Itchy abdomen at 18 weeks of pregnancy
In general, abdominal itching at 18 weeks of pregnancy may have various causes, including dry skin, prurigo of pregnancy, and intrahepatic cholestasis of pregnancy. A specific diagnosis should be made based on individual circumstances. The detailed analysis is as follows:
1. Dry Skin
Hormonal changes during pregnancy can lead to dry skin, resulting in abdominal itching. Moisturizing lotions or creams containing ingredients such as glycerin or emollients can help. It is also important to keep the skin clean and avoid excessive scratching.
2. Prurigo of Pregnancy
Prurigo of pregnancy is a common skin condition in pregnant women, characterized by itching on the abdomen, palms, soles, and sometimes accompanied by rashes or erythema. Topical corticosteroid creams such as hydrocortisone cream or compound triamcinolone acetonide cream may be used under medical guidance. Maintaining skin hygiene and avoiding excessive scratching are also essential.
3. Intrahepatic Cholestasis of Pregnancy
Intrahepatic cholestasis of pregnancy is a common liver disorder during pregnancy, primarily presenting with itching on the abdomen, palms, and soles, and possibly associated with jaundice, nausea, and vomiting. Prompt medical attention is required; doctors may recommend medications or bile drainage procedures for treatment.
In addition, localized eczema could also be a possible cause. Pregnant women should always consult their physicians before using any medication to avoid potential adverse effects on the fetus.