Hyperemesis Gravidarum
Hyperemesis gravidarum is sometimes called morning sickness. It refers to the medical condition characterized by intense nausea and vomiting during pregnancy. The symptoms can be very upsetting, leading to vomiting that happens more than 3 times a day, dehydration, persistent feelings of dizziness and lightheadedness, and obvious weight loss. It may develop around the 5th week and last until the 16th week of pregnancy. In some women, it may last longer. This can be dangerous for the mother and baby.
Morning sickness may be caused by an increase in some hormone levels. It is not clear why it’s more severe in some people. It may be more likely if you are carrying twins or more. You may need some tests. These are to check for other health conditions that can cause severe nausea and vomiting.
The focus of treatment for severe morning sickness is to:
Follow the advice below carefully. If your symptoms don't get better with home care, you may need to stay in the hospital. In the hospital, you may get IV (intravenous) fluids and medicines. In very severe cases, you may need more time in the hospital. You may need IV nutrition or tube feeding. If you need these, your healthcare provider will tell you more.
Home care
Diet
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Keep a list of the foods you eat and how they affect your symptoms. Don't eat foods that set off your symptoms.
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Eat small meals often rather than 3 large meals. This can help keep your stomach from being empty. An empty stomach can make nausea worse.
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Choose foods that are high in carbohydrates. Eating foods high in protein may also help. Limit greasy or spicy foods.
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Before getting out of bed in the morning, try eating crackers or dry toast. This may help settle your stomach.
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Drink cold, clear liquids. Drink small amounts of liquids with electrolytes, such as sports drinks.
Medicine
If needed, your healthcare provider may prescribe medicines to help ease nausea and vomiting. Your provider may suggest vitamin B6 and ginger. Don’t use any over-the-counter medicines or home remedies without talking with your provider first.
Follow-up care
Follow up with your healthcare provider as advised.
When to get medical care
Call your healthcare provider right away if you have any of these:
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Dry mouth and extreme thirst
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Dark urine or small amounts of urine
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Dizziness, weakness, or fainting
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Vomiting that won’t stop
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Inability to keep down liquids
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Frequent diarrhea
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Weight loss or no weight gain over a 2-week period
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Severe constant pain in the lower right abdomen
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Fever of 100.4°F (38°C) or higher, or as advised