After dealing with the morning sickness a. While it's true that morning sickness eases up for some of us and we can handle staying up past 8 p. Make that 7 p. And one you may not know about is nasal congestion, also called pregnancy rhinitis, which is congestion or a stuffy nose during pregnancy. According to Baby Center, up to 30 per cent of women experience pregnancy rhinitis , and Whattoexpect.
In one such article, an author placed medical interventions for allergic rhinitis during pregnancy into two tiers. Temporary relief is better than no relief! This may make your capillaries stronger, which reduces the chance of nosebleeds during pregnancy. Scores were higher during early and late pregnancy than in the month after delivery. How this works. Where to Turn It Back prayer bondage tempting to speak to friends or family about treatment of nasal problems when you are pregnant. Best Maternity Leggings. Risk factors durng Congestion during pregnancy rhinitis include a Congestion during pregnancy of smoking. The symptoms of rhinitis include:. Sign Up.
Sex permission. Stuffy noses are quite common when you're expecting.
What causes congestion and nosebleeds during pregnanccy Moisten in there. Lean forward. Notably also, medications are best avoided as much as possible during the first trimester of the pregnancy unless when they Congestion during pregnancy really necessary say to control conditions such as asthma and under the advise of a doctor or the caregiver. However, they are generally a pregnancy category C and should be used sparingly if at all during pregnancy and not during the first trimester. Heightened Sense of Smell During Pregnancy. The result? Rpegnancy be considered true pregnancy rhinitis no other known causes such as allergies or an upper respiratory infection can be causing your symptoms. If you do get a nosebleed, lean slightly forward rather than back, and pinch the area right above your nostrils and below Congestion during pregnancy bridge of your nose CCongestion for five minutes. Nasal Decongestants Overview and Side Effects.
That annoying stuffiness in your nose and sometimes even the nosebleeds that accompany it especially if you're blowing often usually start around week 16 of your pregnancy and usually stick with you and sometimes get worse to the very end.
- Many women feel more congested during pregnancy.
- In this article, we will explain what causes nasal congestion during pregnancy and highlight some remedies you can use to relieve it.
- That annoying stuffiness in your nose and sometimes even the nosebleeds that accompany it especially if you're blowing often usually start around week 16 of your pregnancy and usually stick with you and sometimes get worse to the very end.
Pharmacists consult with patients about a host of medical problems, some which are amenable to self-care and some of which require referral to a prescriber. When the patient is pregnant, treatment is far more complicated, since it is critical to avoid harm to the fetus. Pregnant women are subject to the same types of nasal problems as the general population.
These include allergic rhinitis and the common cold. Both conditions have been discussed in the pharmacy literature, but the problem of what the prudent pharmacist should recommend for the pregnant patient is a continual conundrum. Physicians have long consulted with pregnant women who have persistent nasal problems that do not appear to be due to common causes. Eventually, physicians began to question whether this nasal congestion might be due to the pregnancy itself. The cause of pregnancy rhinitis is presumed to be the hormonal changes of pregnancy.
Estrogen would be a logical cause, as levels increase during pregnancy due to the secretions from the enlarged corpus luteum and the placenta. Risk factors for pregnancy rhinitis include a history of smoking. Maternal age, parity, and fetal gender are not predictive factors. Nonprescription products and devices for nasal problems during pregnancy can be divided into two groups.
The first group does not carry any precaution for patients who are pregnant. These will be considered first. There are some interventions for rhinitis during pregnancy that the pharmacist can suggest. They can also mention several interventions that will help rhinitis and nasal congestion regardless of cause, such as controlling the environment and avoiding allergens.
Lying in the supine position is widely known to increase nasal resistance to the passage of air. Thus, the pregnant patient can be advised to raise the head of the bed at least 30 degrees, and perhaps as much as 45 degrees to obtain greater patency of the nostrils.
She may also be advised to engage in light-to-moderate exercise, an activity that also opens the nasal passages. Saline lavage may provide some relief for allergic or pregnancy rhinitis, and one expert advises either gently sniffing homemade saline from a cupped hand or using products such as neti pots to administer saline.
