Fruits will help you with hyperemesis gravidarum

HYPEREMESIS GRAVIDARUM: You can manage it.

70% to 85% of women have morning sickness, a feeling of nausea and vomiting during pregnancy, however, around 1% to 2% of the women have an extreme form of morning sickness that is associated with severe nausea and vomiting. TIt is called hyperemesis gravidarum.

Hyperemesis gravidarum can complicate pregnancy by causing dehydration, metabolic disturbances (abnormal levels of electrolytes and ketones), as well as rapid weight loss.

It may eventually lead to kidney, liver or nervous system damage.

Causes

The cause is elusive; however, it may be due to the interaction of the hormones, human chorionic gonadotropin (hCG) and estrogen, with the body.

Risk factors may include the younger age of the mother, obesity, first pregnancy, having no history of previously completed pregnancies, and history of hyperemesis gravidarum in prior pregnancies.

Biological, psychological and social factors may play a huge role.

Symptoms

On average, symptoms begin between the 4th and 8th week of pregnancy and last until 16 weeks or more.

Most women vomit throughout the day, with few, if any symptom-free periods.

Other symptoms include severe nausea, weight loss, reduced urination, headaches, confusion, fainting, and jaundice.

The presence of low blood pressure, increased heart rate, and ketones in urine indicate dehydration.

Diagnosis

We make the diagnosis when severe nausea and vomiting lead to dehydration, weight loss, or disturbances in the body’s chemistry. Blood and urine tests, as well as ultrasonography, may be done to rule other causes of nausea and vomiting.

Treatment

The goal of treatment is to reduce symptoms through changes in diet or environment and by medication, correct complications of nausea and vomiting, and minimize its effects on the fetus.

Becoming aware of, and avoiding, environmental triggers and foods that might provoke nausea and vomiting can help. Ginger and dry foods play a vital role in the management of nausea without vomiting per se.

Some women may benefit from acupuncture and acupressure wristbands. 

Read this article: Endometriosis: Let’s manage it.

For pharmacological treatment, pyridoxine-doxylamine succinate combination therapy is the first line wherever possible. If it is not possible, initiate pyridoxine. Only add doxylamine succinate if pyridoxine (vitamin B6) fails to work.

When vomiting persists, but there’s no hypovolemia, add diphenhydramine or meclizine. If these don’t work, add a dopamine antagonist like prochlorperazine or metoclopramide.

If vomiting persists without hypovolemia, add ondansetron on a case by case basis. It is so especially in women with pregnancies less than ten weeks.

When there’s hypovolemia but no deranged chemistry panels, admit the woman. Administer intravenous fluids and antiemetic therapies. 

Admission is necessary when there are electrolyte imbalances amidst persistent vomiting and hypovolemia.

During the correction of dehydration by intravenous fluids, thiamine can be added to the intravenous fluids to prevent brain damage called Wernicke’s encephalopathy.

In extremes of cases, you may administer parenteral nutrition to prevent further weight loss until the woman can tolerate oral intake.

All that said, women can hyperemesis gravidarum can be prevented by taking prenatal vitamins folic acid inclusive.

DOs and DON’Ts in Managing hyperemesis gravidarum

  • DO get treatment from a health care provider experienced with hyperemesis gravidarum
  • DO eat small, frequent meals.
  • DO have high-protein snacks.
  • DO have crackers, dry toast, or dry cereal when you first get up in the morning.
  • DO call your health care provider if your symptoms worsen or you’re losing weight.
  • DO avoid food and smells that trigger nausea.
  • DON’T eat large or spicy meals or high-fat foods.
  • DON’T eat just before you go to bed or lie down.
  • DON’T take medicines or try home remedies without asking your health care provider.

We are indebted to UpToDate for the part about the treatment section, and for the initial aspects of this article.

Don’t forget to share this with a friend.

 

Leave a Reply

Your email address will not be published. Required fields are marked *

Related Posts

Apple Women's Health Study Wrist temperature. Courtesy @Apple

Apple Women’s Health Study: What we know so far.

The Apple Women’s Health Study is a research initiative conducted in collaboration with the Harvard T.H. Chan School of Public Health and the National Institute of Environmental Health Sciences (NIEHS). This study aims to advance our understanding of menstrual cycles and their connection to various health conditions, including polycystic ovary syndrome (PCOS), infertility, and menopausal ...

Read More
Health benefits of eating eggs.

Health benefits of eating eggs

Eggs are one of the most nutritious and versatile foods you can eat. They are a reliable source of high-quality protein, healthy fats, vitamins, minerals, and antioxidants that support your health and well-being. In this article, we will explore some of the amazing health benefits of eating eggs and how to include them in your ...

Read More
An african child with mumps seated on a chair. Created by Bing Image creator

Mumps virus infection in adolescent males may cause infertility! Why?

Abstract When someone talks about the Mumps virus, we all remember that time when the cheeks of the neighborhood playmates became painfully puffed up like puffy fish – following an inflammatory response that culminated in the swelling of the parotid glands – Mumps parotitis. However, one of the distinctive features of mumps infection is its ...

Read More
Enable Notifications OK No thanks