{"id":1511,"date":"2023-09-15T12:48:01","date_gmt":"2023-09-15T12:48:01","guid":{"rendered":"https:\/\/www.drseragyoussif.com.au\/?page_id=1511"},"modified":"2025-01-16T05:46:20","modified_gmt":"2025-01-15T19:46:20","slug":"cholestasis-pruritus-of-pregnancy","status":"publish","type":"page","link":"https:\/\/www.drseragyoussif.com.au\/?page_id=1511","title":{"rendered":"Cholestasis Pruritus of Pregnancy"},"content":{"rendered":"<div class=\"brz-root__container brz-reset-all brz brz-root__container-page\">\n<section id=\"_lcrnmmyberhsrogyhazjramuyyuvtgndardu\" class=\"brz-section brz-css-1we6aso\">\n<div class=\"brz-section__content brz-section--boxed brz-css-14kudji brz-css-jz0x6u\" data-brz-custom-id=\"fefghiuzdobovsbxytcsilcezrzhjbxzqepb\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-image\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-i2dkqz\">\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-1cq918s\" data-brz-custom-id=\"indocjqefdvgknyaukmztcsaffvelswggttn\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-lh-xs-1_4 brz-ls-xs-m_1 brz-fw-xs-400 brz-fss-xs-px brz-fs-xs-30 brz-tp-xs-empty brz-tp-lg-empty brz-lh-lg-1_4 brz-ls-lg-m_1 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-36 brz-ft-google brz-ff-comfortaa brz-text-lg-center brz-css-d8Cne\" data-generated-css=\"brz-css-mH57j\" data-uniq-id=\"r60WV\"><span class=\"brz-cp-color2\">Cholestasis (Pruritus) of Pregnancy<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-line brz-line-default brz-css-15ol550\" data-brz-custom-id=\"fceycromjwvyprfqpckiwifkxywlymnrxhco\">\n<hr class=\"brz-hr\"><\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-3ja2qj\" data-brz-custom-id=\"oxzrpojurdznzhxyuudunrighydschpaxpby\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-row brz-css-czzxai brz-css-1mx6x30\">\n<div class=\"brz-columns brz-css-u0ektp brz-css-v8z9t7\" data-brz-custom-id=\"ovvqijdxosvtwzavnbuclykinhfumyszywhu\">\n<div class=\"brz-bg\"><\/div>\n<div class=\"brz-column__items brz-css-t4my43\">\n<div class=\"brz-wrapper-clone brz-css-1h7dxvq\">\n<div class=\"brz-d-xs-flex brz-flex-xs-wrap brz-css-b3etm4 brz-css-vmdpnc\" data-brz-custom-id=\"\">\n<div class=\"brz-wrapper-clone__item\" id=\"uzxfpqgxfrzdhvubfukxkditiiksmvekmodm\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"uzxfpqgxfrzdhvubfukxkditiiksmvekmodm\"><span class=\"brz-icon brz-span brz-css-156nv32 brz-css-v5ocbs\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-ipwmzw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-1cq918s\" data-brz-custom-id=\"elhzzenbcgehdudpjlwofhshrfdjcxlpmiut\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-ebO0g\" data-uniq-id=\"f6qLg\" data-generated-css=\"brz-css-tiOrC\">This relatively common disorder apparently results from idiosyncratic exaggeration of normal bile stasis due to hormonal changes. Intense pruritus, the earliest symptom, develops during the 2nd or 3rd trimester; dark urine and jaundice sometimes follow. Acute pain and systemic symptoms are absent. The disorder usually resolves after delivery but tends to recur with each pregnancy or with use of oral contraceptives.<\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-f6cVa\" data-uniq-id=\"jDgeL\" data-generated-css=\"brz-css-s61yI\"><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-itVQe\" data-uniq-id=\"cvqJY\" data-generated-css=\"brz-css-jaGhX\">For severe pruritus, oral cholestyramine Questran 4 to 6 gram twice daily or 3 to 4 gram tid is usually effective.<\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-aEe0Y\" data-uniq-id=\"m8Ciu\" data-generated-css=\"brz-css-bBrsm\"><a class=\"link--external\" href=\"http:\/\/www.merck.com\/mmpe\/lexicomp\/cholestyramine%20resin.html\" data-brz-link-type=\"external\" target=\"_blank\">Drug Information<\/a><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-mBhCx\" data-uniq-id=\"zCTEs\" data-generated-css=\"brz-css-oWfcO\"><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-iSHzH\" data-uniq-id=\"a3zMD\" data-generated-css=\"brz-css-ywe0E\">Bleeding due to hypoprothrombinemia occasionally develops but is readily reversed by vitamin K (phytonadione) 5 to 10 mg IM once\/day for 2 to 3 days<\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-zhlWC\" data-uniq-id=\"x__59\" data-generated-css=\"brz-css-oNz7S\"><a class=\"link--external\" href=\"http:\/\/www.merck.com\/mmpe\/lexicomp\/phytonadione.htm\" data-brz-link-type=\"external\" target=\"_blank\">Drug Information<\/a><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-siOyz\" data-uniq-id=\"jBIqr\" data-generated-css=\"brz-css-rvWsU\"><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p>    <!-- version:1736970380 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cholestasis (Pruritus) of Pregnancy This relatively common disorder apparently results from idiosyncratic exaggeration of normal bile stasis due to hormonal changes. Intense pruritus, the earliest symptom, develops during the 2nd or 3rd trimester; dark urine and jaundice sometimes follow. Acute pain and systemic symptoms are absent. The disorder usually resolves after delivery but tends to&hellip; <a class=\"more-link\" href=\"https:\/\/www.drseragyoussif.com.au\/?page_id=1511\">Continue reading <span class=\"screen-reader-text\">Cholestasis Pruritus of Pregnancy<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"footnotes":""},"class_list":["post-1511","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages\/1511","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1511"}],"version-history":[{"count":8,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages\/1511\/revisions"}],"predecessor-version":[{"id":5405,"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=\/wp\/v2\/pages\/1511\/revisions\/5405"}],"wp:attachment":[{"href":"https:\/\/www.drseragyoussif.com.au\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1511"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}