What causes increased bowel movements at 28 weeks of pregnancy?

Aug 27, 2023 Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
In general, increased bowel movements at 28 weeks of pregnancy may be caused by hormonal changes during pregnancy, indigestion, pressure and intestinal displacement, gastrointestinal infections, or irritable bowel syndrome related to pregnancy. It is recommended that pregnant women seek medical advice promptly if they experience increased bowel movements, to determine the specific underlying cause and receive appropriate treatment as advised by their healthcare provider.

In general, increased bowel movements at 28 weeks of pregnancy may be caused by hormonal changes during pregnancy, indigestion, pressure and intestinal displacement, gastrointestinal infections, or irritable bowel syndrome (IBS) related to pregnancy. The specific factors are analyzed as follows:

1. Hormonal Changes During Pregnancy

During pregnancy, hormone levels undergo significant changes. In particular, increased levels of progesterone and estrogen can affect the gastrointestinal system. These hormonal fluctuations may increase intestinal motility and accelerate the passage of food through the intestines, leading to more frequent bowel movements. This is considered a normal phenomenon and does not require special treatment.

2. Indigestion

Pregnant women may experience indigestion due to an improper diet or excessive consumption of greasy foods, which can lead to increased bowel movements. Treatment includes adjusting the diet, increasing dietary fiber intake, and avoiding excessive consumption of greasy, raw, cold, or spicy foods.

3. Pressure and Intestinal Displacement

As the uterus grows, it exerts pressure on the intestines, which may accelerate intestinal movement and transit time, resulting in increased bowel movements. This is generally normal. However, if other discomfort symptoms occur, it is recommended to seek medical attention.

4. Gastrointestinal Infection

Due to decreased immunity during pregnancy, pregnant women are more susceptible to viral or bacterial gastrointestinal infections, which can cause diarrhea and increased bowel movements. It is recommended to maintain adequate fluid intake and avoid consuming raw or cold foods.

5. Pregnancy-Related Irritable Bowel Syndrome

Hormonal changes during pregnancy may accelerate intestinal motility, leading to irritable bowel syndrome, characterized by diarrhea, abdominal pain, and increased bowel movements. Management includes improving lifestyle habits—such as maintaining regular sleep patterns, reducing stress, and avoiding excessive intake of stimulants like coffee and chocolate.

It is recommended that pregnant women who experience increased bowel movements seek timely medical consultation to determine the exact cause and receive appropriate treatment according to medical advice.


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