
NO: Cholestasis of pregnancy does not generally cause pain. The most common symptoms is pruritis (itching). It almost always starts with itching on the palms of the hands and soles of the feet, and it is first noticed at night. The itching spreads to other parts of the body over time. Treatment with ursodiol (bile salts) can improve symptoms. Consultation with a high risk OB is recommended. ...Read more
24-48 hrs: Usually all symptoms of intrahepatic cholestasis of pregnancy resolve within 24-48 hrs after delivery, in rare cases sx may continue to up to one week after and may signify retained placenta. But if you have this condition pregnancy needs to be monitored by obgyn very closely as poor outcomes for the baby are not uncommon if not monitored. ...Read more
I had intrahepatic cholestasis due to alcohol 8 months ago. I didn't drink 6 months. Now I drink. My GGT is 67, indirect bilirubin is1.2 is it ok to drink?
Probably not: If you have already had liver problems associated with drinking alcohol, it is likely that you are at risk of recurrance and you likely have some permanent liver damage as well. The safest thing that you can do to optimize your health would be to abstain from drinking alcohol at all. I would discuss this with your GI physician. ...Read moreSee 1 more doctor answer
I'm 35 weeks pregnant w severe itching all over. Dr req uric acid blood test to rule out cholestasis. I thought I needed a bile acid test!
Can cholestasis of pregnancy cause long term inflammation to common bile duct? Can hormones affect liver enzymes and itching during period?
Possibly: The itching is from the cholestasis as it causes the bike to go up and this causes the itching. The inflammation can persist, but can also resolve. External hormone use has to be processed by liver first, so they can place "pressure" on the liver, as can Tylenol, (acetaminophen) and any other medications typically. ...Read more
IS it uncommon for someone to develop cholestasis of pregnancy during a third pregnancy (never had it). Feeling sporadic itchines all overand 28 week?
Currently 37 w 2d and I have cholestasis of pregnancy. I had it with my previous pregnancy too and was induced at 37 weeks. Will I be induced Again?
YOU HAVE TO: CONSULT WITH YOUR OB, HE/SHE KNOWS YOU BEST ...Read more
I had cholestasis of pregnancy. I am over 2mo post delivery and the itching hasn't gone away. Liver function tests are normal. What do I do now?
- Talk to a doctor online
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