Black stool during pregnancy


Immediately after conception, dramatic changes begin in the woman’s body. The first trimester is the most important because of the formation of all organs of the fetus. For the development of the child requires a large amount of vitamins and minerals, often not enough iron. Therefore, doctors prescribe special drugs to raise the level of hemoglobin.

Iron is not always completely absorbed by the body, the excess is often excreted by the digestive system. It is this trace element that colors the feces in a very dark color and gives a specific smell. This state of affairs is not considered a deviation. It is only necessary to exclude the vitamin complex from the diet, as the chair will acquire normal color and texture.

In addition to vitamin complexes, feces can be stained due to the intake of various foods:

  1. Blueberries
  2. Currant,
  3. Liver,
  4. Blood sausage,
  5. Activated carbon,
  6. Prunes
Therefore, in the period of gestation, before worrying and worrying once more, it is necessary to remember what was eaten the day before. General well-being, without any ailments, indicates that you should pay attention to the diet, since this factor is the main and most important with changes in the color of excrement in the period of childbearing.

The restructuring of the body, the production of a large amount of progesterone during pregnancy can cause not only the darkening of the stool, but also frequent urination. Therefore, in case of undue anxiety, it is worth rejecting the embarrassment and consult with your doctor so that the specialist can return the peace of mind, which is so important in this 9-month period.

Why during pregnancy black feces: negative factors

When you change the color of excrement, of course, you should pay attention to other symptoms that may accompany a woman in the event of a disease:

  • Chills,
  • Feeling sick
  • Increased body temperature
  • General weakness
  • Body aches,
  • Loose stools.
If a history of a pregnant woman has a disease of the duodenum or stomach ulcers, then there is a risk of bleeding. In this case, you will need laboratory blood tests and stool analysis to diagnose the disease and start timely and gentle treatment.

Pathology in the work of the upper organs of the digestive tract or in various tumors, begins latent bleeding. The blood gives the stool a darker color and dilutes it.

In addition, black stools can be caused by:

  1. In diseases of the liver (fibrosis, cirrhosis, hepatitis),
  2. With dysbacteriosis,
  3. With varicose veins,
  4. In infectious diseases.
If you suspect a malfunction in the body, you should immediately consult a doctor so that neither the child nor the expectant mother will be injured. Only targeted specialists are able to diagnose the disease.

Change stool at 3 trimester

Before giving birth, the woman's body begins to rebuild, all forces mobilize to release a new life into the world. The uterus is maximally enlarged in size, it presses on both the bladder and the esophagus. Therefore, some food may not be completely digested, thus changing the color of the feces.

In the third trimester, the woman feels a special discomfort, and any undesirable phenomenon can be perceived too emotionally. Do not panic and get upset, if necessary, you can consult with your doctor, who will provide a completely logical explanation for the darkening of the chair.

Late dark feces rarely indicate any significant disturbances in the body of a woman, most often this is due to changes in taste preferences. In the absence of additional symptoms, you need to think about what can be changed in the diet in order to normalize the color of fecal masses.

Causes of black feces during pregnancy

Women in position often look for the answer to the question why feces are black during pregnancy. The causes of this phenomenon may be different - for some of them it is necessary to hurry to your doctor, and in other situations - to analyze what was eaten the day before. According to gastroenterologists, black feces can be eliminated by resorting to proper nutrition. However, in any case, this unpleasant symptom requires finding out the exact cause of such a reaction of the organism of the future mother.

In the early stages of pregnancy, all the organs of the unborn child are laid. This period is accompanied by early-degree toxicosis, the symptoms of which are such disorders of the gastrointestinal tract:

This may also include a change in the consistency or color of the feces, which occurs due to hormonal adjustment of the body and does not require treatment. However, sometimes there are clinical cases of black feces in the first trimester or in later periods. In such situations, the expectant mother needs the help of qualified doctors.

The effect of nutrition during pregnancy on the color of feces

Often the unusual color of the chair depends on the food that the expectant mother ate. When black feces are found, it is necessary to remember that the pregnant woman consumed in the morning or last night. This is due to the presence of coloring pigments in some products, namely:

- pigmented fruits (for example, pomegranate, grapes, plums, mountain ash), vegetables (for example, beets, tomatoes) and dried fruits (prunes),

- meat delicacies and offal, for example, sausage “blood meat”, liver,

- drinks - colorful "sparkling water", natural coffee, powdered wine.

