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Ulcerative Colitis
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Posted 4/22/2008 5:39 PM (GMT 0)
The dr has told me that mouth sores are normal but what causes them?  Also....last time I went to the dr and told him we were thinking about having another baby he said he wants me on prenatal vitamins for months beforehand and that a c-section would be highly recommended due to my entire colon being affected by this disease.  I was very disappointed and upset because the vaginal birth of my first child was fairly easy and quick.  I recovered quickly and virtually had no pain.  A c-section scares the crap out of me!!!  I was diagnosed about a year after my first child was born.  Has anyone else been advised to have a c-section due to having UC?
Posted 4/22/2008 6:01 PM (GMT 0)
Not sure about the mouth sores, but as far a birth and UC - I've had 2 children since having UC.  Both were vaginal births and both were very long.  None of the Drs I saw recommended a C-section, but then again my UC is confined to left-side and not throughout.  Was it your GI or OBGYN who recommends the C-section?  I would discuss with both and get both opinions before getting to upset about it.  Since your first went pretty quick and second births typically are quicker than firsts maybe they would still be willing to discuss vaginal births, but with a understanding that C-section would be a close back-up plan if needed.
Posted 4/22/2008 6:38 PM (GMT 0)
The mouth sores can typically be caused by bacterial over-growth/bacterial imbalance...you should take a good probiotic daily, the one I use has kept my mouth sores at bay and they were horrid, deep, painful ones...I use Primadophilus Reuteri made by natures way (I use the caps).

OBGYN's will often suggest a C-section rather than natural child birth for those with intestinal issues, I have crohns-colitis (CD affecting the colon) along with perianal crohns skin tags and my OB wanted me to have a C-section with my second child (I had natural the first time) but I opted for natural again with my permission to do a C-section if any complications arose, thankfully none did and I was able to have another successful natural child birth.

The main reason my OB wanted me to have the C-section was because of my anal skin tags, but I said since I've already stretched down there once and had a fairly big baby (she was 8lbs, 15oz) I wasn't concerned...I went with my gut instincts and I think you should too, afterall, in my opinion, having a bowel disease and being cut open, having your intestines moved about and such to get the baby out is a bigger risk...one of my sisters had a C-section twice and she complained of constipation issues ever since she had them. Not saying this is everyones case of course....go with YOUR gut instincts, I did and it turned out fine.

:)
Posted 4/22/2008 7:09 PM (GMT 0)

Thanks for the insight.  My OBGYN told me to find out if I had any rectal disease at my last annual visit so I asked he GI and he said I have severe rectal disease and that if I had a vaginal delivery and tore or was cut too much that healing might be an issue and it could cause extreme problems.  I am guessing that when I relay that info back to my OBGYN she is going to agree that a c-section would be the best route to go. 

I've never really heard of probiotics....I'll have to give that a shot for the mouth sores.  Seems like my GI always tells me what to expect and what is normal but not really how to treat it. 

Posted 4/23/2008 2:30 AM (GMT 0)
I've had 2 children by way of c-section. This was not because of my UC. My first pregnancy I was in labor for 21 hours and they finally decided I had to have a c-section. I was scared but once they gave me drugs, I didn't care what they did. I recovered much quicker than I thought I would. My 2nd pregnancy, I chose the c-section because I was petrified of going through another 21 hours of hard labor only to have a c-section again. Again, I recovered pretty quickly. If I was told I had to have a section at the beginning of my first pregnancy, I would have been sooooooooo scared. But, really, it's not that big of a deal. Don't be scared, it goes pretty quickly too.........Good luck
Posted 4/23/2008 3:15 AM (GMT 0)

misspunky said...

Thanks for the insight.  My OBGYN told me to find out if I had any rectal disease at my last annual visit so I asked he GI and he said I have severe rectal disease and that if I had a vaginal delivery and tore or was cut too much that healing might be an issue and it could cause extreme problems.  I am guessing that when I relay that info back to my OBGYN she is going to agree that a c-section would be the best route to go. 

I've never really heard of probiotics....I'll have to give that a shot for the mouth sores.  Seems like my GI always tells me what to expect and what is normal but not really how to treat it. 


I strongly suggest a good probiotic (flaring or not, take them indefinitely), they're safe while pregnant as well, the sooner you get on them the better chances you'll have of some UC symptom relief...are you on rectal meds (since you mentioned inflammation in the rectom) because a good GI would have you on them if you have proctitis.

:)

Posted 4/23/2008 12:48 PM (GMT 0)
My first was vaginal, my second c-section. Also, my Gi told me the same thing about the not being able to heal if you tear all the way through. I was induced 2 weeks early in the hopes of having a vaginal delivery, but he was HUGE, so that didn't happen. The c-section was much more difficult to recover from, but definatley do-able. Don't be scared of it, it will be fine. Good luck and congratulations.
Posted 4/23/2008 1:15 PM (GMT 0)
I personally don't think it's necessary to have a C-section. I had both my boys vaginally. With my 1st, I had ulcers in my colon. I had a sigmoidocscopy while pregnant with my 2nd, that's when I found out I had a rectal ulcer one inch deep tunneling towards my vagina, my OBGYN said I didn't need a C-section. The delivery did not cause any problems with my ulcer. My question is how is your UC right now? Are you in remission? I wouldn't want to go into a pregnancy in a flare-up. There are more risks of miscarriage.
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