Posts Tagged ‘vomiting’

Morning sickness during pregnancy

Monday, September 8th, 2014

pregnant womanThe news of another royal baby on the way has caused a lot of excitement on both sides of the pond. But learning that the Duchess of Cambridge may once again be suffering from morning sickness in her second pregnancy makes me feel deeply for her. I had morning sickness in both of my pregnancies. I remember it being a lot harder to manage the second time around while working and caring for my first child.

Morning sickness is nausea (feeling sick to your stomach) and vomiting that happens during pregnancy, usually in the first few months. It’s also called nausea and vomiting of pregnancy or NVP. Even though it’s called morning sickness, it can last all day and happen any time of day. Mild morning sickness doesn’t harm you or your baby. But if morning sickness becomes severe (called hyperemesis gravidarum), it can lead to weight loss and dehydration (not having enough water in your body). These problems can be harmful during pregnancy.

If you have mild morning sickness, there are some things you can do that may help you feel better, like:

• Keep snacks by your bed. Eat a few crackers before you get up in the morning to help settle your stomach.
Eat five or six small meals each day instead of three larger meals.
• Eat foods that are low in fat and easy to digest, like cereal, rice and bananas. Don’t eat spicy or fatty foods.
• Eat healthy snacks between meals. This helps keep your stomach from being empty and helps prevent feeling sick to your stomach. Try snacks that are high in protein, like milk or yogurt.
• Drink plenty of fluids, especially water.
• Avoid smells that upset your stomach.
• Take your prenatal vitamin at night or with a snack. Sometimes vitamins can upset your stomach.

Talk to your health care provider if you have morning sickness. Your provider may prescribe a medicine to help relieve your nausea. It comes as a tablet that you take every day as long as you have symptoms.

If you have hyperemesis gravidarum, you may need treatment in a hospital with intravenous (IV) fluids. These are fluids that are given through a needle into a vein. Signs of hyperemesis gravidarum include:

• Vomiting more than 3 to 4 times a day
• Vomiting that makes you dizzy, lightheaded or dehydrated. Signs of dehydration include feeling thirsty, having a dry mouth, having a fast heart beat or making little to no urine.
• Losing more than 10 pounds in pregnancy

Read our article on morning sickness to learn more. Or watch our videos on mild morning sickness and severe morning sickness.

Updated 9/13/2017

Nausea and vomiting of pregnancy

Tuesday, July 16th, 2013

The March of Dimes and Duchesnay USA, are partnering to help educate women about the impact of nausea and vomiting of pregnancy (NVP), also known as morning sickness.

Visit MorningSicknessUSA.com for great information. This is a new resource for pregnant women with NVP created by Duchesnay, featuring symptom trackers, recipes, lifestyle management ideas, and expert articles. You can stay connected with helpful insights, information, and news about morning sickness and NVP from experienced moms and notable medical professionals. Take a look!
nvp info

FDA approves drug to fight nausea and vomiting

Thursday, April 11th, 2013

On April 8, 2013, the U.S. Food and Drug Administration approved the drug Diclegis (doxylamine succinate and pyridoxine hydrochloride) to treat pregnant women experiencing nausea and vomiting.

More than half of all pregnant women have some nausea during the first trimester. For most women this nausea usually goes away by the second trimester. But for some women, nausea and vomiting may continue even past the first 12 weeks of pregnancy.

Diclegis is a delayed-release tablet intended for women who have not adequately responded to conservative management of nausea and vomiting during pregnancy, such as changes to their diet and lifestyle. These modifications include eating several small meals instead of three large meals, eating bland foods that are low in fat and easy to digest and avoiding smells that can trigger nausea.

“Diclegis is now the only FDA-approved treatment for nausea and vomiting due to pregnancy, providing a therapeutic option for pregnant women seeking relief from these symptoms,” said Dr. Hylton V. Joffe of the FDA’s Center for Drug Evaluation and Research. Observational studies have shown that the combination of active ingredients in Diclegis does not pose an increased risk of harm to a developing fetus.

