pregnancy - iron tablets

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Regular Member

Date Joined Apr 2007
Total Posts : 99
   Posted 10/7/2008 5:04 AM (GMT -6)   
Hi, tomorrow i will see my GI to dicuss the course of my pregnancy and the medication that i should take, if  i will continue taking  imuran or change to another medication. But i think is very unlikely to change my medication, because i could have a great risk of flare. I am on iron tablets and my stools are quite hard. Is there anything that i should take  to make them more soft, i am worry about constipation. I am eating a lot of fruits and vegetables , but it is not helping. Any ideas??? i would appreciate. Thanks   smilewinkgrin

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 10/7/2008 8:48 AM (GMT -6)   
Ask your doctor if it is okay to take stool softners or Miralax. Good luck!
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.

Regular Member

Date Joined Jan 2006
Total Posts : 449
   Posted 10/7/2008 9:23 AM (GMT -6)   
You'll be safe on Imuran. Many pregnancies have been done on Imuran. I've received affirmation from several top GIs about that, as it was one of my worries too as it's still on my list of "possible" drugs.

As for the iron tablets, who put you on those? Couple of things. One, make sure you are taking a GOOD prenatal vitamin. It should have enough iron in it and your OB/GYN should be checking your blood levels frequently to make sure you are okay with iron. If your iron levels drop, then they might put you on an iron pill. It was actually recommended to me to just eat more iron rich foods, such as beef then add another pill that could be harmful to my sensitive gut. What are your hemoglobins? I carried twins until 29 weeks and 2 days and my hemoglobin was right around 10.1 when I delivered, it fell during delivery, but I had an emergency c/s and by the next week, they were rising again.

Also, as for the constipation. Here's what's safe. I ended up with the ER 3 times with compactions. I have SUPER high progesterone levels and high progesterone can lead to the constipation. Get used to pregnancy constipation, it's SO common!!! But, they were worried with me. We didn't want anymore fissures or hemmorhoids, though I did have my fissures pop open from time to time. That said, Miralax, up to twice daily is SAFE. Just get it over the counter. It's CHEAPER to have your GI call you in a prescription of Glycolax, the generic, so long as you have good generic coverage. I was advised AGAINST taking stool softeners because apparently, long-temr on someone with IBD is not good for their gut. I don't remember why, but that's why we did Miralax. I would mix it with sprite or another carbonated soda or gatorade. It's just a small capful dose. I found mixing it the night before made it easier to drink the next day.

Eat fruits with lots of water in them... watermelon, grapes seem to be helpful for me, etc.

Also, it's always a good rule of thumb to drink 1/2 your body weight in ounces of water. So, if you weigh 150, drink at least 75oz of water per day. I was carrying twins, so I was drinking OVER 100oz of water a day. If you drink ANYTHING with caffeine in it, that negates how much water you drink, so if you drink 12oz of caffeine anything, then you need to drink 112oz of water if your goal is 100oz. That water intake will help the constipation too! I will say that a little caffeine each day helped act as a stimulate to my bowels, so it's definitely not something to get rid of entirely. Everything in moderation.

Sorry if that's more info then you needed/wanted. GL with your pregnancy! I felt SOOOO wonderful during pregnancy..despite all the complications we had with our daughter. I ate all the greasy food I wanted and never flared until after pregnancy. I can't reiterate enough...pregnancy was GOOD to me!
Kaycie - Age: 26
Crohn's - Dx Nov 05
Failed Remicade, moving onto a Clinical Trial called ABT-874 - Tentative start date - 10/2/08 - 10/16/08  - Infusion, every 4 weeks.
IVF #1 (In-Vitro Fertilization) - Failed
IVF #2 - IVIg, Heparin, Baby Aspirin - TWIN GIRLS!!!
Reagan Dawn - 8/2/07 - Lived 1 hour 27 minutes due to Cloaca, NOT affiliated with my Crohn's
Addison Maria - 8/2/07 - 13 months old

Veteran Member

Date Joined Jun 2008
Total Posts : 1058
   Posted 10/7/2008 3:22 PM (GMT -6)   
One thing - iron supplements interfere with the absorption of zinc and copper and destroys vitamin E, so it is better to take a multivitamin that has no iron and supplement the iron separately - at a different meal from the multi. I don't know what kind of iron you take, but maybe you should look for an easily absorbable form like citrate, ascorbate or the mixed fumarate/maleate/gluconate type. These are generally better absorbed and less irritating.
The C is helped by drinking lots of water as Kaycie said. If you get lots of water, a fiber supplement might be a good idea if you still have C problems. Fiber without enough water can cause problems.

Regular Member

Date Joined Nov 2004
Total Posts : 158
   Posted 10/7/2008 7:27 PM (GMT -6)   

I took Iron tablets when I was pregnant with twins. I just remember that I had to be sure not to take it with my prenatal.

I did not have a problem with constipation. But I remember I did with my first pregnancy and I think I took milk of magnesium. But boy did I go to the bathroom a ton for like a month after and that was from only drinking it once!

A high fiber diet and a fiber supplement with plenty of water would be a great start to helping you with the hard stools. Not all fruits and vegetables are packed with fiber so be sure and add beans to the mix. Hummus always helped me! 

Good luck!


Diagnosed with UC in July of 2003 then diagnosed with Crohns in August of 2006.

Veteran Member

Date Joined Nov 2005
Total Posts : 1338
   Posted 10/7/2008 7:43 PM (GMT -6)   
You should be able to take a stool softener like colace. They give that to you in the hospital after you deliver and it is safe when breast feeding. Double check though.

Currently in remission!

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