Early Pregnancy Bowel Issues: Causes & Tips for Relief 2023

Early Pregnancy Bowel Issues
Early Pregnancy Bowel Issues

Pregnancy is a beautiful journey filled with excitement and anticipation. As your body undergoes numerous changes to nurture the growing life within, you may encounter various challenges along the way.

One of the lesser-discussed aspects of pregnancy is the impact it can have on your digestive system, leading to early pregnancy bowel issues.

In this comprehensive guide, we will delve into the causes, symptoms, and remedies for these common gastrointestinal discomforts that many expectant mothers experience during their first trimester.

Understanding Early Pregnancy

The First Trimester and Its Significance

The journey of pregnancy is typically divided into three trimesters, with each trimester lasting approximately three months. The first trimester is crucial for the development of the fetus, as this is when the tiny embryo grows rapidly and its major organs begin to form. This period is often accompanied by a host of hormonal changes. These changes can affect various systems in your body, including your digestive system.

Hormonal Changes and Their Impact on the Digestive System

During the first trimester, your body experiences a surge in hormone production, most notably human chorionic gonadotropin (hCG) and progesterone. While these hormones play essential roles in supporting pregnancy, they can also have unintended effects on your gastrointestinal tract.

One common symptom attributed to these hormonal changes is morning sickness, which can lead to nausea and vomiting. Morning sickness is a misnomer, as it can occur at any time of the day or night. It typically starts around the sixth week of pregnancy and can persist into the second trimester for some women.

Common Complaints in Early Pregnancy

Early-pregnancy bowel issues often manifest as gastrointestinal complaints. Here are some of the most common ones:

Nausea and Vomiting (Morning Sickness)

Morning sickness is believed to be triggered by the rapid rise in hCG levels, which can irritate the stomach lining. Certain triggers, such as strong odors, certain foods, or an empty stomach, can exacerbate these symptoms.

Coping Strategies and Remedies: To alleviate morning sickness, try eating smaller, more frequent meals and avoiding triggers. Ginger, acupressure wristbands, and prescribed medications can also provide relief.


Progesterone, a hormone produced in abundance during pregnancy, can relax the muscles of the intestinal tract. This relaxation can slow down the movement of food and waste through the digestive system, leading to constipation.

Dietary and lifestyle changes: Increasing your fiber intake by consuming fruits, vegetables, and whole grains can help soften stools and ease constipation. Staying well-hydrated and engaging in regular physical activity also promotes healthy digestion.


While less common than constipation, some pregnant individuals may experience diarrhea during early pregnancy. It can be caused by hormonal changes, dietary adjustments, or an increased sensitivity to certain foods.

Managing Diarrhea During Pregnancy: If you experience persistent diarrhea, it’s essential to stay hydrated and consult your healthcare provider. They can identify potential causes and recommend appropriate treatments.

Factors Contributing to Early Pregnancy Bowel Issues

Early Pregnancy Issues
Early Pregnancy Issues

Several factors contribute to the development of bowel issues during early pregnancy:

  1. Hormonal Fluctuations: As mentioned earlier, the hormonal changes that occur in early pregnancy can disrupt the normal functioning of the digestive system.
  2. Increased Progesterone Levels: The elevation of progesterone relaxes smooth muscle tissue throughout your body, including the muscles of the digestive tract, potentially leading to constipation.
  3. Changes in Diet and Dietary Preferences: Pregnancy cravings and aversions can lead to dietary changes, which may affect bowel habits. Additionally, some prenatal vitamins can cause constipation.
  4. Stress and Anxiety During Pregnancy: Emotional stress and anxiety can impact your digestive system, leading to bowel irregularities. The stress of anticipating motherhood can exacerbate these issues.

Serious Bowel Issues vs. Common Discomfort

It’s essential to distinguish between common discomforts and more serious bowel issues during pregnancy. While most early pregnancy bowel issues are benign and manageable, some may require medical attention.

When to Seek Medical Attention:

  1. Persistent Vomiting: If you experience severe and continuous vomiting that leads to dehydration, contact your healthcare provider immediately.
  2. Blood in Stool: The presence of blood in your stool can be a sign of more serious gastrointestinal problems. Seek medical attention if you notice this symptom.
  3. Severe Abdominal Pain: Intense and persistent abdominal pain that is not relieved by common remedies should be evaluated by a healthcare professional.
  4. Fever and Diarrhea: If you develop a fever along with diarrhea, it could indicate an infection that needs prompt treatment.

Warning Signs and Red Flags:

  1. Dehydration: Signs of dehydration include dark urine, dry mouth, dizziness, and a rapid heartbeat. Dehydration can be dangerous during pregnancy and requires immediate medical attention.
  2. Weight Loss: Significant weight loss during early pregnancy is concerning and should be discussed with your healthcare provider.
  3. Prolonged Symptoms: If your bowel issues persist for an extended period or worsen over time, it’s essential to consult with a healthcare professional to rule out underlying conditions.

Potential Complications if Left Untreated

While most early pregnancy bowel issues are temporary and manageable, untreated, severe symptoms can lead to complications. These complications may include:

  1. Dehydration: Persistent vomiting or diarrhea can lead to dehydration, which can be harmful to both you and your developing baby.
  2. Nutritional Deficiencies: Chronic digestive problems can prevent proper nutrient absorption, potentially leading to nutritional deficiencies.
  3. Excessive Straining: Straining during bowel movements due to constipation can contribute to hemorrhoids, which can be painful and uncomfortable.

