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Frequently Asked Questions:
Nausea and Vomiting
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| Q. |
I am in my 8th week
of pregnancy and for the last week and a half I have been extremely
nauseous. I have seen my GP and he tells me that I have picked up
a stomach bug as well. I have not been to work all this week, and
cannot keep having time off work. No one knows I'm pregnant, so it
is become extremely more difficult to explain.
I feel hungry, but then as soon as I eat something (and what I actually
end up eating is fairly minimal), I feel sick. I have had a constant
headache for the past week and a half, and I really don't know what
to do with myself. I am not a stressful person, and have no real stresses
in my life other than my nausea. I have not actually vomited yet,
but have at times come close. I have had a bloated tummy and at times
it feels so sore that I cannot lay on it. As soon as I begin to feel
better, it never lasts long. Driving seems to exacerbate my nausea...
I'm at my wits end here, and I don't know what to do next. I cannot
keep having time off work, and I just want to feel better! Any help
you can give me will be most appreciated.
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| A. |
I know it is not my sympathy that you need at this time but I do
understand what you are going through. Different solutions work
for different women. I am assuming you have read the suggestion
on my web site www.ourmidwife.com.au/articles/morningsickness.html
For some women nothing seems to work completely. What you need to
do is find a way to control the nausea as best you can on a day
to day basis. It will pass in 4 to 6 weeks. Having a very small
amount of dry food about half an hour before you get out of bed
in the morning is one suggestion. Get as much sleep as you can during
this time. Late nights are definitely out. Does your partner understand
what you are going through? His complete support is very important
and although it does not stop the distress you are feeling it will
help you cope with it.
Your headache could be caused by several things. Because you are
unable to eat normally it could be low blood sugar. Unfortunately
the only solution to this is to eat a high energy snack when it
is really bad and I know that has problems for you. It could be
due to dehydration. When a woman is feeling nauseous it is possible
that she may neglect to take sufficient fluids because even water
will make her feel sick. Again the solution is to drink more water.
Try to take small sips frequently. Some women find that sucking
ice helps them. It is worth a try.
Another cause is sensitivity to the increased pregnancy hormones.
These settle down at about 12 to 14 weeks. Acupuncture may help
with the headaches but it would be important to find someone who
is experienced in women's health issues. If you live in Sydney there
are several I could recommend. There may be not be one complete
answer for you but I would suggest that you try to find ways to
make it as easy as possible for yourself until it passes.
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| Q. |
I have had two children, with both I had terrible morning sickness
up to six months and both times was admitted to hospital for dehydration.
It is impossible to even keep down a mouthful of water, let alone
food. I am now with a new partner and we would both like a child
but I am extremely scared of the way I feel when pregnant. Is there
any type of medication that can be taken, that doesn't harm the
baby or me.
My last pregnancy after two days in hospital, I felt quite good
but after 36 hours at home, I went down again. I have tried a lot
of things from ginger to having plain biscuits before getting out
of bed in the morning, Maxalon (I think that's the name of the tablets)
to resting constantly. With my first child at 6 months I still only
weighed 47 kg and I am tall. Please help I would love another child
but this is putting me off.
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| A. |
What you seem to be describing is more likely to be hyperemesis
gravidarum rather than nausea and vomiting of pregnancy (morning
sickness). The exact cause of this condition is unknown although
it is generally believed to be caused by an increased sensitivity
to the pregnancy hormones. Unfortunately, if it has occurred in
your previous pregnancies it is likely to re occur in future pregnancies.
The usual form of treatment is to treat the symptoms as they occur.
There is current research that appears to show an association between
a bacteria in the stomach called helicobactor pylori and hyperemesis
gravidarum. You may want to talk to your G.P. about being tested
for this bacterium. There are several ways of testing for it. The
most common way is with a blood sample or a breath test. If it is
present and treated before you get pregnant, it could make a difference.
The studies that I have read are not conclusive as some women show
positive for the bacteria without having the severe problem of hyperemesis.