The digestive system partially digests the pigmented products, and removes residues along with the feces, giving it a frightening dark color. After analyzing her menu and leaving for a while from a product with a pigment, a pregnant woman is likely to very quickly normalize her feces.

The effect of medications on stool color

In some situations, the cause of black feces in the last stages of pregnancy or early may be taking medication. Medications that can stain the intestinal contents include:

- black activated carbon and other sorbents - sorbing substances are not absorbed into the blood, therefore they are removed together with feces, coloring it in a non-natural color,

- high iron supplements,

- drugs that contain bismuth,

Often in the forums you can see the comments that a black feces in a pregnant woman appears after taking vitamins Elevit Pronatal. As part of this multivitamin contains iron and other beneficial substances for the body of a pregnant woman. Elevit and its analogues are not completely split by gastric juice, so its particles are removed along with feces. Black feces in a pregnant woman while taking iron are considered to be absolutely normal and in this case it’s reckless to refuse general strengthening vitamins, because the woman and her baby are not in danger.

Under what circumstances you need to go to the hospital

Black feces in a pregnant woman after taking iron supplements is a consequence of the physiology of the body. However, if the faeces darkened in the future mother with a diagnosis of gastritis, gastric or duodenal ulcer, you should immediately contact your doctor for help. In this case, black feces in the 2nd trimester or at other stages of pregnancy is a symptom of internal intestinal bleeding due to an exacerbation of the disease.

With such bleeding, blood enters the stomach or duodenum and there it reacts with gastric juice. This leads to the fact that the blood changes its color - it becomes darker. When dark blood gets into feces, the feces become black. This pathology is accompanied by the following symptoms:

- periodic pains, which are then exacerbated, then subside,

- pallor of the skin,

- General weakness of the body,

- heart rhythm disorder,

Internal bleeding is a threat to a developing baby. Therefore, if a pregnant woman has any of the above signs, in addition to black feces, then she needs to see a doctor immediately.

If the fecal masses have become black with a greenish tinge and have the consistency of diarrhea, then this basically indicates the development of an intestinal infection. This disease is accompanied by the following symptoms:

- persistent or intermittent abdominal pain,

- chills and fever,

- nausea and gagging.

Intestinal infection requires immediate treatment, which in most cases consists in taking medication, mostly with antibiotics.

Diagnosis of black feces

Darkening of the fecal mass in a pregnant woman requires clarification of the exact reason for which this symptom appeared. The doctor must determine the pathology of this or a physiological phenomenon as a result of previously taken food or medicine.

When treating the future mother with black feces, the doctor should collect the following information:

- Does the patient have a history of gastrointestinal disease,

- how often feces are black,

- what is the consistency of darkened feces,

- what does the future mom's diet consist of?

If the pregnant woman turned on the 3rd trimester, then the doctor finds out if there is gestosis. After studying these data, the doctor can determine the method of further diagnosis:

- general analysis of urine and feces,

- detailed blood count,

- analysis of feces on the reaction Gregersen,

- ultrasound examination of the digestive tract,

Black feces treatment

Therapy for darkened fecal masses during pregnancy consists not only of medical treatment, but also of homeopathy and traditional medicine. In this case, the future mother must observe a sparing regime, exclude physical and psychoemotional loads. Also, the doctor will help you choose a special diet.

Diet with black feces

An integral part of successful treatment of black feces is a moderate diet. The diet of the future mother should be based on products that are easily digested by gastric juice. The basic principles of diet for black feces are as follows:

- use cooking as the main method of heat treatment of food,

- cooked dish to use in the form of heat,

- use low-fiber foods, such as semolina, steamed fish, milk, boiled potatoes, fruit puree,

- completely exclude from the diet sour, smoked and salted foods,

- replace simple carbohydrates (sweets, white bread, sweet pastries, etc.) with complex carbohydrates, for example, oatmeal, which has enveloping properties,

- daily use protein foods - boiled meat and fish. Beans are better to postpone until better times

- limit consumption of dairy products,

- as drinks use warm, weak tea, homemade fruit drinks and uzvara.

Drug treatment of black feces

If, after the research, the doctor discovered an intestinal infection of a bacterial nature, then he prescribes a combination therapy, including antibiotics, adsorbents and probiotics. When prescribing medications, a specialist takes into account the condition of a pregnant woman and selects only those drugs that are allowed during the child's pregnancy. During the treatment period, the state of the mother and the baby is constantly monitored in order to take emergency measures in case of development of certain complications.