For questions and answers about how drugs are approved by the FDA, click on this link.

Chat on hyperemesis and morning sickness

Tuesday, December 4th, 2012

No doubt you have heard that Kate Middleton, Dutchess of Cambridge, is pregnant. The news came as she was admitted to hospital suffering from a severe form of morning sickness called hyperemesis gravidarum, HG. 

As many of you moms well know, 50-90% of women report some nausea and vomiting, especially in early pregnancy. But in rare cases, about 1 in 200, pregnant women develop this severe morning sickness that prevents them and their babies from getting the nutrients and water they need. HG is marked by severe nausea and vomiting accompanied by dehydration and weight loss, and women can report feeling their heart racing or lightheadedness. It’s a serious matter and must be treated and watched carefully.

Join us and Dr. Dolan this Wednesday, Dec. 5th, at 3 PM ET for a #pregnancychat on hyperemesis – who’s at risk and different treatments. Feel free to ask questions. Did you have hyperemesis? Share your experience, how you handled it, what support you got or needed.

Hyperemesis gravidarum

Thursday, November 4th, 2010

Nausea and occasional vomiting, often referred to as morning sickness, are common during pregnancy and aren’t harmful to you or your baby. But if you’re vomiting often and just can’t manage to keep food or even water down, you may have a condition called hyperemesis gravidarum and that can be dangerous.

Hyperemesis occurs in about 1 in 200-300 pregnancies and is more common in young or first-time moms.  With hyperemesis, you and your baby are not getting the nutrients you need, you can easily become dehydrated, your electrolytes might get out of balance. If you’re vomiting a lot, nothing you do improves it, you lose more than two pounds, your urine turns a dark color, or you see blood in your vomit, let your provider know right away and get some help with it.  You may need hospitalization for treatment with IV fluids and antinausea meds to help you feel better and to protect you and your baby.

AAP symptom checker

Thursday, July 1st, 2010

symptom-checkerWhen I was pregnant for the first time, I read up on all sorts of things baby-related.  I remember worrying how I would know if my baby was really sick and when to call the doctor?  What should I do if my child develops a fever, cough, vomiting, rash, sore throat or head injury? Well, you modern day mamas are getting some help.  Here’s what a new AAP news release says – pretty cool!

A new symptom checker tool from the American Academy of Pediatrics (AAP) will help parents decide what to do next. The tool is available on HealthyChildren.org, the official AAP Web site for parents.  Parents can enter their child’s symptoms into the interactive tool and receive up-to-date advice about how to treat minor illnesses at home, or when to call the doctor immediately. The KidsDoc Symptom Checker is based on the clinical protocols used by pediatricians and nurses in 10,000 practices and 400 nurse advice call centers in the U.S. and Canada. These protocols have been tested for 15 years on more than 150 million phone calls. Each symptom care guide includes a decision chart to help determine the severity of the illness and how to manage it. The symptom checker also includes pediatric dosage tables by weight for common over-the-counter medications, images to help identify rashes, stings and bites, and first aid illustrations. The KidsDoc Symptom Checker is also available as a downloadable iPhone application called KidsDoc, providing the same expert advice when parents are on-the-go. Immediate connections are available to 911, your pediatrician or a nearby emergency department. The app can be download for a small fee or purchased from the iPhone App Store.

Now, this won’t replace taking your child to his doctor, but it could be a big help in figuring out how to start handling situations as they arise.

Morning sickness

Thursday, May 13th, 2010

morning-sickness“I was so sick in my last pregnancy and this time I’m not. If I’m not throwing up, does that mean I’m not pregnant?”  I hear that a lot.  My answer often is, “Nope, you may just be lucky!”

Morning sickness is that nauseous feeling you get when you’re pregnant that can be followed by vomiting.  It happens to well over half of all pregnant women but not to all.  And though it may occur more in the morning for some, for others it can happen at any time of night or day.  Oh joy!

The nausea may be due to the rapidly increasing hormones in your body.  It tends to go away for most women around 12-14 weeks.  Just as some women experience no morning sickness, some unlucky ladies wrestle with this through most of their pregnancy. We don’t know why.

If you are one of the gals who gag, it may be helpful to know that many things can trigger nausea (different foods, strong odors, perfumes).  Pay attention to what turns you green and avoid it if you can.   And certain bland foods like salty crackers can help settle your stomach.  If they work for you, keep them handy at home, work and in the car.  And don’t forget to sip on the water bottle throughout the day. Read more tips here.

Update: Swine flu

Tuesday, April 28th, 2009

doctorYou’ve heard the news. The number of swine flu cases in the U.S. and around the world is increasing. The federal government has declared this a “public health emergency.” What does this mean for moms and babies?

Here are a few things we know:
* A person can catch the swine flu from another person.

* All of us can take simple precautions to protect ourselves and others. Cover your nose and mouth when you sneeze or cough. If you can, avoid sick people. Wash your hands often with soap and water. The U.S. Centers for Disease Control and Prevention (CDC) has a complete list of tips.

* Early treatment can reduce the severity of the illness.

* A person doesn’t get swine flu from eating or preparing pork.

Here are a few things we don’t yet know:
* How contagious is this flu? If you have a room full of people and one of them has the swine flu, how many other people will catch it?

* How serious is this illness? Right now, no one in the United States has died, and cases appear to be mild. But this could change. Because flu viruses can change over time, they can become more or less serious.

* We don’t know how long swine flu will be around. It could be a few weeks or longer. It could go away for a while and them come back.

Since most of the cases have occurred in Mexico, the CDC recommends that people not travel to that country, unless their travel is “essential.”

Here is a list of symptoms of the swine flu: fever, cough, sore throat, body aches, headache, chills, fatigue, diarrhea, vomiting. If you or any member of your family has any of these symptoms, call your health care provider.

Raw meat makes my skin crawl

Tuesday, December 9th, 2008

Shortly after I found out I was pregnant my appetite started to change. It has definitely improved, but there are still certain things that gross me out! Most notably beef, chicken and fish. I have no desire to prepare these foods. The idea of touching them raw makes my skin crawl. I’ve tried gloves and I ask my husband for help, but still. Yuck. I don’t even want to look at them in the grocery store. Do you know what I mean? Is there anything you just can’t stand the sight of?

I told my midwife about this aversion and she asked where I was getting my protein from. Good question. She rummaged through her filing cabinet and pulled out a fact sheet on healthy, high-protein snacks. She raved about beans, peas, nuts and seeds not only as good sources of protein, but as foods unlikely to activate my gag reflex. She was right.

Here are some of the snacks from the handout she gave me.

Unsalted/raw peanuts, almonds or cashews

Peanut butter w/ apple slices

Sunflower seeds

Hard boiled egg

Hummus with whole wheat pita or crackers

Black bean or lentil soup

Whole grain bread or cereal

Plain yogurt with granola

Low fat milk or cheese

Tuna fish

Thank goodness for saltines and ginger ale

Thursday, July 24th, 2008

A friend had morning sickness so badly she could not lift her head off of the pillow without reaching for a cracker from her night stand. My sister had nausea and vomiting so badly she was hospitalized on two separate occasions for dehydration. For a couple of weeks my other sister lived on Kit-Kats. It was the only thing she could tolerate (so she said). Funny – she actually hid the candy in the kitchen pots so her husband wouldn’t find and eat them. Another friend of mine survived on pop tarts and instant mashed potatoes to keep the queasiness down. Do what you gotta do!! Just try to get some healthy stuff in there whenever you can.

Some women find the following tips helpful: Get up slowly in the morning. Eat five or six small meals each day. