Is it possible to do EGD during pregnancy, on what terms?
If you have problems with the gastrointestinal tract (GI) tract, particularly stomach and 12-taperstry intestine, the doctor prescribes the conduct of diagnostic procedures – fibrogastroduodenoscopy (EGD). The women in the waiting period, the child care question: is it possible to do a gastroscopy pregnant? In the network there are several possible answers: «possible», «impossible», «possible, but under special conditions», «at one time, but on the other» and so on. Let’s try to understand this issue.
What is EGD?
EGD is the diagnostic method of the study the state of the internal surface of the digestive tract. In contrast to FGS (gastrofibroscopy), allows us to consider not only the esophagus and stomach, but the 12-taperstry intestine.
Common indications of EGD are: belching and nausea, the presence of pain in the stomach, discomfort in the esophagus, frequent heartburn. As the procedure is safe for women in the physiological respect, then, theoretically, it can be performed under specified symptoms on pregnancy.
However, given the characteristics of the psychological state (increased anxiety, fear for the child) women in this period, the diagnosis is certain stress, which can result in negative consequences.
Therefore, EGD pregnant make only in the following cases:
- the inability to obtain diagnostic data by other means;
- high intensity of symptoms;
- internal bleeding;
- a noticeable deterioration of women (negative dynamics in the treatment).
How to reduce stress when performing EGD?
The most important key to successful and safe conduct of such procedures as gastroscopy during pregnancy, is a positive attitude of the expectant mother. She’ll need to prepare for fibrogastroduodenoscopy not only physically but also mentally. The quality of the training depends on the results of diagnosis and the presence or absence of complications.
Stress can occur due to the necessity of swallowing the probe. The nerve endings of the mucous membrane are exposed to irritation, so a pregnant woman may experience retching. To prevent this effect helps pretreatment of the pharynx with a spray containing an anaesthetic substance. The most common is lidocaine. After a few minutes, the doctor can safely enter the probe.
How to prepare for diagnosis?
Psychological training mentioned above, it is a priority of the pregnant woman. Physical readiness requires performing the following actions.
- Between the last meal and holding EGD should be a break of at least 8 hours.
- Can’t drink before the procedure, as there is a likelihood of gagging.
- You cannot use medicines on the basis of ethyl alcohol.
Contraindications in pregnancy
On the question of whether to do EGD in pregnancy, answer obstetrician-gynecologist. If the female gastroenterologist has appointed such survey, she should consult with a specialist who is pregnant. In each individual case, the answer will be different. At the heart of decision-making factors are:
- the status of women;
- the condition of the child;
- the need for urgent diagnosis.
It is believed that such procedures, like gastroscopy during pregnancy, possibly at early stages and late. At the 2nd trimester it can also be done in accordance with the indications and contraindications, it all depends on the condition of mom and baby.
What you can do after the EGD and what not? As the mucosa of the oral cavity and digestive tract was subjected to strong irritation, it is not recommended for two to three hours to eat. Half an hour later after graduation you can drink warm water. The doctor will recommend infusion or solution which will accelerate the recovery of tissues of the pharynx. Usually the next day, the woman does not feel any discomfort.
Gastroscopy in pregnancy is not at all simple for women. However, it gives the most accurate and reliable result. This allows you to appoint correct treatment. As the baby’s health completely depends on the health of mothers, it is necessary to overcome all fears and concerns, and to pass the examination with a positive attitude (the sooner the better). Moreover, by itself, pregnancy is a contraindication to the use of EGD is not.