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pregnancy, acid reflux, and GRJ

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pregnancy, acid reflux, and GRJ

Posted by
Stinky on October 27, 2003 at 09:38:21:

I have read that too much ginger can cause miscarriage. Is the dosage of ginger root juice you recommend for treating acid reflux safe to use during pregnancy? I am 21 weeks, if that makes a difference.

Thanks.



Re: pregnancy, acid reflux, and GRJ

Posted by Walt Stoll on October 28, 2003 at 06:21:23:

In Reply to: pregnancy, acid reflux, and GRJ posted by Stinky on October 27, 2003 at 09:38:21:

Hi, Stinky.

"Not bloody likely." Show me any research that even suggests such a thing.

Walt



Re: pregnancy, acid reflux, and GRJ

Posted by Happygal on October 28, 2003 at 07:09:06:

In Reply to: Re: pregnancy, acid reflux, and GRJ posted by Walt Stoll on October 28, 2003 at 06:21:23:

Hi Stinky,

If you are pregnant and wanted to be sure you could always double check with a practitioner of oriental medicine, in particular, an herbologist. Ginger is a medicinal substance and I really doubt there is any problem with it, but it is one place you could ask.

Best wishes,
Happygal

Follow Ups:


Re: pregnancy, acid reflux, and GRJ

Posted by
Stinky on October 28, 2003 at 14:26:04:

In Reply to: Re: pregnancy, acid reflux, and GRJ posted by Walt Stoll on October 28, 2003 at 06:21:23:

I first read of this caution in "A woman's book of Yoga" by Hari Kaur Khalsa and Dr. Machelle Seibel. (Dr. Seibel is an OB-GYN, by the way.) There's also a site listed below that addresses the issue, although without citing research as you request.

Frankly your dismissive attitude is not one I expected to find in a man of curiosity. Perhaps your full intentions are the victim of the impersonal nature of internet communication.

What percentage of your patients have used ginger juice to combat pregnancy reflux? Any adverse outcomes?

I don't think these are unreasonable questions. I'm just an internet address to you, but the baby in my womb is my one and only, created in love. I want to do my best for him or her.



Re: pregnancy, acid reflux, and GRJ

Posted by Walt Stoll on October 29, 2003 at 08:29:19:

In Reply to: Re: pregnancy, acid reflux, and GRJ posted by Stinky on October 28, 2003 at 14:26:04:

Thanks, Stinky.

My "dismissive attitude" was asking for research confirmation--which you do not have. I have had years of experience with rumor and word of mouth that had nothing to do with fact.

I guess you are just going to have to make up your own mind without any facts.

Walt



Re: pregnancy, acid reflux, and GRJ

Posted by Stinky on October 29, 2003 at 09:08:03:

In Reply to: Re: pregnancy, acid reflux, and GRJ posted by Walt Stoll on October 29, 2003 at 08:29:19:

I'm sorry to have offended you, clearly I misunderstood your tone.

Would you please answer my question about whether you have had any patients use the ginger root juice remedy during pregnancy?



answers

Posted by ~CT on October 29, 2003 at 09:42:14:

In Reply to: Re: pregnancy, acid reflux, and GRJ posted by Stinky on October 29, 2003 at 09:08:03:

a search engine, using "Ginger root juice, pregnancy", returned the following:


(1) http://www.gentlebirth.org/archives/ginger.html

The RCT on ginger treatment of hyperemesis is Fischer-Rasmussen W, Kjaer SK, Dahl C, Asping U. Ginger treatment of hyperemesis gravidarum. Eur J Obstet Gynaecol Reprod Bio 1990. 38: 19-24


(2) http://list.dysphagia.com/dysphagia/2002-August/msg00275.html

Vutyavanich T, Kraisarin T, Ruangsri R.
Ginger for nausea and vomiting in pregnancy: randomized, double-masked,
placebo-controlled trial
.
Obstet Gynecol 2001 Apr;97(4):577-82

(3)http://www.bodyandfitness.com/Information/Womenhealth/Pregnancy/pregnancy1.ht

One of the most common complaints during pregnancy is morning sickness, a combination of nausea, headache and dizziness that is experienced by about half of pregnant women during their first few months of pregnancy. To relieve this problem, take ginger first thing in the morning and repeat at the first hint of nausea during the day. You can drink a ginger tea or take a couple of capsules. Even a few ginger-snap cookies or a large glass of ginger ale can help! You can also make a tasty morning-sickness reliever by combining ginger with lemon juice.

(4)http://midwifeinfo.com/topic-herbs.php

Safe herbs to use during pregnancy: red raspberry leaf, nettle (tea, as a tonic); spearmint or peppermint tea, sips upon arising (morning sickness); ginger root tea, tablespoon doses (for nausea, up to a cup a day); yellow dock (for constipation and to improve uptake of iron)

I got thousands of hits during this search.

p.s. Dr. Stoll is not an OB-Gyn and many times he learns with the rest of us.