Drug therapy for pregnant women with black feces looks like this:

- “Tsefefim” - the active substance of this antibacterial drug quickly and effectively eliminates pathogenic bacteria. The drug is a powder for intravenous and intramuscular injections. The daily dosage of "Tsepefim" is 1 g, and the course of treatment should not exceed 7 days. This drug does not adversely affect the fetus or the course of pregnancy, but may cause some side effects, such as headache, general weakness, an allergic reaction, upset stomach,

“Smekta” is one of the most popular sorbent preparations, which is intended for cleaning the intestines and normalizing its work. Also this medicine eliminates heartburn and flatulence. The drug is a white powder, which is sold in bags of 3 g. The powder is diluted in 0.5 cups of water and taken orally 3 times a day. The course of treatment is 5-7 days. Since Smekta is not absorbed into the tissue and leaves the body in an undigested state, this medicine is absolutely harmless to pregnant and lactating women,

- Linex is a probiotic drug that accompanies the treatment with any antibiotics. The tool is available in capsules that contain "live" bacteria, thereby restoring healthy intestinal microflora and helps to eliminate diarrhea. Reception of "Linex" is permitted during the period of carrying the child, as it does not harm the baby and does not cause adverse reactions. The future mother should take the medicine 2 capsules three times a day. The course of treatment is from three to seven days.

It is worth noting that with the exacerbation of gastrointestinal diseases and the appearance of black stools, the expectant mother is not prescribed vitamins.

Traditional medicine and treatment of black feces

In combination with conservative treatment, medicinal herbal decoctions can be taken, which have anti-inflammatory and soothing effects. Use any means of traditional medicine is possible only after consulting a doctor.

The following herb drink recipes have an effective effect:
- dried St. John's wort and immortelle is crushed and poured with a glass of water, then boiled for 5 minutes and infused for 10 minutes. The drink is taken at 0.5 tsp. Three times a day,

- 2 tablespoons of dried chamomile brewed in 1 liter of water and infused for 1 hour. A spoonful of honey is added to the finished decoction. The drink should be taken 0.5 cups 3 times a day,

- 2 tablespoons of dry sage brewed in 1 liter of boiling water and infused for an hour. Then the broth is filtered and taken in half a cup twice a day.

For more information about the causes of black feces can be found in the video:

It should be remembered that any pathology is easier to prevent than to cure. Proper nutrition and compliance with all the recommendations of the doctor in most cases will avoid darkening of feces.

Causes of black stool during pregnancy

Pregnancy is a period in a woman’s life when all internal organs adapt to the development of the fetus and its life activity. Fetal development occurs gradually and goes through various stages - first there is a process of organogenesis, which begins in the first trimester, and then the growth and differentiation of the baby’s tissues continue. But this is not all, because for normal functioning in the maternal organism, normal blood flow and nutrition are necessary, which occurs due to the functioning of the placenta. During this period, women may be disturbed by various problems in the form of early toxicosis, which last throughout the first trimester of pregnancy and correspond to the period of placenta formation. It is in the first trimester that a woman is worried about problems with the gastrointestinal tract in the form of lack of appetite, nausea, vomiting, constipation, or diarrhea. In this case, very often there is a change in the nature and color of the feces, which occurs under the influence of hormones and normally does not require any action.

Reasons for changing the color of feces to black during pregnancy may be different. They can be divided into those that are normal and those that require thorough diagnosis.

It is very important to distinguish between states when it is imperative to seek qualified help when the color of the chair changes to black, and when it is not worth worrying about.

Often one of the etiological factors of the appearance of black stool is the intake of foods that provide such coloring. Such substances include food products and some medications. If the expectant mother discovered a black chair, then it is necessary to remember what she had eaten in the last 24 hours. There are products that have pigments that can change the color of feces due to incomplete digestion in the stomach and intestines, and insufficient conjugation in the liver. These foods include:

  1. some pigment fruits - plum, currant, pomegranate, mountain ash, blueberry, as well as dried fruits and vegetables - prunes, tomato, beet,
  2. offal - liver,
  3. meat products - blood sausage and other products with pig blood,
  4. drinks - coffee, colored carbonated drinks.

All of these products are not able to completely digest and the pigment that provides them with color comes out with feces, which also colors it. Therefore, it is necessary first of all to analyze the diet of a pregnant woman and make a correction, if the stool color becomes normal, then the problem is solved and you should not worry.

