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Second Trimester of Pregnancy

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Changes in Your Body continued...

Heartburn and constipation. These are caused by your body making more of a hormone called progesterone. This hormone relaxes certain muscles, including the ring of muscle in your lower esophagus that normally keeps food and acids down in your stomach, and the ones that move digested food through your intestines. To relieve heartburn, try eating more frequent, smaller meals throughout the day and avoid greasy, spicy, and acidic foods (such as citrus fruits). For constipation, get more fiber and drink extra fluids to keep things moving more smoothly. Physical activity will also help move things along.

Hemorrhoids. Hemorrhoids are actually varicose veins -- swollen blue or purple veins that form around the anus. These veins may enlarge during pregnancy, because extra blood is flowing through them and there is increased pressure on them from the growing uterus. Varicose veins can be itchy and uncomfortable. To relieve them, try sitting in a warm tub or sitz bath. Ask your doctor whether you can use an over-the-counter hemorrhoid ointment. 

Quickening. By the midpoint of your pregnancy (20 weeks) you will probably have started to feel the first delicate flutters of movement in your abdomen, which is often called "quickening." If you aren't feeling your baby move yet, don't worry. Some women don't experience quickening until their sixth month of pregnancy. 

Skin changes. Pregnant women often look as though they are "glowing" because changing hormone levels make the skin on the face appear flushed. An increase in the pigment melanin can also lead to brown marks on the face (often called the "mask of pregnancy") and a dark line (linea nigra) down the middle of the abdomen. All of these skin changes should fade after the baby is born. In the meantime, you can use makeup to conceal them. Your skin is also more sensitive to the sun right now, so make sure to wear a broad-spectrum (UVA/UVB protection) sunscreen with an SPF of at least 30 whenever you go outside. Limit your time in the sun, especially between 10 a.m. and 2 p.m., wearing long-sleeved clothes, pants, a broad-brimmed hat, and sunglasses. You may also notice thin, reddish-purple lines on your abdomen, breasts, or thighs. These stretch marks emerge as your skin expands to accommodate your growing belly. Although many creams and lotions claim to prevent or eliminate stretch marks, there is little evidence that they actually do. Using a moisturizer can help soften your skin and reduce itchiness. Most stretch marks should fade on their own after you deliver.

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