Q5: A 32-year old who is 21 weeks pregnant reports finding blood on the toil paper after defaecation.. She has had difficulty in passing motion because of hard stools. Her neighbour has recommended senna and she wants to know whether senna is safe for her and the baby. Comment. by kannan https://padlet.com/marikannan/go81i64wclfo en-us 2015-09-14 05:32:59 UTC 2016-09-14 02:25:23 UTC hello@padlet.com Not recommended. This is because it can cause uterine contraction which leads to pre term labour Anonymous0023 https://padlet.com/marikannan/go81i64wclfo/wish/123645078 The possible causes of her constipation are iron supplement and lack of movement.
The first treatment option should be lifestyle modification (increase fluid intake (2 - 3 liters) and increase the amount of fibre in diet). 
If the first treatment fail, we can suggest bulk forming agent (ispaghula husk) + stool softener (docusate) or add osmotic lactulose (lactulose).

]]> 2016-09-14 01:31:10 UTC https://padlet.com/marikannan/go81i64wclfo/wish/123645078 She also suffered from haemorrhoid since there is blood when she passed stool. https://padlet.com/marikannan/go81i64wclfo/wish/123648131 Treatment and prevention of recurrence of constipation is the best strategy.
Possible medications for haemorrhoid are 
(a) Anusol ointment/cream/suppositories
(b) Preparation H ointment/cream/suppositories
Before using the medication, she should consult to the doctor since it is not known whether the medications will harm the baby.
https://www.preparationh.com/products/ointment]]> 2016-09-14 01:59:00 UTC https://padlet.com/marikannan/go81i64wclfo/wish/123648131