Is it normal to have an itchy belly at four months pregnant?

May 11, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
At four months of pregnancy, the uterus gradually enlarges and the abdomen expands. As the fetus develops, the elastic fibers in the abdominal skin may rupture, causing itching and discomfort. Skin allergies triggered by exposure to certain allergens or consumption of foods prone to cause allergic reactions can also lead to abdominal itching. In addition, itching may result from hypersensitivity inflammatory reactions due to contact with allergens or impaired skin barrier function.

Pregnancy refers to gestation. Mild itching of the abdomen at four months of pregnancy without obvious rashes is normal; however, if the itching is severe and accompanied by rashes, it is abnormal and often related to allergies, eczema, etc., requiring medical examination and treatment. The details are as follows:

1. Normal

At four months of gestation, the uterus gradually enlarges and the abdomen expands accordingly. As the fetus develops, the abdominal elastic fibers may rupture, causing mild itching and discomfort. This is a normal physiological phenomenon and does not require special treatment.

2. Abnormal

1) Allergy

Exposure to certain allergens or consumption of foods that commonly trigger allergic reactions can lead to skin allergies, resulting in abdominal itching. Itching and rashes typically appear in multiple areas of the body. It is important to promptly remove exposure to the allergen. Follow medical advice to use anti-allergic and antipruritic medications such as calcium gluconate tablets, vitamin C tablets, and calamine lotion.

2) Eczema

Eczema is a type of allergic inflammatory reaction caused by exposure to allergens or impaired skin barrier function. Inflammatory mediators stimulate exudation and congestion in skin tissues, leading to itching. It is commonly accompanied by symptoms such as rashes and oozing. Treatment may include calamine lotion, zinc oxide ointment, or other medications as directed by a physician.

In addition, itching may also be caused by intrahepatic cholestasis of pregnancy. It is recommended not to scratch the affected area and to visit the obstetrics and gynecology department at a hospital for proper diagnosis and treatment.


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