Very often, a change in the color of the chair to black happens after the use of medications. Such drugs include black activated carbon, monocomponent or multicomponent iron preparations, multivitamin complexes, bismuth preparations. Very often, a woman in the event of toxemia in the early stages of pregnancy takes activated charcoal for detoxification, after which the stool very clearly turns black.This is due to the fact that in its structure coal is a sorbent and is not absorbed in the stomach, but is removed in a completely untreated form, which contributes to the staining of feces.

Often, during pregnancy, a woman is recommended to take multivitamin complexes, since the reserves of vitamins in the female body are only enough for the mother, and an additional source of vitamins is necessary for the fetus. Such multivitamin complexes, which contain iron in their composition, also paint the chair black, since iron residues are eliminated by the intestines. If during the period of pregnancy the expectant mother is treated for anemia, then iron supplements also contribute to the black chair, which is not a reason for going to a doctor.

All these cases of black stool are not a reason for the abolition of iron supplements or vitamins. If the general condition of the woman does not suffer and there are no other symptoms, then you shouldn’t do anything. In extreme cases, you can cancel for a while such drugs and see if the stool will become normal.

Causes that can often lead to a black stool during pregnancy and which must be taken into account and seek help are inflammatory bowel diseases.

It is normal when taking food or in the case of taking drugs that change the color of feces, its consistency does not change, there is no liquid stool or abdominal pain.

If black stool is a symptom of the disease, then more often it happens in a woman who has a history of chronic gastritis or peptic ulcer or duodenal ulcer. In this case, black stool is the cause of the complication of these diseases in the form of internal intestinal bleeding. The pathogenesis of the development of black stool in this case is that the blood that is released into the stomach or duodenum from the erosive vessel connects to the gastric juice and a reaction occurs that changes the color of the blood entering the feces. However, this bleeding is accompanied by symptoms of abdominal pain, which are very sharp at first, then subside. Also, the bleeding is accompanied by general symptoms in the form of an increase of the anemic syndrome - pallor of the skin, weakness, palpitations, cold sticky sweat on the face, dizziness. Internal bleeding is a very dangerous condition not only for a woman, but also for her child, so in the case of a combination of black stool with other similar symptoms, an urgent need to consult a doctor. Also provoke bleeding can long-term use of nonsteroidal anti-inflammatory drugs, so it can also become the etiological factor of black feces during pregnancy.

Thus, it is necessary to clearly understand when black stool during pregnancy signals danger, and when it is just a manifestation of the characteristics of the diet.

Symptoms of black stool during pregnancy

Various symptoms of the digestive system of a pregnant woman may indicate these or other pathologies. The nature of the stool, its consistency, color, quantity - all this is an indicator of the work of the stomach, intestines, liver and pancreas. Therefore, black stool during pregnancy can be one of the symptoms of the disease.

The first clinical manifestations that may indicate intestinal bleeding - this is just black stools, so you need to pay attention to this symptom.

If the change in stool color is also accompanied by diarrhea, then an intestinal infection must be assumed. In this case, the symptoms of a change in stool will be accompanied by other clinical signs. In this case there will be abdominal pains of a spasmodic or persistent nature, symptoms of intoxication in the form of fever, chills, headache, nausea, and vomiting are also possible. All these clinical signs indicate an intestinal infection, which requires urgent complex treatment with the use of antibacterial agents. At the same time, feces have their own characteristics - it becomes black and green and becomes liquid. This indicates not only an intestinal infection, but also a slight bleeding in the intestinal cavity, which contributes to the formation of black-green feces. If the chair changes its color, and the general condition of the pregnant woman does not change, then this should be associated with the peculiarities of food or taking medications.

Complications and consequences

If black stool during pregnancy is normal, then no consequences should be expected, you should not even cancel the intake of vitamins. But if black stool is caused by intestinal bleeding, a rapid increase in anemia can have bad consequences. It is necessary to immediately replenish the volume of lost blood and eliminate the cause of bleeding. If black stool during pregnancy is one of the manifestations of an intestinal infection, then the consequence of such pathologists can be not only complications from the gastrointestinal tract, but also from the course of pregnancy.

Diagnosis of black stool during pregnancy

It is very important to diagnose intestinal bleeding in time, one of the obvious manifestations of which is a change in the color of feces to black, and at the same time it is important to differentiate this symptom from the normal state. Therefore, it is very important to carefully examine the woman during treatment.

