{"id":165,"date":"2025-07-14T06:18:53","date_gmt":"2025-07-14T06:18:53","guid":{"rendered":"https:\/\/www.drsameergaggar.com\/blog\/?p=165"},"modified":"2025-07-14T06:18:55","modified_gmt":"2025-07-14T06:18:55","slug":"patient-information-sheet-for-acute-severe-ulcerative-colitis-asuc-in-pregnancy","status":"publish","type":"post","link":"https:\/\/www.drsameergaggar.com\/blog\/2025\/07\/14\/patient-information-sheet-for-acute-severe-ulcerative-colitis-asuc-in-pregnancy\/","title":{"rendered":"Patient Information Sheet for Acute Severe Ulcerative Colitis (ASUC) in Pregnancy"},"content":{"rendered":"\n

Managing Acute Severe Ulcerative Colitis During Pregnancy<\/strong><\/p>\n\n\n\n

What is Acute Severe Ulcerative Colitis (ASUC)?<\/p>\n\n\n\n

Ulcerative colitis (UC) is a condition where your large intestine (colon) becomes inflamed. Sometimes, this inflammation becomes very severe and needs urgent treatment \u2014 this is called Acute Severe Ulcerative Colitis (ASUC).<\/p>\n\n\n\n

Is it safe to treat ASUC during pregnancy?<\/p>\n\n\n\n

Yes. It is very important to treat ASUC during pregnancy \u2014 both for your health and for your baby\u2019s well-being. Uncontrolled inflammation is riskier than most treatments.<\/p>\n\n\n\n

Doctors will choose medications that are proven to be safe in pregnancy.<\/p>\n\n\n\n

How is ASUC treated during pregnancy?<\/strong><\/p>\n\n\n\n

\n
Corticosteroids (Steroids)<\/li>\n<\/ol>\n\n\n\n
Given through the vein (IV) in the hospital, it help reduce the inflammation quickly.
Generally safe in pregnancy, especially after the first trimester.<\/p>\n\n\n\n
\n
Supportive Care<\/li>\n<\/ol>\n\n\n\n
Fluids, pain relief, rest, and special attention to your nutrition.<\/p>\n\n\n\n
Blood tests and stool tests to monitor your condition.<\/p>\n\n\n\n
\n
Rescue Medications (if steroids don\u2019t work within 3\u20135 days):<\/li>\n<\/ol>\n\n\n\n
Infliximab (a type of biologic medicine)
-Safe in pregnancy.
-May slightly increase risk of infections in newborn, especially if used late in pregnancy.<\/p>\n\n\n\n
Cyclosporine (used in some cases)
-Used with caution and close monitoring.
-May be used short-term if infliximab is not an option.<\/p>\n\n\n\n
What if medications don\u2019t work?<\/p>\n\n\n\n
If your condition doesn\u2019t improve, surgery may be necessary. This is rare but can be lifesaving. Doctors may perform a procedure to remove the diseased part of your colon. It can be done safely during pregnancy if needed.<\/p>\n\n\n\n
\n
How does it affect my baby?<\/strong><\/li>\n<\/ul>\n\n\n\n
Most treatments are safe for the baby.<\/p>\n\n\n\n
Active inflammation is more harmful than the medicines.<\/p>\n\n\n\n
Your baby may be monitored more closely during your pregnancy.<\/p>\n\n\n\n
Can I breastfeed after treatment?<\/strong><\/p>\n\n\n\n
Yes! Most medications used in ASUC are safe for breastfeeding, including:<\/p>\n\n\n\n
Steroids<\/p>\n\n\n\n
5-ASA (mesalamine)<\/p>\n\n\n\n
Infliximab<\/p>\n\n\n\n
Azathioprine<\/p>\n\n\n\n
Your doctor will guide you based on what you\u2019re taking.<\/p>\n\n\n\n
What happens after recovery?<\/p>\n\n\n\n
Once you feel better:<\/p>\n\n\n\n
You will be switched to maintenance medicines to keep the disease in remission.<\/p>\n\n\n\n
It\u2019s very important to continue medications even if you feel well, to avoid another flare.<\/p>\n\n\n\n
Things to Remember :<\/strong><\/p>\n\n\n\n
Treating ASUC promptly is safe and necessary.
Your treatment plan is made with your baby in mind.
You are not alone \u2014 your doctors will support you throughout.<\/p>\n\n\n\n
When to call your doctor immediately :<\/strong><\/p>\n\n\n\n
Severe abdominal pain<\/p>\n\n\n\n
Bleeding that doesn\u2019t stop<\/p>\n\n\n\n
Vomiting or dehydration<\/p>\n\n\n\n
Fever or chills<\/p>\n\n\n\n
Feeling faint or dizzy<\/p>\n\n\n\n
Follow-Up Is Important!<\/strong><\/p>\n\n\n\n
Keep all your appointments and always inform your obstetrician and gastroenterologist about any new symptoms.<\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"
Managing Acute Severe Ulcerative Colitis During Pregnancy What is Acute Severe Ulcerative Colitis (ASUC)? Ulcerative colitis (UC) is a condition where your large intestine (colon) becomes inflamed. Sometimes, this inflammation becomes very severe and...<\/p>\n","protected":false},"author":1,"featured_media":166,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-165","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-asuc"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.drsameergaggar.com\/blog\/wp-content\/uploads\/2025\/07\/ASUC-in-Pregnancy.png?fit=720%2C340&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/posts\/165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/comments?post=165"}],"version-history":[{"count":1,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/posts\/165\/revisions"}],"predecessor-version":[{"id":167,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/posts\/165\/revisions\/167"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/media\/166"}],"wp:attachment":[{"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/media?parent=165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/categories?post=165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drsameergaggar.com\/blog\/wp-json\/wp\/v2\/tags?post=165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}