Gastrointestinal symptoms are common in pregnancy and can result in significant morbidity. Some conditions
may occur for the first time during pregnancy or may be exacerbated by pregnancy. A careful history and
physical examination are essential for diagnosis. Nausea and gastro-oesophageal reflux may respond to lifestyle
and dietary modification, although medications are often required. When indicated, medications should be
used judiciously with knowledge of the potential risks to the fetus. Active coeliac disease and inflammatory
bowel disease (IBD) have potential adverse effects on pregnancy outcomes. Recurrent miscarriages may be a
clue to undiagnosed coeliac disease.
Modern Medicine – February 2018