Conversation: The conversation between human and AI assistant.
[|Human|] I am 36 weeks pregnant, for the last several weeks i have had upper stomach pain that comes on suddenly usually after eating. I have been to my OB and the ER. They told me it was a gallbladder problem and ordered several tests. Urine, blood, and sonogram. They all came back normal. So they told me it was Billiary Colic, put me on a NO FAT diet and sent me home swear it would get better. It has not. Now I am having more symptoms. At times I see tracers (like someone threw glitter in the air) and my blood pressure normally runs low 60/80 ish but recently has been about 120/90. I keep asking them if that is something to worry about and they tell me no. The stomach pain is not improving, and before the no fat diet i was gaining about 2 lbs per week. I had these same symptoms late in my last pregnancy as well, and ended up having a small stroke during my labor. with this labor quickly approaching I am scared it will happen again. Please help me I am in pain and at a loss as to why.
[|AI|]  Hi, Thanks for the query. I understand your concern.  * In late pregnancy, the size of uterus in enlarged & it occupies most of abdominal cavity. Creating short of place to bowels. This causes mechanical hurdle in digestion & travel of food through gut which does not coincide with release of digestive enzymes in digestive tract. This causes digestive deficiency.  - Pregnancy hormones make intestinal movements sluggish, thus partially food stands long in the intestines... leads to more gas formation. Thus increasing more distension of abdomen & sometimes constipation.  - In such condition normal eating habits cause overload on digestion . This adds to lack of digestion.  * ALL above factors cause stretching abdomen & stretching of abdomen causes pain & discomfort.  * All of your investigations are normal, so way out for the problem can be- - Eat small & frequent servings (every 3 hours) - Each serving should contain fibers (salad/ vegetable/ fruit).  Chat Doctor.  (12 glasses in 24 hours)- sufficient fibers with water make improve intestinal movements. This improves digestion.  - Add light exercises in your routine. Simple yoga exercises/ walking... This stimulates functioning of gut.  - Avoid spicy, oily & difficult to digest food.  - You can add digestive enzymes over the counter/ with your doctors advise improving digestion still more.  * the stroke you mention you has during last delivery must not be related to abdominal pain. It must be something related to your blood pressure(which is normal at present. But psychological stress can cause high blood pressure / low Blood pressure also can produce fainting & weakness. Both the conditions can raise problem.)  - Please stop worrying, eat as advised, start doing light exercises/ have weekly pregnancy & BP.check up / inform your treating doctor about last episode. So that all preventive precautions will take at your delivery * it would be smooth !  Thanks.