You sure like to keep things interesting. This past Tuesday was a rough night. I woke up at 3:00 in the morning (really Wednesday) and couldn’t stop itching. As I mentioned before, I started having the itchiness appear on my feet and hands. While on my way into work on Wednesday morning, I called the Dr to see if they had my lab results back yet and my bile acids were a 6, which they said was within normal range. I mentioned that my symptoms had gotten worse and was now having the itchiness on my palms and soles. This immediately worried them and they started asking how long I’ve had these symptoms and requested I come into the office that morning to get more blood work done. I had an appointment the next day, but they said they didn’t want to wait that long so we turned around and went into the office to get more blood work drawn.
I was able to meet with a nurse practitioner and she confirmed that the Bile acid tests are the true indicator of Cholestasis and until that comes back positive, they wouldn’t do anything. She also informed me that this next round of blood work would be a better indicator of what is happening inside my body as some people just have elevated liver enzymes while pregnant but now they have something to compare, it will help them understand if things are getting worse or maybe i just have heightened levels. They also prescribed a pregnancy safe medication to help me get sleep at night and decrease the itching.
This morning, I went in for my Bio-physical test of the baby and a visit with the nurse practitioner. The bio-physical went great. You were sleeping so it took a little longer to get your breathing and movements. They even had to put a little buzzer against my belly to wake you up. Overall, you passed all your tests–the only downfall is you flipped and are breech again. That must have happened over night because when I was walking on Thursday, I swear I could feel your head pushing on my bladder.
Fortunately, Dr. G wanted to talk to me, even though she had a super busy schedule I am so grateful that I was able to talk to her. She confirmed that my liver enzyme levels had risen from when they were previously tested (now in the 100s) but still weren’t at a super dangerous level. We also talked about the her general treatment and delivery approach. She believes I have cholestasis, my blood work just isn’t showing it yet and, she is going to treat me as if I do have it, which means continuing to run weekly blood work and weekly bio-physical tests. If for some reason the Bile tests don’t come back positive by my 36 week appointment, she is going to call the hospital and request I be induced at 37 weeks as she doesn’t feel it is safe to go beyond that given my symptoms and past history.
At the end of today, I did get a call informing me my bile levels were at a 12 this time, so they doubled from the previous, but it was still considered ‘normal’. I’m not sure what is considered ab-normal, so I’ll call to find out, next week. But in general, I feel so much more comfortable knowing we have a tentative plan in place.
Other things happening at 34 weeks pregnant. Overall, I’m really starting to feel the discomfort of being 8 months pregnant. My belly is getting heavy and some of my underwear is getting tight. Breathing continues to be challenging and feel like I should carry an oxygen mask around with me. I just don’t feel like I can catch my breath whether I’m lying in bed, sitting or standing in a line somewhere. Everyday tasks are getting challenging–like getting in and out of van, going up stairs, bending over or standing up. Food is pretty unappealing right now–especially anything that is unhealthy or greasy. So I’m just listening to what my body needs and eating lots of salads and fruit.
We’ve got a big weekend coming up with Auntie Sheila getting married. It is supposed to be super hot, so hoping that I survive!!