Complications. They love me. Anaphylaxis, dysplastic nevi, kidney damage, abscess, Portal Vein Thrombosis, small bowel obstruction, thrush. And that's the short list. Now it's premature contractions. I found myself hospitalized once again on Tuesday after being sent there by my OB. I had pretty bad cramps, but didn't think much of it. Thankfully, I have slightly more paranoid family members. After being blackmailed by the hubby, I called the doc, went to Labor and Delivery and, sure enough, discovered that I was having contractions 1-2 minutes apart. After receiving some terbutaline injections, IV fluids and several hours of monitoring, I was discharged home on indomethacin to be taken for the following 48 hours. Both terbutaline and indomethacin are used to stop early contractions from developing into premature labor.
This was all very frustrating. I finally called the GI doc and my surgeon the next day, per the request of my OB, as apparently it is not "normal," even for a J-Poucher, to be using the RR 25 times/day. I guess the bleeding was also of some concern to them. As a J-Poucher, I very honestly thought it was just the pressure of the baby causing the bleeding and frequency. It's just become such an unexceptional part of my existence over this past decade. Unfortunately, I do have pouchitis, a bacterial infection of the J-Pouch. Symptoms are very similar to UC, I would say only that the bleeding is not as severe and pain is very minimal with pouchitis, both welcome attributes of the infection. They believe that this infection is causing inflammation, and possibly dehydration at times, that could have led to these premature contractions. The problem? Treatment.
The antibiotics used to treat pouchitis are more or less off the table for we preggers ladies. They have put me on Canasa to try and minimize the inflammation, knowing that it will not treat the infection. Antimicrobials are the answer, but anti-inflammatories are the only safe treatment for now. The indomethacin, an NSAID, has also aggrevated the pouchitis, but after conferring with the GI ward at the hospital, it was decided that preventing labor at 28+ weeks was more of a priority than exacerbating the pouchitis symptoms. Nothing is ever straight-forward.
For now, just trying to get these symptoms under control as to avoid another onset of contractions. Between the lovenox monitoring, the pouchitis and the high-risk pregnancy, my trips to the doctors are becoming quite frequent! If any of you J-Pouchers out there have any au naturale treatments for pouchitis, dietary advice (I was put on a low-residue diet), or any comments at all I would love to hear. I do trust my doctors, but I believe sometimes as patients we can gain important insights.
Hoping Baby P can stay cooking for quite a bit longer! 29 weeks now and hoping to give this little girl a healthy start….