Most cases of hyperemesis gravidarum affect a woman's first pregnancy. But women who have it in one pregnancy are more likely to have it in future pregnancies. But it might be related to the hormone changes of pregnancy. A hormone called human chorionic gonadotropin, or HCG, might be to blame because severe morning sickness most often happens when HCG levels are at their highest in a pregnant woman's body.
Severe morning sickness also might run in families. The nausea and vomiting that happen in severe morning sickness are so extreme that they can harm the mother and the baby. Not being able to keep down food makes it hard for the mom to meet her nutritional needs.
So she might lose weight. And a loss of fluids, combined with the loss of stomach acid from vomiting, can cause dehydration and electrolyte imbalances. Treatments used for morning sickness, such as eating dry crackers in the morning or a bland diet, may be recommended for women with extreme morning sickness.
It is not a substitute for the advice of a physician. You should call your ob-gyn or other obstetric care provider if you have the following signs and symptoms of dehydration: You have a small amount of urine that is dark in color.
You are unable to urinate. You cannot keep down liquids. You are dizzy or faint when standing up. You have a racing or pounding heartbeat. Any of the following can increase the risk of severe nausea and vomiting of pregnancy: Being pregnant with more than one fetus multiple pregnancy A previous pregnancy with either mild or severe nausea and vomiting Your mother or sister had severe nausea and vomiting of pregnancy A history of motion sickness or migraines Being pregnant with a female fetus.
These conditions include: Ulcer Food-related illness Thyroid or gallbladder disease Your ob-gyn or other obstetric care provider might suspect that you have one of these conditions if you have signs or symptoms that usually do not occur with nausea and vomiting of pregnancy. Some of these signs and symptoms include: Nausea and vomiting that occurs for the first time after 9 weeks of pregnancy Abdominal pain or tenderness Fever Headache Enlarged thyroid gland swelling in the front of the neck.
Changes to your diet and lifestyle might help you feel better. These change can include: Taking vitamins Adjusting meal times Changing the types of foods you eat.
Eat frequent bites of foods like nuts, fruits, or crackers. Yes, try adding protein to each meal. Good nonmeat sources of protein include: Dairy foods, such as milk, ice cream, and yogurt Nuts and seeds, including butters like almond butter and peanut butter Protein powders and shakes.
Ginger can help settle your stomach. You can try: Ginger capsules Ginger candies Ginger ale made with real ginger Ginger tea made from fresh-grated ginger. If other causes are ruled out, you may be able to take certain medications: Vitamin B6 is a safe, over-the-counter treatment that may be tried first for nausea and vomiting of pregnancy.
Lab tests may be done to check how your liver is working. If your vomiting cannot be controlled, you might need additional medication.
Multiple Pregnancy: A pregnancy where there are 2 or more fetuses. Nutrients: Nourishing substances found in food, such as vitamins and minerals. Article continues below Advertisement. If you have further questions, contact your ob-gyn. Don't have an ob-gyn? Search for doctors near you. But remember, eating too much can make you feel just as nauseous. You may have an easier time eating or drinking ice cold foods and beverages, or your stomach may feel calmer after a hot meal.
Room temperature or warm food and drinks can sometimes cause nausea. What time of day does nausea strike? What are you doing when it does? By tracking your symptoms, you just might identify triggers that make you queasy, like certain foods or smells, so you can avoid them going forward. If these do not work for you or you're having more severe symptoms, your doctor or midwife might recommend medicine. If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes:.
Find out more about vitamins and supplements in pregnancy. If your nausea and vomiting is severe and does not improve after trying the above lifestyle changes, your GP may recommend a short-term course of an anti-sickness medicine, called an antiemetic, that's safe to use in pregnancy.
Often this will be a type of antihistamine , which are usually used to treat allergies but also work as medicines to stop sickness antiemetic. But if you cannot keep these down, your doctor may suggest an injection or a type of medicine that's inserted into your bottom suppository.
See your GP if you'd like to talk about getting anti-sickness medication. It's thought hormonal changes in the first 12 weeks of pregnancy are probably one of the causes of morning sickness.
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