PREGNANCY INDUCED HYPERTENSION - WatsonsHealth

PREECLAMPSIA AND HIGH BLOOD PRESSURE

Preeclampsia is a problem that arises during pregnancy that is characterized by hypertension and symptoms of damage to another organ such as the liver and kidneys. Preeclampsia typically starts after 20 weeks of pregnancy in women with previously normal blood pressure.

Left untreated, preeclampsia can prompt serious complications for both you and your baby. If you have preeclampsia, delivery of your baby will stop it. Indeed, even after delivery of the child, it can take a while for you to improve.

If ever you deliver early, you may have complications. Your child needs more opportunity to develop, yet you have to abstain from putting yourself or your infant at risk for complications.

Occasionally, preeclampsia develops after delivery of the child, a condition known as postpartum preeclampsia.

Preeclampsia may be mild or severe.

Commonly, preeclampsia is classified as to severity, and recognizing mild and severe preeclampsia is imperative because management is altogether different.

Mild preeclampsia 

Mild preeclampsia happens when there is:

  • Pregnancy more than 20 weeks
  • Blood pressure more than 140 systolic or 90 diastolic
  • 3g of protein n a 24-hour urine sample
  • Persistent 1+ protein on urine dipstick

Severe preeclampsia

Severe preeclampsia is a more complicated issue. Diagnosis requires the characteristics of mild preeclampsia and other problems with the mother or the baby. There may be:

  • Central nervous system problems such as a headache, blurred vision or changes in consciousness
  • Liver problems, increase in liver enzymes to twice the normal
  • Very high blood pressure greater than 160 systolic or 110 diastolic
  • Low platelet count
  • More than 5g of protein in a 24-hour sample
  • Very low urine output
  • Symptoms of respiratory problems

Preeclampsia may have no symptoms. Hypertension may grow gradually, or it might have a sudden beginning. Checking your blood pressure is a vital piece of pre-natal care. An elevated blood pressure is the primary symptom of preeclampsia.

Other symptoms of preeclampsia may include:

  • Too much protein in your urine
  • Symptoms of kidney problems
  • Severe headaches
  • Changes in vision
  • Upper abdominal pain
  • Nausea or vomiting
  • Decreased urine output
  • Low levels of platelets in your blood
  • Impaired liver function
  • Shortness of breath
  • Sudden weight gain
  • Swelling of the legs

DIAGNOSIS

Your doctor will do a physical exam and obtain a medical history. Then they may request for imaging studies like X-rays, ultrasound, or a CT scan to observe for the polyp’s characteristics and activity.

When you have a polyp, your doctor might need to do a biopsy. This is to check whether the lump is cancerous or not.

Other tests may include the following, depending on where the polyps may be found:

  • Pap test for vagina or cervical polyps
  • Endoscopy for the stomach and other parts of the gastrointestinal system
  • A colonoscopy for polyps situated in the large bowel

 

TREATMENT

A few polyps won’t require treatment, particularly if your doctor says they aren’t cancerous. Throat polyps can disappear with rest and voice treatment. As for other polyps, you doctor may remove them when they have a risk for cancer.

Treatment for polyps relies upon the following:

  • Whether there are cancer cells in the polyp
  • How many polyps are there
  • Location
  • Size

In colorectal polyps, a doctor may expel the polyps during a colonoscopy. A colonoscopy is the process at which your doctor inserts a tube with a camera to view your colon.

Your doctor may recommend hormonal treatment like progesterone and gonadotropin-releasing hormone agonists for polyps found in the reproductive system. These medications will advise your body to make more hormones to contract or decrease the polyps.

Steroid tablets or sprays may treat nasal polyps.

Your doctor will utilize the safest treatment before selecting careful interventions.

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