I am sorry that I cannot give you a more positive answer to your
query.
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| Q. |
I am currently trying to gather information on 'hyperemeses
gravidarum'. I read your article on morning sickness, which was
very beneficial, and I would like to hear of any other information
you may have.
I became pregnant with my first child in Jan 02. I experiences morning
sickness from the very beginning and it continued all day and all
night until I was exactly 3 months pregnant. At first I experienced
dry wrenching which occurred at least fifteen times per day. This
then rapidly changed to vomiting was occurred on average every hour,
day and night. I was hospitalised on three separate occasions as
I was losing weight and was extremely dehydrated. I tried taking
ginger, eating dry crackers, injecting Maxalon and drinking tea
- none of which were successful. When the morning sickness finally
stopped, I had gone 11 weeks without eating a meal, I had lost twelve
kilos, resigned from my full time work and had dealt with many different
psychological barriers. Fortunately in Nov 03 I gave birth to a
wonderful baby boy who I adore and has given my husband and me so
much happiness.
Unfortunately my experiences of pregnancy are not positive and I
have thoughts of not having any more children. However, my loving
husband would like to have a second child. I would love to know
any statistics that may show my chances of avoiding hyperemeses
gravidarum for my second pregnancy.
Any information or advice would be greatly appreciated.
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| A. |
Thank you for your email. Unfortunately
I am not going to be able to add to the information that you may already
have. As a midwife the treatment of hyperemesis gravidarum is outside
my scope of practice. Apart from knowing what it is, its effect on
pregnant women and the usual treatment, I have not looked into it
any further. Usually, knowing of the cause of a condition is useful
in knowing how to avoid it. With this condition the cause is not known
although there are many theories, none of which has been conclusively
proven. Quoting from Mosby's Medical Dictionary; "an increase
in chorionic gonadotropins or other hormones, an immunologic sensitivity
to products of conception, or aggravation of pre-existing emotional
conflicts has been suggested". It then goes on to say that a
causal relationship has not been proven.
I do know that women who have suffered from severe hyperemesis often
fear a subsequent pregnancy and, like you, consider the possibility
of being a single child family. The information you need know is the
likelihood of it occurring again in order to make an informed choice
about you options of proceeding with a second pregnancy. In the event
that you were to consider a second pregnancy and you were prepared
to cope with the first three months, you would be well placed to be
able to deal with it. Once it was over there would be no reason why
it should colour the experience of the remainder of your pregnancy.
Knowing that properly treated, the condition is not going to have
a lasting effect on the baby, should be encouraging for you and eliminate
an enormous amount of worry and stress that you may have experienced
through the remainder of your first pregnancy.
Although I have not answered your question regarding statistics, I
hope you find this information useful.
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| Q. |
I'm 25 and 7 weeks
pregnant with our first child. We are very excited however morning
sickness has set in. It isn't too bad but enough to have made me miss
2 days off work. I have tried ginger nut biscuits, ginger ale, dry
food, the lot. A friend suggested Blackmore herbal tablets for morning
sickness. Do you think they are safe to take? I am also trying to
quit smoking and having trouble without patches etc. Is there anywhere
in Toowoomba Qld where I could find some help? Like acupuncture or
something along those lines? Thank you so much for your help.
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| A. |
Thank you for your question. There is
insufficient ginger in biscuits or ginger ale to have a therapeutic
effect, which is why they would not be working. You will get a better
result from the Blackmores morning sickness formula as it is contains
a medicinal grade ginger (as apposed to a culinary grade), as well
as vitamin B6. It is formulated for pregnancy and is considered safe.
Acupuncture will be an appropriate way to stop smoking without the
use of patches. I am not personally familiar with any practitioners
in Toowoomba. You may want to ask amongst your friends and work colleagues
to see if any of them could recommend an acupuncturist. The Natural
Health Clinic 311 Margaret Street TOOWOOMBA QLD may be a place to
start.
It is important to get plenty of rest during this time and manage
your symptoms as best you can. It may help to remind yourself that
it is not going to last forever.
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