VISIT WEBSITE >>>>> http://gg.gg/y83ws?9122554 <<<<<<
Hey Monica! She remembers how awful it truly was. She said it waa like poision ivy but only times more intense. In fact she slept very little in those last two weeks of pregnancy. I can recall how awful it was for her and it was hard to watch because I couldn't really do anything for her. It was way worse for her at night time because there is something to do with your cortizol levels at night that get elevated and make the PUPPS go crazy.
I suggest sleeping any chance you can get!! They started to go away the next day and the itch was gone. We have read though that if you plan to breast feed the PUPPS can still last for weeks after the boys will be born. But eveyone is different. I read that your OB I am assuming prescribed you a topical steroid. Maria told me that she wished she called the dermatologist when it first started because you can take medicine for it and it is safe for pregnancy.
The dermatologist perscribed an oral steroid called Prednisone. Maria said this was the only thing that got her through the last 3 days of pregnancy since she didn't get in till the last 3 days.
Like I said she wished she got into her office a lot earlier bc this steroid will help stop the PUPPS from spreading and reduce the itch.
In fact, the itching was reduced a lot and she could actually sleep. Trust me I witnessed how miserable this was firsthand and I suggest contacting a dermatologist and ask about the prednisone.
Plus you have weeks till the twins will be here!! Early April correct? If you want to be able to wear clothes and sleep a few hours at night I suggest calling a dermatologist. Good luck with all this PUPP stuff. I can only imagine how awful it is. Take care Monica! I have pupps too! And I've had it since about 10 weeks. Thank you! For your security, we've sent a confirmation email to the address you entered. Click the link to confirm your subscription and begin receiving our newsletters.
If you don't get the confirmation within 10 minutes, please check your spam folder. Related Stories. Already a print subscriber? Go here to link your subscription.
Need help? Creams, such as calamine lotion, are safe to use in pregnancy and can provide some relief from itching. Your doctor may prescribe a medication to reduce bile salts and ease itching. OC can affect your absorption of vitamin K, which is important for healthy blood clotting so you may be offered a vitamin K supplement. One of the risk factors for the development of PUPPP is rapid, excessive weight gain or multiple gestation pregnancy such as twins.
It is thought the rapid stretching of the skin causes an inflammatory reaction due to damaged connective tissue, resulting in the urticarial or hive-like lesions.
That pink lotion your mom used on you for chickenpox, poison ivy and other skin irritations also helps soothe extra-itchy pregnancy skin. Caladryl contains both calamine and analgesic to soothe itching and pain.
Skip to content Conceive a child Pregnancy Childbirth Baby. Clinical presentation: The lesions of PUPPP are typically urticarial papules that coalesce into plaques and spread from the abdomen to the buttocks and thighs. The striae first become itchy, then erythematous, and finally urticarial. Patients are very uncomfortable and the pruritus often interferes with sleep. The lesions are rarely excoriated. Other disorders that might be confused with PUPPP include atopic dermatitis and contact or irritant dermatitis.
To make a diagnosis, a history and physical examination are necessary, as there are no systemic symptoms. Results of laboratory studies, including histology, serology, and immunofluorescence, are not specific.
Treatment: Pruritic urticarial papules and plaques of pregnancy is a self-limiting disorder without serious consequences to the mother and fetus. The mean duration of the eruption is 6 weeks and it remits within days of delivery. Recurrence is rare as it usually occurs in first pregnancies. Symptomatic treatment with mild to potent topical corticosteroids and antihistamines are the mainstay for treating PUPPP.
Relief within 24 to 72 hours is normally seen. Oil baths and emollients are also helpful for relief of pruritus. In cases in which the diagnosis of PUPPP is not clear, referral to a dermatologist should be considered. Although ICP is a pruritic condition in pregnancy that involves only secondary skin changes, it is included in the classification of dermatoses of pregnancy because identifying this disease early is important to minimize potential adverse fetal outcomes. Intrahepatic cholestasis of pregnancy is also called idiopathic jaundice of pregnancy, obstetric cholestasis, and pruritus gravidarum.
It is caused by the disruption of hepatic bile flow during pregnancy. Clinical presentation: Intrahepatic cholestasis of pregnancy presents in the second or third trimester with the sudden onset of severe pruritus that starts on the palms and soles and quickly becomes more generalized.
The pruritus persists throughout pregnancy and is worst at night. The secondary lesions involve linear excoriations and excoriated papules and develop secondary to scratching. These patients are at risk of developing steatorrhea with malabsorption of fat-soluble vitamins, including vitamin K, which might lead to bleeding complications and cholelithiasis. Pathophysiology: Intrahepatic cholestasis of pregnancy is a hormonally triggered cholestasis.
It presents in genetically predisposed women in late pregnancy who have a defect in the excretion of bile acids resulting in elevated bile acid levels in the serum. This leads to severe pruritus in the mother and, as toxic bile acids can pass into fetal circulation, might have deleterious effects on the fetus owing to acute placental anoxia and cardiac depression.
A family history of the disorder is present in half of cases, and cases with a familial component tend to be more severe. Diagnosis: Diagnosis is usually made based on the characteristic symptom of pruritus starting from the palms and soles that is not accompanied by a rash. The diagnosis can be confirmed by demonstrating a rise in total serum bile acid levels. In healthy pregnancies, total serum bile acid levels in the third trimester of up to In women with ICP, the presence of total serum bile acid levels of more than Steatorrhea with subsequent vitamin K deficiency might also be noted.
Close surveillance of prothrombin time might be needed. Ultrasound examination of the liver and serologic tests might be necessary to exclude other diagnoses such as cholelithiasis and viral hepatitis.
Treatment: The aim of treatment is to reduce serum bile acid levels. Ursodeoxycholic acid is the treatment of choice, as it improves maternal pruritus, decreases liver transaminase and bile acids levels, and might also reduce the rate of adverse fetal outcomes, although this latter effect is debatable. Before ursodeoxycholic acid treatment, cholestyramine was used to treat ICP. However, this drug can cause vitamin K deficiency, which might already occur with this disorder.
Antihistamines might also improve maternal symptoms.
留言