It is very important to find out all the details and carefully collect the history. When handling a pregnant woman, it is necessary to clarify the duration of pregnancy, the presence of gestosis, anamnestic data on diseases of the digestive system. It is necessary to detail the complaints and find out how many times a black stool was observed, whether it was liquid, as well as the presence of nausea, heartburn, vomiting, and abdominal pain. It is necessary to find out the details of the diet of a pregnant woman and the use of drugs that could affect the nature of the chair. Sometimes only at this stage it is possible to find out the cause of the black chair and no additional diagnostic methods are required. But if there is any suspicion of intestinal bleeding or a peptic ulcer in history, then it is necessary to conduct additional research methods.

The tests that are required to pass without fail during pregnancy are general clinical - a complete blood and urine test, a biochemical blood test, and a stool test. The feces analysis should be carried out with bacterial examination and with the determination of sensitivity to antibiotics. If it is not possible to identify the type of pathogen, then the exact diagnostic method is the polymerase chain reaction. This method allows you to identify the DNA of bacteria or virus. Which also allows you to accurately establish the diagnosis.

Coprogram - a method of microscopic examination of feces, which allows you to establish the degree of dyspeptic disorders and pancreatic function. This study can provide data on the presence of leukocytes, erythrocytes, mucus, which allows to differentiate the intestinal infection, hemorrhoids, bleeding. Be sure to conduct a study of feces on the reaction Gregersena - a reaction to the hidden blood. Also, if vomiting is present, urine acetone must be determined.

In general, a blood test in the case of an inflammatory intestinal infection will determine leukocytosis and a shift to the left in the case of a bacterial intestinal infection. If there is intestinal bleeding, anemia develops, especially if it is a long chronic process. In this case, anemia will indicate a decrease in the amount of hemoglobin. Instrumental diagnostics of a black stool during pregnancy includes the mandatory ultrasound examination to determine the condition of the fetus, and the intestines can be visualized for a short time.

Also, in case of suspected peptic ulcer complicated by intestinal bleeding, an obligatory instrumental examination is an esophagogastroduodenoscopy. This method is a priority because it allows you to diagnose intestinal bleeding, see its cause and at the same time endoscopically coagulate the vessel that is bleeding.

If a peptic ulcer is suspected, non-invasive methods are performed, more often it is a breath test, H. pylori determination.

Differential diagnostics

Differential diagnosis of black stools during pregnancy should be carried out with food poisoning, intestinal infections, hemorrhoids, as well as with a normal phenomenon during pregnancy due to the use of products or drugs.

Intestinal infection or foodborne toxicoinfection is accompanied not only by manifestations of stool discoloration, but also by other symptoms of the gastrointestinal tract, as well as intoxication syndrome. If we are talking about hemorrhoids, which is often the case during pregnancy, then the feces are not completely black, but it has streaks of fresh blood, which is obvious if you take a good look. A coprogram with hemorrhoids will contain fresh red blood cells, which confirms the localization of the process in the distal intestine. If black stool during pregnancy is not accompanied by an increase in it or does not affect the general condition, then this is a normal phenomenon, triggered by hormonal changes.

Treatment of black stools during pregnancy

As already mentioned, the treatment of black feces during pregnancy is necessary only if it is a pathological symptom and the etiology of the disease has been confirmed.

In the treatment using drugs and non-drug - traditional methods and means of homeopathy. It is very important to observe the mode and nature of food in case of intestinal infection, especially if black stools are accompanied by nausea, vomiting and other symptoms.

The regimen of a pregnant woman should exclude excessive loads, but at the same time it is necessary to have minimal physical activity, therefore room mode is recommended.

When black feces during pregnancy to maintain body weight and as an important stage of treatment must follow a diet. Since the processes of normal overtravel, suction and evacuation function are disrupted, it is necessary that the products be sparing.

The basic principles of diet:

  • Food is best taken boiled, warm, not hot and not cold, because it is an additional burden on the digestive tract.
  • The calorie content of food should be minimal, without complex saturated fats and with restriction of dietary fiber, since they stimulate the motility of the gastrointestinal tract.
  • Sour, salty, smoked products - completely deleted.
  • It is necessary to exclude "simple" carbohydrates - sweets, buns, cookies, sweets. Fresh white bread should also be excluded because it tends to form adhesions in the intestines.
  • The diet needs to be replenished with complex carbohydrates, the ideal option is oatmeal, which has an enveloping effect.
  • It is necessary to eat protein daily in the form of boiled meat, fish, and legumes should be excluded.
  • Dairy products should be limited as they cause fermentation.
  • You need to drink in sufficient quantity, it is desirable to exclude juices with high glucose levels, since this also causes fermentation in the intestine. It is better to take boiled fruit drinks, alkaline water, warm tea.
  • The number of fruits should also be limited, since this is an additional load on the gastrointestinal tract.

