Prognosis, Prognosis, Will We Get a Diagnosis?

Since my last post, there have been no more surprise hospital visits, but a lot has been going on.

In addition to having an anatomy scan, with everything that has been happening we decided we wanted to know if there had been any effect on the pregnancy. Although we would have gone to term regardless, it gave us peace of mind, and just as the baby kicks had done, it made the pain of the past few weeks, disappear from my memory.

It is often banded about that you forget the pain of labour and discomfort of pregnancy once you have delivered your beautiful baby, and clearly that can happen during the pregnancy as well.

Upon feeling my baby kick for the first time, I couldn’t remember the intensity of the pain I had been feeling for weeks before.

At this time, I have been off sick from work for a month. I had a kidney scan last week, an ultrasound is the only safe way to view the kidneys during pregnancy, as I detailed in my posts on pain and medication in pregnancy.

Good news! There was nothing visibly concerning about my kidneys, so despite being in hospital with severe pain within my renal system a month ago, the cause (whether it was a kidney stone or not) seems to have passed and left no impact on these vital organs.

Where Does This Leave Us?

On Friday, I have another hospital appointment, this time at the urology unit.

The pain has thankfully decreased in frequency and intensity, but I still have seemingly random flare ups.

In addition to the obvious relief that two of my vital organs are functioning as they should and have come through unscathed, the results of the kidney scan mean that I can know park that suggested cause at the hospital door.

The aspect that has caused most confusion (and thus distress for this mum-to-be) is that with a kidney stone (as was first assumed) there is the intense pain that I experienced during my first hospital trip and then the pain decreases and passes along with the stone. What it does not do, is sit, constantly in the centre of your lower abdomen.

This is what was happening for the first 2 weeks, between our two midnight visits to hospital. As I mentioned, it has lessoned since then, from being constant to arising every few days.

This past week especially, it appears to have been most intense when urinating, as an acute cramping sensation. This has not been accompanied by any of the usual symptoms of a urinary tract infection (UTI), a burning or stinging sensation whilst passing urine.

So, whilst UTIs are really common in pregnancy, I think you can sense the scepticism I am feeling towards that prognosis.

We’ll see if we can get a more concrete idea of what is occurring on Friday…


Pain in Pregnancy: It Isn’t Always Wind!

Late Friday night I was admitted to the maternity ward with severe abdominal pain.

It had begun on Thursday, and I assumed that it was the usual pregnancy fun; bloating, trapped wind and the general nausea trend. During the second trimester you can also experience the gradual reduction of your stomach capacity as your uterus increases with size.

So discomfort after eating was not a huge surprise or of noted concern.

‘It’s Just Wind’

I woke up on Friday morning with the same discomfort, still assuming that it was attributed to ‘normal’ (we discussed how inappropriate that term is in my last post) pregnancy effects.

I went to work as usual, guiding tourists around the city. This appeared to escalate the discomfort to intense pain, shooting up my left side from my lower abdomen to under my ribs. After almost vomiting from pain, I finally limbed my way back to the tour office.

Almost in tears, I entered the staff room and was met by concern from some of my colleagues enjoying a cup of tea. As I told them what was wrong, I started to cry. They lovingly reassured me that ‘it’ll just be wind’.

Trapped wind is very common in pregnancy and really can HURT! But I still felt embarrassed and silly for making a fuss about something so typical and that I had experienced on many occasions.

This sense of shame worsened as the pain failed to abate, even with peppermints, ginger tea, and reduced movement. I was observing trainees on tours in the afternoon, but even though this is considerably less effort than delivering a tour, the pain continued to worsen, accompanied by severe nausea.

I had assumed that once I got home, I would be able to relax and finally get some relief. However, the pain continued to increase until I was finally in tears. This is not a usual response from me, it alarmed my husband and made us wonder if it really was ‘just wind’.

A Midnight Trip to Hospital

After a call to NHS 24, we were given an appointment at the Out of Hours clinic, were two lovely doctors examined me and concluded that it defiantly wasn’t bloating or wind, but an infection of some kind.

They considered it best that I get seen by an obstetrician to be on the safe side, and get confirmation that baby was absolutely fine. To be honest, I was reasonably confident that this pain was occurring around the baby, and not actually related to it, as I had no cramping pains or spotting.

We were at the Maternity Unit for almost 4 hours, with a series of urine and blood tests. It was concluded that it was likely that rather than an infection, I had a kidney stone and the immense pain I was experiencing was the resulting symptom. The official term for this pain is renal colic, which sounds about as pleasant as it is.

Kidney Stones in Pregnancy

The risk of developing a kidney stone is apparently increased during pregnancy. Given the increased workload for the kidneys during gestation, due to the mother’s increased blood volume and the fact that the baby has no kidneys of its own until about 10 weeks. The amount of fluid you need to intake is increased as well, which makes hydration increasingly important to ensure that the kidneys are filtering your blood effectively.

You can get more information about kidney stonesĀ here and of course on the NHS website.

A New Lesson

To be honest this post is a little more personal than I was envisioning when I started blogging. I never intended to be sharing hospital trips on the internet. However, I felt that it was important to share this particular experience because although my colleagues are right and a lot of the time the discomfort you are feeling is part of a ‘normal pregnancy’ experience, sometimes it isn’t.

A lot of the time pregnant women will be told that how they are feeling is just part of being pregnant, to grin and bear it, and it can feel that your experience is minor to someone else’s. But as I stated in my last post, Samuel’s aunt gave me great advice: not to diminish how you feel because someone else is feeling something else.

It is great to share experiences, they can be reassuring and beneficial, but never take someone else’s opinion or advice over your own instincts.

The other thing that pregnancy women are told, usually in preparation of birth, its to know and trust your body.

I have experienced bloating and wind A LOT during this pregnancy, and deep down I could tell the difference. Although my colleague had originally reassured me that it was ‘just wind’, she also could see that by the end of the working day, my condition was not improving and suggested that I seek medical advice.

I delayed in doing this because I was worried about being embarrassed again, of calling out of hours and being told it was ‘just wind’. No one likes to feel that they are making a fuss over nothing, or that they are overreacting. My colleague had not given any impression that she thought this, as I say her reassurance was very lovingly given, but it didn’t change how I felt about myself.

So that’s my lesson, especially to first-time mums. Know your body, trust your body, and have the confidence in your conviction that your body is reacting differently, or more intensely, because it is reacting to something new.

You can follow my medical adventures here.