Coping Strategies and Remedies

Fortunately, there are several strategies and remedies that can help alleviate early pregnancy bowel issues:

Dietary Modifications for Better Digestion:

  1. Fiber-Rich Foods: Incorporate fiber-rich foods such as fruits, vegetables, whole grains, and legumes into your diet to promote regular bowel movements.
  2. Hydration: Drink plenty of water throughout the day to prevent dehydration and support healthy digestion.
  3. Small, Frequent Meals: Eating smaller, more frequent meals can help prevent nausea and maintain stable blood sugar levels.
  4. Avoid Trigger Foods: Identify and avoid foods or smells that trigger nausea and vomiting.

Exercise and Physical Activity:

  1. Prenatal Yoga: Prenatal yoga can help alleviate stress, improve digestion, and promote overall well-being.
  2. Walking: Gentle walks can aid digestion and relieve constipation.
  3. Kegel Exercises: These exercises can help strengthen the pelvic floor muscles, potentially reducing the risk of constipation and hemorrhoids.

Relaxation Techniques to Reduce Stress:

  1. Meditation and Deep Breathing: Mindfulness practices can reduce stress and anxiety, which can, in turn, ease digestive discomfort.
  2. Prenatal Massage: A prenatal massage can help relax tense muscles and promote a sense of well-being.

Over-the-Counter and Natural Remedies:

  1. Ginger: Ginger supplements or ginger tea can help alleviate nausea and vomiting.
  2. Probiotics: Probiotic supplements may help regulate digestion and prevent diarrhea.
  3. Stool Softeners: Your healthcare provider may recommend a stool softener if you’re experiencing constipation.
  4. Acupressure Wristbands: Some pregnant individuals find relief from nausea using acupressure wristbands.

Consultation with Healthcare Provider

Early Pregnancy tackle issues
Early Pregnancy tackle issues

It’s crucial to maintain open communication with your healthcare provider throughout your pregnancy, especially if you are experiencing bowel issues. Here are some key points to consider:

Importance of Open Communication with a Healthcare Provider:

  1. Regular Prenatal Visits: Attend all scheduled prenatal visits and be prepared to discuss any digestive problems you are experiencing.
  2. Medication and Supplements: Inform your healthcare provider about any over-the-counter medications or supplements you are taking, as they can provide guidance on their safety during pregnancy.
  3. Customized Guidance: Your healthcare provider can offer personalized advice and treatment options tailored to your specific needs and concerns.

When to Consult a Doctor or Specialist:

  1. Severe Symptoms: If your symptoms are severe and affecting your daily life, it’s essential to seek medical advice promptly.
  2. Medication Safety: Consult your healthcare provider before taking any new medications, even those available without a prescription.
  3. Persistent Issues: If your bowel issues persist or worsen despite trying home remedies, consult your healthcare provider for a thorough evaluation.

Questions to Ask During a Prenatal Visit

When discussing bowel issues during prenatal visits, consider asking your healthcare provider the following questions:

  1. Are my digestive symptoms normal during pregnancy?
  2. Can you recommend dietary changes to alleviate my symptoms?
  3. Is it safe for me to take over-the-counter medications for my bowel issues?
  4. What warning signs should I be aware of that require immediate medical attention?
  5. Are there any specific tests or evaluations you recommend for my digestive concerns?
  6. Should I consider consulting a gastroenterologist or specialist for further evaluation?

Real-Life Stories and Testimonials

To provide additional insight and support to expectant mothers, let’s explore some real-life stories and testimonials from pregnant individuals who have experienced and successfully managed early pregnancy bowel issues.

Jessica’s Morning Sickness Battle:

Jessica, a first-time mom, shares her experience with morning sickness during her first trimester. She recalls feeling nauseous throughout the day and struggling to keep food down. Jessica found relief by sipping on ginger tea and eating small, frequent meals. She advises other pregnant individuals to experiment with different remedies to find what works best for them.

Emily’s Journey with Constipation:

Emily experienced constipation during her early pregnancy, which left her feeling uncomfortable and bloated. She consulted her healthcare provider, who recommended increasing her fiber intake and staying hydrated. Emily also found gentle exercise, such as walking, to be beneficial in alleviating her symptoms.

Sarah’s Diary of Diarrhea:

Sarah shares her diary of dealing with diarrhea during her pregnancy. She discusses how her healthcare provider ruled out any serious causes and provided her with guidance on managing her symptoms. Sarah emphasizes the importance of seeking medical advice when experiencing digestive issues during pregnancy.


In conclusion, early pregnancy bowel issues are common and can be attributed to hormonal changes, dietary adjustments, and the stress of pregnancy. While these issues can be uncomfortable, they are typically manageable with dietary modifications, lifestyle changes, and, in some cases, medication or supplements.

It’s essential for expectant mothers to maintain open communication with their healthcare providers, attend regular prenatal visits, and seek medical advice when necessary. By following the coping strategies and remedies outlined in this guide, you can navigate early pregnancy bowel issues with confidence and ensure a healthier, more comfortable pregnancy journey.

Remember that each pregnancy is unique, and what works for one person may not work for another. Be patient with yourself and explore different approaches until you find what provides you with the most relief.

Additional Resources

For further information and support regarding early pregnancy bowel issues, consider exploring the following resources:


  1. “What to Expect When You’re Expecting” by Heidi Murkoff and Sharon Mazel
  2. “The Pregnancy Encyclopedia” by DK


  1. American Pregnancy Association (americanpregnancy.org)
  2. BabyCenter (https://www.babycenter.com/)
  3. Mayo Clinic – Pregnancy (mayoclinic.org/pregnancy)
  4. MedlinePlus – Pregnancy (medlineplus.gov/pregnancy.html)

Learn more about Pregnancy tips & tricks at Parental Solution