These are the basic principles of dietary nutrition, which are an indispensable component of the integrated treatment of stool disorders during pregnancy.

In the case of a proven intestinal infection of bacterial etiology, which is the cause of black stool during pregnancy, it is necessary to conduct complex treatment with the use of antibiotics, probiotics and sorbent. But drug treatment has its limitations, since many drugs are contraindicated in pregnancy. When prescribing antibiotics, preference should be given to those drugs that do not affect the fetus. At the same time, it is necessary to monitor the child’s condition and be ready to take action in case of complications.

If a woman has severe vomiting and diarrhea, it is necessary to replenish the water balance with an oral method, which is pathogenetically an important stage of treatment, and in the case of intestinal bleeding, it will replenish the circulating blood volume.

In the case of proven infectious genesis of black and liquid feces during pregnancy, a necessary component of treatment is the prescription of antibiotics, but given the possible negative impact on the fetus, it is necessary to choose the type and dose. Pregnant women with colitis should not be prescribed intestinal antiseptics of the nitrofuran series, as well as antibiotics of the fluoroquinolone group, since they have a pronounced effect on the development of the fetus. Preference is given to antibiotics of the cephalosporins group, which are relatively safe due to the lack of proven harmful effects on the child. Therefore, with bacterial intestinal lesions in pregnant women, cephalosporins are the drug of choice.

Cefepime - beta-lactam antibiotic from the group of 4th generation cephalosporins, which has a pronounced bactericidal effect on gram-positive and gram-negative microorganisms, that is, it covers a huge spectrum of microbes. Available in the form of powder for injection 1 gram. The drug is used in a dose of 1 gram per day, administered intramuscularly or intravenously at intervals of 12 hours. The course of treatment is 7-10 days.

Contraindications for use are allergic reactions to penicillins or other beta-lactam antibiotics.

No adverse effects on the fetus during pregnancy. Side effects are possible with the gastrointestinal tract, allergic manifestations, reactions of the nervous system in the form of headache, drowsiness, dizziness.

Antibacterial therapy for colitis during pregnancy should be carried out with strict control of the mother and fetus. It is important to conduct antibiotic sensitivity before prescribing therapy and in the future to be guided by the results obtained.

To date, there are a huge number of sorbents, but some of them are preferred because of the possibility of taking during pregnancy. Black liquid stool of any origin is accompanied by a violation of the excretory function of the intestines and the accumulation of a huge amount of toxins and metabolic products, therefore the use of sorbents allows you to clean the intestines and resume normal flora.

Smecta - A sorbent of natural origin, which is able to adsorb viruses and bacteria, and also has a protective effect by stabilizing the mucous-bicarbonate barrier and increasing the amount of mucus. The drug reduces the symptoms of bloating and heartburn.

Available in bags of 3 grams.

The drug can be used during pregnancy and lactation, because it is not absorbed, and displayed in an unchanged form. Side effects are rare, allergic reactions may occur. The drug is contraindicated in intestinal obstruction and hypersensitivity to it. Precautions - it should be taken at intervals of at least 2 hours with other medications, because it reduces their absorption.

Dosage - 3 grams of the substance (one sachet) must be diluted in half a glass of warm water and taken 3 times a day, the course - 5-7 days.

During treatment with antibiotics, as well as taking into account the disturbance of the normal intestinal biocenosis with black stools in pregnant women, it is necessary to prescribe probiotics in the complex therapy.

Linex - a preparation that contains lactic acid bacteria and bifidobacteria and contributes to the normalization of the intestinal flora and, in addition, it has an antidiarrheal effect. Available in the form of capsules 1 gram. The drug has no pronounced side effects, can be used during pregnancy due to. Dosage - 2 capsules 3 times a day after meals, a course of treatment with colitis for at least three days.

As an anesthetic, antispasmodic drugs are most often used, which can additionally reduce the tone of the uterus.

No-shpa (Drotaverin) - antispasmodic drug, widely used in surgery and gynecology. It is available in tablets in a dosage of 40 milligrams, as well as in ampoules at the same dose of 2 milliliters. Side effects of the drug are tachycardia, a feeling of hot flushes to the face, excessive sweating, dizziness, and allergic reactions. No significant damage to the fetus is detected, because the drug does not penetrate the hemato-placental barrier. Contraindications to use are closed angle glaucoma, prostatic hyperplasia. The drug is used in colitis in a pregnant woman to relieve spasm of the intestine with pain syndrome. Dosage - 40 mg per reception. You can take as a pill, but it is better to inject at the same dose, not more than 3 times a day.

