Constipation is one of the most common derangements of the pregnant
woman; it is the rule in which the exceptions are few and far between.
I do not include those cases of costiveness which are habitual, and
which are to be attributed to carelessness in not responding to
nature’s call when there is an inclination, but to those in which
constipation is contemporaneous with pregnancy. We have already seen
the sympathy between the stomach and other organs in pregnancy, and
that a similar derangement should exist between the uterus and rectum
is not at all unreasonable, and, indeed, it can be explained in that
way. In the early months of pregnancy, the torpor of the bowels may be
due to the general derangement which follows digestive disturbances;
in the latter months, the enlarged uterus presses against the large
intestines, so as to obstruct more or less the descent of the feces
into the rectum. This torpor of the bowels should not be allowed to
be unrelieved, for if permitted to continue it may not only induce
a miscarriage, but it is apt to cause fever, headache and loss of
appetite. Harsh cathartics must not be employed; and if a simple enema
of warm water early every morning does not give the desired relief, I
would recommend a daily dose of Femina laxative syrup. If it is found
that in attempting to administer an enema, the fluid is immediately
returned, then it will probably be owing to lumps of fecal matter
which clog up the rectum; this will likely give rise to more or less
straining or bearing down in the back passage, and to pains in the
pelvis and lower limbs, all of which is not without danger of exciting
premature labor pains; the fecal lumps must be removed even if it
becomes necessary to use the finger.
Diarrhea is the opposite condition of things, namely a looseness of
the bowels. This may be occasioned by improper food, cold or any other
cause capable of producing diarrhea when pregnancy does not exist.
Habitual costiveness is often followed by diarrhea from the irritation
which the hardened feces excite. A dose of castor oil is sometimes an
efficient remedy for this variety of diarrhea, but when the disease
becomes obstinate and painful, the following remedy can always be
depended upon for relief:—
Take: Tr. of catechu.
Tr. of kino, of each 4 drams
Paregoric 1 ounce
Chalk mixture 2 ounces
Mix and take a tablespoonful every four hours until relieved.
Bladder trouble is not infrequent in the early and last stages of
pregnancy; the causes of this were pointed out when the symptoms of
pregnancy were inquired into. Recipe No. V is sometimes very useful to
relieve this irritability, or a Femina vaginal capsule introduced into
the vagina every night at bedtime, is sure to give the desired relief.