A safer avenue is the use of a nonprescription isotonic saline product such as Simply Saline Nasal Relief Spray. It is sterile when sprayed from the container. Following its use, the patient may attempt to remove nasal debris with the use of small bulbs known as nasal aspirators.
While they are often thought of as devices limited to use in nasal congestion in newborns and children, they may also be helpful in pregnant patients. External nasal dilators are a potential treatment option. They are safe during pregnancy and can be recommended as a potential aid for pregnancy rhinitis and nasal congestion from other causes.
As highly visible and accessible health professionals, pharmacists would therefore be able to give pregnant women verbal approval for use of the product. The most prudent advice for pharmacists is to refer these patients to their obstetricians. This is wise for several reasons. First, pharmacists do not have complete medical records on the pregnant patient, and the list of other medications she is taking might be incomplete.
Second, the pharmacist is not privy to medical complications the patient may be experiencing due to the pregnancy e. Finally, pharmacists should not attempt to diagnose potential pregnancy-related problems through conducting physical examinations of patients for several reasons: 1 Pharmacists should not ask the patient to disrobe for examinations; 2 pharmacies seldom possess even the most rudimentary diagnostic tools e.
It would be extremely difficult for a pharmacist to amass the data needed to make a competent recommendation in a self-care counseling session in a busy pharmacy.
For these reasons and others e. Physicians advise their colleagues on appropriate therapy of nasal problems during pregnancy in such journals as the American Journal of Rhinology. In one such article, an author placed medical interventions for allergic rhinitis during pregnancy into two tiers. Drugs relegated to the second tier included decongestants and second-generation antihistamines. It should be noted that no nonprescription product carries an indication for pregnancy rhinitis. Mast Cell Stabilizer: Intranasal cromolyn e.
Intranasal Corticosteroids: The sole nonprescription intranasal corticosteroid is triamcinolone acetonide e. As a Category C product in pregnancy, risk cannot be ruled out, and pregnant patients were never included in any of the studies on its efficacy and safety. The ingredient relieves nasal congestion, rhinorrhea, nasal pruritus, and sneezing associated with hay fever or other upper respiratory allergies. First-Generation Antihistamines: The most common nonprescription first-generation antihistamines are diphenhydramine, chlorpheniramine, and clemastine each is Category B.
Relative freedom of risk from birth defects justifies their inclusion on the first tier. They relieve rhinorrhea, nasal pruritus, and sneezing of allergic rhinitis or the common cold. Topical Nasal Decongestants: Topical nasal decongestants were classified as second-tier products for nasal problems in pregnancy. Oral Nasal Decongestants: Oral nasal decongestants include pseudoephedrine e.
They were also ranked as second-tier agents for nasal rhinitis during pregnancy. In addition, there are potential adverse effects on the fetus with their use for any condition in pregnancy.
Risks listed for pseudo-ephedrine include gastroschisis an abdominal wall defect and vascular disruption defects. Second-Generation Antihistamines: Also in the second tier, second-generation antihistamines include those with Category B ratings, such as cetirizine e. The common cold is the number-one cause of both nasal congestion and runny nose, along with sore throat and cough.
A lesser known problem is pregnancy rhinitis , a similar condition that is not due to a cold or allergies, but is caused by the pregnancy itself. It is tempting to speak to friends or family about treatment of nasal problems when you are pregnant.
This option is not the best, because such persons usually lack any medical training. You may also wish to speak to your pharmacist for advice on nasal problems. Your pharmacist can provide advice on nonmedical interventions to relieve runny nose and nasal congestion, and can also describe safe methods such as saline lavage and nasal dilators. However, some nonprescription products such as nasal decongestants, antihistamines, and nasal steroid sprays carry a warning against use in pregnancy before you speak to a healthcare professional.
Your obstetrician is the best source for advice on using OTC products for nasal problems during pregnancy. Your obstetrician will also be aware of any special conditions complicating your pregnancy, such as kidney or liver problems, heart disease, hypertension, diabetes, and threatened early delivery. Any of these and a host of other potential problems could be critical in making a safe decision about whether to use a nonprescription product and, if so, which one.