It is better not to carry out vitamin therapy in the acute period of intestinal bleeding.

Physiotherapy treatment is recommended only in the period of remission, especially in case of peptic ulcer, it cannot be used in the acute period of the disease, as this may provoke complications.

Оперативное лечение черного стула при беременности не используют, возможны лишь оперативные вмешательства при возникновении тяжелых осложнений.

Народное лечение черного стула при беременности

Народные методы лечения колита широко используются будущими мамами из-за минимального вреда на ребенка. There are many treatments using both herbs and folk remedies and homeopathic medicines. The main effect of such treatment is a reparative effect in case of gastric ulcer and anti-anemic effect.

The main methods of folk treatment:

  • Sea buckthorn oil enemas promote healing of the intestinal mucosa, in the case of black stools due to mucosal erosions. For the preparation of enemas you need simple sea buckthorn oil, which can be bought at the pharmacy. Then you need to dial 5 milliliters of oil in a pear and an enema. During pregnancy, you should consult with your doctor before using such enemas, as this depends on the duration of pregnancy.
  • Propolis tincture reduces inflammation of the intestinal wall, contributes to the regeneration of the epithelium and has a bactericidal effect. To prepare the tincture, 10 grams of propolis should be boiled in boiled water for about 20 minutes, this solution should be infused for at least an hour, then applied orally in a tablespoon 2 times a day.
  • The use of natural remedies - mummy - is widespread in the treatment of colitis. This substance has a pronounced anti-inflammatory, regenerating, analgesic effect. To prepare the product, 100 milligrams of mummy should be dissolved in a tablespoon of water and taken orally 2 times a day for seven days. Such a solution can inhibit the normal intestinal microflora, so you need to take probiotics.
  • Starch tincture, which is prepared from one tablespoon of starch dissolved in a glass of warm water, helps to normalize the color of feces and is an antidiarrheal agent.

Herbal therapy also has its advantages, because phytotherapy has a general sedative effect besides local action.

  • The immortelle and Hypericum leaves should be dried, boiled for five minutes and insisted for ten minutes, then cooled and take a quarter cup three times a day.
  • The infusion of chamomile, which is prepared from three tablespoons of chamomile leaves, which are made in a liter of boiled water. Before taking, add a spoonful of honey and take half a cup 3 times a day.
  • Sage in the amount of 2 tablespoons brewed in boiled water and infused, then take half a cup 2-3 times a day.

Homeopathic remedies are widely used in black stools during pregnancy. Basic drugs:

  • Nux vomica-Gomakkord - a combined homeopathic remedy, has an anti-inflammatory effect on the intestinal mucosa. Available in drops, dosage - 10 drops per tablespoon of water 3 times a day. Side effects in the form of an allergic rash.
  • Mucosa compositum is a homeopathic remedy that has a regenerative, antispasmodic, anti-inflammatory effect. Also, the drug has a mucolytic effect and is able to enhance intestinal motility. Available in the form of a solution for injection at a dose of 2.2 ml. Dosage - 2.2 ml intramuscularly or subcutaneously, in acute conditions once a day, and in chronic colitis once a week. Not contraindicated in pregnancy, side effects may be in the form of allergic manifestations.
  • Traumel C is a complex homeopathic remedy that is available in the form of tablets and injectables. It has an anti-inflammatory, regenerating effect. Dosage in the acute period - 1 ampoule of 2.2 ml per day, then take 1 tablet 3 times a day for chronic colitis.
  • Viburcol is a homeopathic drug that has an analgesic, anti-inflammatory, antispasmodic, sedative effect. Available in the form of rectal suppositories. Apply one candle 2-3 times a day. Possible during pregnancy, side effects are not frequent in the form of allergic reactions. Contraindications to the use of the drug was not detected.


Prevention measures are non-specific, which exclude all possible causes of the development of black stool. During pregnancy, you must adhere to the rules of proper nutrition, which ensure the normal caloric content of food and the usefulness of food with a balanced composition of trace elements. It is necessary to limit the products that cause fermentation and are strong stimulants of intestinal motility.

Preventive measures should also be observed in the form of avoiding contact with infectious patients and hygiene measures - washing hands and food before use. If there is a history of peptic ulcer disease, preventive treatment should be carried out before pregnancy in order to avoid complications during pregnancy.

