Re: doctors-patient w/diverticulosis &pregnancy safe?
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 29 Oct 2000 11:49:13 -0600 (CST)
At Sat, 28 Oct 2000, jennifer wrote:
>
>i recently had a lap done and was diagnosed w/ endo lasered off the cul
>de sac and adenomyosis-
Adenomyosis can only be diagnosed by MRI or hysterectomy, FWIW.
>i had a colonoscopy done and was diagnosed
>w/diverticulosis- i am 29- have had no problems until now after having
>my daughter-she is 2- i knew i had the symptoms of endo- but have no
>idea where the diverticulosis came from at my age-my questions are as
>follows:
Usually older but can be seen earlier.
>have you ever heard of prostaglandins and their role in endo as well as
>intestinal function?
Prostaglandins are mediators of many different body functions and can
abe associated with pain, hence anti-prostaglandins for pain relief.
There are many differnt prostaglandins, known as E, F, I etc with
subnumbers, as in E2 and sub-sub divisions as in E2alpha
>- is it possible i have been having prostaglandin
>excess-which corroborates with endo and my intestines have suffered as
>well since it is related-
I haven't seen any literature about "prostaglandin excess".
>isn't diverticulosis like little hernias-
Very, very little sacs.
>which
>would correspond with the prostaglandin involvement with intestinal
>movements?-
This might be best answered by a gastroenterologist intaimately involved
with the biochemical reactions of the intestines.
>i have multiple small mouthed diverticula in every part of my
>colon- it is mild but diffuse?
>
>i have not taken anything for my endo/adeno since i was diagnosed in
>august- i have been waiting to solve what is wrong with me so i can try
>to get pregnant- now with the diagnosis of diverticulosis, my gi doctor
>said i can get pregnant but if i get an infection i am "out of luck"-
I guess he's referring to diverticulitis and not pregnancy related
infections. Diverticulitis can be quite serious. Would the GI feel
better if you were being taken care of by a maternal-fetal medicine
specialsit?
>like i guess i can't take something or it may harm the baby or he won't
>be able to find the source of the pain?- is this correct and have any of
>you treated an ob patient with diverticulosis/
Diverticulosis, many. Diverticulitis, none. The patients, on the
whole, do quite well.
>
>i am going to try low estrogen bc pills if getting pregnant isn't
>advisable- is it a good idea to give my self 6 mo to get my intestines
>in better shape before anyway?-
Always a good idea to get all parts of your body in the best shape
possible before pregnancy.
>i guess i know the answer to that is
>yes-since i just got over antibiotic colitis as well- i really would
>like one more child for our family and i can't believe at 29 i have to
>deal with the possibility of not being able to do that?-
>
>i am in new orleans- i see my ob on nov 14- and will ask these same
>questions- any opinions would be appreciated thank you- jennifer
>
Hope this helps and write back anytime for more information.
>
>--
>jennifer
>
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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