Your obstetrician might even wish to schedule an appointment to determine whether you need a prescription or OTC product. Nonprescription products may interact with medications you are currently taking. Your pharmacist can help determine whether such products are safe or not in these cases, but you must be able to recall all of the medications you take for your pharmacist to make a fully informed decision. Be sure to take prenatal vitamins and minerals as recommended by your obstetrician.
However, it is wise to avoid anything during pregnancy that is not proven safe and effective for your medical problems. This includes all herbal supplements, homeopathics, and other dietary supplements. None of these products has ever been proven either safe or effective, especially not during pregnancy. Any could have harmful effects on the developing fetus. Furthermore, strongly consider immediately stopping use of addictive substances, such as alcohol and tobacco in all forms and all drugs of abuse.
Ellegard EK. Clinical and pathogenetic characteristics of pregnancy rhinitis. Clin Rev Allergy Immunol. Mabry R. Rhinitis of pregnancy. South Med J. Special considerations in the treatment of pregnancy rhinitis. Womens Health. Nonallergic rhinitis. Allergy Asthma Proc. Rambur B. Pregnancy rhinitis and rhinitis medicamentosa. J Am Acad Nurse Pract.
Nasal lavage in pregnant women with seasonal allergic rhinitis: a randomized study. Int Arch Allergy Immunol. Keles N. Treatment of allergic rhinitis during pregnancy. Am J Rhinology. Fetal safety of drugs used in the treatment of allergic rhinitis. Drug Safety. Treating allergic rhinitis in pregnancy.
Werler MM. Teratogen update: pseudoephedrine. Treating common problems of the nose and throat in pregnancy: what is safe? Eur Arch Otorhinolaryngol. Patient information: allergic rhinitis seasonal allergies. Accessed July 17, Curr Allergy Asthma Rep. Featured Issue Featured Supplements.
Related Posts. Some pregnant might experience more severe nasal congestion during the later stages of pregnancy. Continue Reading. Moisten in there. Your nose probably already knows: The mucous membranes swell and soften, leading to a stuffy nose. Some helpful nasal congestion remedies during pregnancy that you may want to consider are running a humidifier to add moisture in your room, using a saline nasal drop or solution, elevating your head while sleeping, exercising, inhaling steam or taking a warm shower, and drinking plenty of liquids to keep your body adequately hydrated. Therefore, pregnancy rhinitis should always be reported to your physician so that symptoms can be properly managed.
Congestion during pregnancy. Nasal Congestion during Early Pregnancy
Stuffy Nose and Nosebleeds During Pregnancy: What's Normal?
If you buy something through a link on this page, we may earn a small commission. How this works. During pregnancy, you might expect to experience heartburn and swollen ankles.
Rhinitis is the official name for the runny, drippy nose many pregnant women experience. Pregnancy rhinitis is nasal congestion that lasts for six or more weeks during pregnancy. Rhinitis affects between 18 and 42 percent of pregnant women. It frequently affects women early on in the first trimester, and again in late pregnancy. Rhinitis can begin almost anytime during pregnancy. It disappears after you have your baby, usually within two weeks after delivery.
The symptoms of rhinitis include:. Rhinitis can cause potentially harmful side effects for both mother and baby. Some cases of rhinitis during pregnancy are completely benign. Pregnancy causes a lot of changes in the body that can lead to rhinitis. During pregnancy, blood flow increases to areas of the body called mucous membranes.
Your nose is one of them. The swelling in the nose from this change can cause stuffiness and watery drainage. Some rhinitis cases are caused by allergies. Allergic rhinitis affects about one-third of women who are of childbearing age. The symptoms are usually more severe than the average case of pregnancy rhinitis. They include:.
Saline irrigation helps clear out the nasal passages. There are no known side effects. How does it work? This helps clean out the nasal passages. You can perform nasal irrigation at home with a spray or squirt bottle, or use a neti pot with saline irrigation. This is a solution containing salt salt water that can be used to cleanse the nasal passages. They help to manually hold open the nasal passages.
Studies show that they are effective, especially at night. They are pregnancy-safe and there are no known harmful side effects. If your rhinitis is caused by allergies, it will be treated differently. There are several medications that can be used during pregnancy. This includes your ability to sleep. Also see your doctor before starting any medication at home to treat rhinitis.
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