When you are pregnant every part of your body is dramatically effected by the physical changes that accommodate the developing baby. The uterus grows from 70 grams to 1000 grams, most women gain at least a couple of stone, and your skin starts taking on pigments that may never fade! But what may seem minor, but often isn't, is the runny nose and altered hearing women report. The changes in the
ear, nose and throat are primarily due to changes in the circulatory system,
some presumed increased susceptibility to viral infections, as well as some
pressure changes from the bulk pressure of the growing uterus. This can range
from the very minor changes noted to increased reports of tinnitus, facial
palsies, and deafness that should be self limiting to pregnancy. As the levels
of estrogen and progesterone rise without enough corresponding change in
cortisol levels or immune enhancement there may also be heightened sensitivity
to allergens may influence the engorgement of the nasal mucosa, which can
in term cause epistaxis (bloody nose) and rhinitis. Most treatment regimens of these
complaints do not differ from the treatment of these conditions in the
non-pregnant state other than being aware of the effects of any selected
medication on the fetus, as most advice relies on case reports or reports of
case series. What did you notice during your pregnancy? Were there any treatments that helped you especially? Let me know!
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