Question: What causes a lump(looks like a ping pong ball just under skin)on belly
just above the belly button. I’m 6 and 1/2 months pregnant. Doctor will not fully
explain and gave us 3 different things he THINKS it could be. K. (USA)
Answer: It will be presumptuous of me to pretend to know exactly what it is you are
describing. All I can say is that, it is unlikely to be directly related to pregnancy.
I suspect its occurrence at this time is purely coincidental. What comes to mind
with the very little information I have is that it could be a lipoma (a completely
harmless ball of fat tissue) or even a hernia .
I am sorry that I cannot be of more help but this is a situation where, as a doctor,
you need to see and feel to give a reliably definitive answer. By not giving you
a firm explanation, your doctor is just being honest and remember, aggressive investigation
during pregnancy is significantly limited.
Augmentin in pregnancy
Question: Is Augmentin safe to use in pregnancy or not? L. (Libyan Arab Jamahiriya)
Answer: Augmentin is a combination antibiotic with Amoxicillin and Clavulanic Acid.Its
use in pregnancy is regarded to be largely safe. However, it has been associated
with increased risk for a serious condition affecting the bowel in preterm babies.
The condition is called necrotising enterocolitis. An increased risk for this was
demonstrated in one large study when it was given to women who had suffered premature
rupture of membranes. It is therefore best avoided in such circumstances.
Amoxicillin, the principal component of Augmentin is, of-course, a type of Penicillin.
This means, anybody with a history of Penicillin allergy should avoid using Augmentin,
pregnant or not.
When do pregnancy symptoms start?
Question: How soon can you get symptoms of pregnancy, such as nausea, dizziness etc?
Answer: Appearance of symptoms differ from one individual to another. On average,
the symptoms will start within a week of a missed period, which is five weeks gestation.
Some women do not get any at all.
Sex during early pregnancy
Question: 1.During the first 3 months of pregnancy is it safe to have sex, and; 2.When
can I have sex after a normal delivery and a caesarean delivery? S (India)
Answer: Two distinct questions and two answers:
It is perfectly safe to have sex in the first trimester of pregnancy. In fact, it
is safe to have sex throughout the course of pregnancy, up until Term.
After a vaginal or caesarean section, you can resume having sexual intercourse as
soon as you are ready. There is no time interval restriction. Remember, if you are
not breast-feeding, ovulation can resume within 4 - 6 weeks of delivery. You should
therefore ensure you have your contraception sorted.
Pain in the rib-cage in pregnancy
Question: I have severe pain in my left rib cage and down my left side feels like
a really bad stitch. Paracetamol have made no difference, what could this be? L.S.
Answer: I am afraid your details are too brief to give you any meaningful advice.
Are you pregnant and if so, how far gone are you? If you are pregnant and this is
well advanced, it might be pressure from the baby’s limbs or other body part. The
only organ in that vicinity on the left side is the spleen. I cannot think of anything
which will affect the spleen to give you pain. The right side, on the other hand,
has got the liver and gallbladder. Both are good candidates for causing pain. This,
ofcourse, does not apply to you. The exception in this would be if you have the rare
condition called situs inversus. This is where the abdominal and chest organs are
in the mirror side of the body. As I said, this is rare and I think taking you along
this route will be stretching it.
Homeopathy for fertility problems
Question: This is our 4th year of marriage.we are trying for a baby. But its not
happening.Now we are undergoing some homeopathic treatment for last 2 months.My menstrual
cycle was regular. 3rd was its starting date and now we are on the 13th, not yet
it came. Two days ago I had done my Home Pregnancy testand it was showing negative.
We are really worried about this matter. Please help us. J.S. (UAE)
Answer: I do understand how frustrating a situation such as yours can be. However,
before I can give you any advice, I would need more details. Since I practise conventional
medicine, I cannot really advise you anything on the homeopathic path that you are
The following information might help a doctor advise you:
How old are you and your husband
What is your body weight like (It might help to tell me your weight and height)
Are there any significant medical problems such as diabetes, hypertension etc affecting
either of you?
What is the pattern of your periods i.e. are they normally regular and how long does
your typical cycle last?
How long does your menstrual period last?
How frequently do you have sexual intercourse and in what part of your cycle?
Have you and your husband undergone any fertility tests, if so, which ones?
With this kind of information, a conventional medicine doctor like me might be able
to give a fair amount of advice on how you ought to proceed. I possess no expertise
Acute pain and cysts in pregnancy
Question: Hi, i am approximately 11 weeks pregnant and have a cyst in my uterus.
Found out about the cyst via ultrasound after extreme pain that sent me to emergency.
Tonight have have a lot of clear discharge.Is it from the cyst breaking? L.E. (Canada)
Answer: I am not entirely sure what you mean by "a cyst in the uterus". Such a location
for a cyst is very very unusual. You can have a cyst in the cervix, which contains
just clear mucus. These cysts are also known by the name 'Nabothian cysts'. They
don't cause pain and spontaneous rupture is uncommon. Another, much more common location
of cysts during pregnancy is the ovaries. Such cysts can twist causing acute pain.
However, because there is no communication between the ovaries and the vaginal canal,
even if such a cyst was to rupture, the fluid will be retained in the pelvic cavity
and would not be revealed vaginally.