Black stools during pregnancy may be a symptom of a certain pathology, and may be normal, so you should correctly differentiate these conditions and promptly treat to prevent complications. You need to pay attention to any symptoms that alarm you during pregnancy, because we are talking about the health of the future baby. Chronic diseases should be treated before pregnancy so that the pregnancy goes well, so take care of your health!

Power type

The hue of the chair may vary significantly depending on what the person has eaten during the previous three days. Even with normal nutritional feces can be dark brown. And he becomes black by eating a large number of such products:

  • Beet.
  • Black currant.
  • Red grapes.
  • Prunes
  • Grenades.

The same effect will be if you drink the juice with the specified ingredients. In this case, you should not worry about black feces, because this phenomenon is completely normal. However, it should be added that this will only happen when there are no other symptoms. In order to finally ascertain the physiological nature of the stool, it is necessary to stop using staining products and watch the color change.

If black feces have appeared, you should first of all consider whether there is a connection with the nature of the food you eat.

Medication intake

Some drugs taken by women can also stain feces in a dark or black shade. Most often, a similar phenomenon is observed when prescribing iron, activated carbon or bismuth preparations. However, the latter, which include, for example, De-Nol - a medicine recommended for the treatment of peptic ulcer - during pregnancy are contraindicated.

As for iron-containing medicines, they are even necessary in many cases. This is due to the high frequency of anemia in carrying a child. Therefore, if the doctor recommended their reception, then the appearance of feces, painted in a dark color - this is a normal phenomenon, which should not be frightened. Also, a pregnant woman should remember if she took activated charcoal due to some bowel disorder, since she usually gives black stools. Coloration of feces returns to normal after discontinuation of drugs.

Gastrointestinal bleeding

Along with physiological causes, black faeces can appear due to serious health problems. This symptom should alert in terms of the possibility of bleeding from the upper digestive tract - the esophagus and stomach. This situation is considered as a complication of various diseases: peptic ulcer, portal hypertension, stomach cancer, Mallory-Weiss syndrome. At the same time, along with black feces (melena), there will be other symptoms:

  • Nausea.
  • Vomiting "coffee grounds".
  • Abdominal pain that may decrease with the onset of bleeding.
  • General weakness.
  • Pallor of the skin.
  • Dizziness.
  • Palpitations.
  • Pressure reduction.

This situation is mainly characteristic of the chronic course of the disease, so the woman probably noted certain symptoms in the past, which should also be noted by the doctor.

If there are no physiological reasons for black stools, then gastrointestinal bleeding should be excluded. This is a dangerous condition requiring emergency care.

Hemolytic anemia

Intense dyeing of feces also occurs in diseases that are accompanied by hemolytic anemia. True, the chair at the same time will have not black, but dark brown color. This situation can be observed with sickle cell anemia, microspherocytosis, thalassemia, exposure to hemolytic poisons, after blood transfusions or snake bites. Most often this is characterized by the following features:

  • Lemon jaundice.
  • Hypercholia feces.
  • Dark urine
  • Enlarged liver and spleen.
  • General weakness.
  • Dizziness.
  • Dyspnea.

Intensive hemolysis is dangerous because the destroyed red blood cells do not have time to be disposed of in the spleen and can clog the "kidney filter." This leads to oligoanuria, when urine is excreted in too small amounts, and acute kidney failure.

Hemolytic anemia is also found among pregnant women, so one should also keep in mind this reason for dark stools.

Infectious diseases

The discoloration of feces may be a consequence of infectious diseases of the digestive system. Most often this is observed with salmonellosis, dysentery or amebiasis. In such situations, the woman will be bothered by the following symptoms:

  • Abdominal pain of various localization.
  • Nausea and vomiting.
  • Flatulence.
  • Diarrhea.
  • Fever.
  • Malaise.

Palpation of the abdomen marked rumbling, tenderness of the large or small intestine. Frequent urging to the toilet with a small amount of feces. At the same time, feces contain pathological impurities: mucus, blood or pus. By the nature of the fecal masses, we can assume the type of infection

  • Dark green - with salmonellosis.
  • With streaks of blood - with dysentery.
  • In the form of "raspberry jelly" - with amebiasis.

If you do not go to the doctor in time, then dangerous complications are possible: infectious-toxic shock or severe dehydration.

It should be especially attentive to infectious diseases during pregnancy, as the fetus may suffer.