How to manage bloating and cramps from IBS during periods?

Question

Hi doctor,

I am a 33-year-old woman with Crohn’s disease, and I have been experiencing frequent flare-ups, particularly around my menstrual cycle. I also feel very fatigued and sometimes have difficulty eating properly, which is affecting my weight and energy levels. I am planning to start a family and would like to know how safe my current medications are during pregnancy. Is there a gynecologist who collaborates with gastroenterologists to care for women in my situation?

Please help me.

Thanks.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I am sorry to hear that you are experiencing frequent Crohn’s flares and fatigue; these symptoms can significantly impact your daily life and your family planning goals. It is common for Crohn’s disease symptoms to worsen around the menstrual cycle due to hormonal changes.

Many medications used to manage Crohn’s disease can be safely continued during pregnancy; however, this depends on your specific treatment plan. It is important to maintain good disease control before and during pregnancy to reduce risks to both you and your baby.

Yes, there are specialists known as maternal-fetal medicine doctors, and there are also multidisciplinary teams in which gynecologists work closely with gastroenterologists to support women with inflammatory bowel disease who are planning to conceive and have a healthy pregnancy. I suggest that you speak with your gastroenterologist about such collaborative care options in your area, as they can refer you to the appropriate team. Managing your nutrition and energy levels is also essential, so please discuss these symptoms with your healthcare providers to develop a comprehensive and personalized care plan.

I hope this answer helps you.

Thank you.