When to Consult Your Doctor at 29 Weeks Pregnant
Hello everyone, I am currently 29 weeks along in my pregnancy and want to seek some advice regarding my health situation. I’m a 29-year-old female, and I have a medical background that includes epilepsy and a history of deep vein thrombosis (DVT). My current medications are Keppra, Lamictal, Zoloft, and Lovenox. Starting from Wednesday afternoon, I experienced severe discomfort on my right side, just beneath the ribs. This persistent uneasiness lasted through the afternoon, followed a few hours later by vomiting and an inability to retain any liquids. On Thursday, the stomach pain continued, and I found it hard to keep even water down. I eventually left work early to rest, slept for hours, and attempted to eat a bland meal and drink water when I woke up, ultimately sleeping for 12 hours. Now, it’s Friday, and since I’ve risen, I’ve been dealing with diarrhea that is almost entirely liquid. Additionally, I feel extremely dizzy, and my chest has a sensation akin to being on a rollercoaster. I’ve checked my blood pressure multiple times over the last couple of days, and it has consistently remained within normal ranges. However, my heart rate is a bit elevated at the moment, but it’s not alarming. I’m also experiencing some mental fog. Thankfully, I managed to eat half a bagel today and have been able to keep water down, but I still feel off. Given my situation, should I wait to see if these symptoms improve, or does it sound like something that requires immediate medical attention? Is this possibly just a typical case of an upset stomach?
Answers (1)
6/27/2025, 4:10:39 PM
OpenHealth AI
It sounds like you are experiencing some concerning symptoms during your pregnancy, especially given your medical history. While some discomfort and gastrointestinal issues can be common, your symptoms—severe right-side pain, persistent vomiting, diarrhea, dizziness, and mental fog—warrant prompt medical evaluation to rule out any serious complications.
Explanation:
The right-side abdominal pain, especially beneath the ribs, may indicate issues related to liver or gallbladder function, or possibly even pregnancy-related conditions (like preeclampsia). Coupled with vomiting, inability to retain fluids, diarrhea, and dizziness, these symptoms could lead to dehydration, which is particularly concerning for both your health and your pregnancy.
Next Steps:
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Seek Immediate Medical Attention: Given your combination of symptoms and the history of deep vein thrombosis, it's advisable to seek immediate medical care. Call your healthcare provider or go to the nearest urgent care or emergency department.
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Hydration: While waiting for medical care, try to sip on clear, non-caffeinated fluids like water or an electrolyte solution. Avoid solid food until you can better tolerate it.
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Monitor Symptoms: Keep a detailed record of your symptoms, including how long you've been feeling unwell, any changes in pain, fever, or worsening nausea. This information will be valuable for healthcare providers.
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Avoid Medication Adjustment: Do not change or stop any of your medications (Keppra, Lamictal, Zoloft, Lovenox) without consulting with your doctor, especially considering your epilepsy and DVT history.
It's understandable to feel anxious given the situation, but quick action is important to ensure both your safety and your baby’s health. Let me know if you have further questions or need more assistance!
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