Re: answers

Posted by Stinky on October 29, 2003 at 14:09:41:

In Reply to: answers posted by ~CT on October 29, 2003 at 09:42:14:

Thanks for those links, CT.

From the last one listed, I've copied two paragraphs below:

Emmenagogues, menstrual promoters to be avoided, especially in high doses, in early pregnancy and in those who are prone to miscarry: agave, aloe vera, angelica, asafoetida, basil, bethfoot, birthwort, black pepper, catnip, celery juice, chincona bark, cinnamon, dong quai, feverfew, GINGER, hyssop, lovage, marjoram, mugwort, myrrh, osha, parsley (juice), peppermint (oil), rosemary, sage, saffron, senna, yarrow. Dietary amounts of ginger, black pepper, peppermint, and sage are probably safe


Safe herbs to use during pregnancy: red raspberry leaf, nettle (tea, as a tonic); spearmint or peppermint tea, sips upon arising (morning sickness); GINGER root tea, tablespoon doses (for nausea, up to a cup a day); yellow dock (for constipation and to improve uptake of iron)

(EMPHASIS MINE)

See why I'm confused? :)



Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.)

Posted by Walt Stoll on October 30, 2003 at 06:50:27:

In Reply to: Re: answers posted by Stinky on October 29, 2003 at 14:09:41:

Thanks, Stinky.

Just because someone listed every spice they could think of in a list of "do not use with pregnancy" is absolutely no reason for believing it is anything but a CYA list. I would insist upon that person showing me even one study showing that ginger could possibly cause a problem with pregnancy.

I have delivered about 1000 babies. I have never tried using ginger for hyperemesis gravidarum but I have used it for GERD with absolutely no problems. My guess is that, unless the person HAD GERD, the ginger would not help the HG anyhow.

The effective treatment for HG is one (or rarely 2) injections of 200 milligrams of vitamin B6--which, by the way, less than 1% of OB-GYNs know to do. This is silly since there is no possible harm and the results are usually within 24 hours (See the pregnancy archives.)

If you will look in the PDR, you will notice that nearly 100% of the drugs listed there say not to use during pregnancy. How many of them do you think have actually been tested? This is just another CYA.

I am sorry you took what I said negatively but I really get bothered by stuff like this. In my opinion. there is no conceivable way that ginger could affect a pregnancy. Of course, all we are talking about is your comfort so......

Walt



Re: answers

Posted by ~CT on October 30, 2003 at 06:59:41:

In Reply to: Re: answers posted by Stinky on October 29, 2003 at 14:09:41:

I sure do, and am thankful I am past that stage of my life that I don't have to worry aobut it anymore!

If I were you, I would take a thorough look at the archives here to see what has been beneficial for others' pregnancies. There is some great information here that I wish I had when I was pregnant. I had to use gaviscon for my gerd, so thank goodness it didn't last long.

Good luck :)

Follow Ups:


Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.)

Posted by thessa on October 30, 2003 at 07:09:15:

In Reply to: Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.) posted by Walt Stoll on October 30, 2003 at 06:50:27:

I was listening to commentary on this issue by David Christopher (herbalist). He was discussing another herbalist who recommends avoiding ginger during pregnancy, and imagined that she teaches this because ginger was used in china at one point (and now?) to promote miscarriage. But his point that the dosage used to promote miscarriage was equal to 20 grams of the dried herb in a day. When drinking a cup of ginger tea, you're not even coming close to consuming a quantity equal to 1 gram.

That about summarizes his view on it at the time.



Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.)

Posted by Stinky on October 30, 2003 at 08:19:06:

In Reply to: Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.) posted by Walt Stoll on October 30, 2003 at 06:50:27:

>>>I would insist upon that person showing me even one study showing that ginger could possibly cause a problem with pregnancy.<<<

I'd love to see the call for participants on that one:

"If you are pregnant and wouldn't mind risking miscarriage, you may be eligible for a scientific study on the proper dosage of ginger root juice for pregnancy reflux."

Isn't this why word-of-mouth is sometimes all we have? I know it's why so-called old wives' tales can hold sway on a non-scientist like me.

Ultimately, my decisions will be made based on how much I trust the information I have -- and I do tend toward caution. Maybe overcaution. :)

Follow Ups:


Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.)

Posted by Walt Stoll on October 31, 2003 at 06:44:11:

In Reply to: Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.) posted by thessa on October 30, 2003 at 07:09:15:

Thanks, Thessa.

Too much of anything (even air and water) are a poison and can kill you.

Walt



Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.)

Posted by Steven on October 31, 2003 at 19:43:41:

In Reply to: Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.) posted by Walt Stoll on October 31, 2003 at 06:44:11:

Whoa!

I drink a lot of water every day. So this is bad? I would say I have about a gallon and a half of spring water every day.



Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.)

Posted by Walt Stoll on November 01, 2003 at 07:29:53:

In Reply to: Re: answers (GRJ and GERD in pregnancy) CYA! (Archive.) posted by Steven on October 31, 2003 at 19:43:41:

Hi, Steven.

No problemo.

Walt

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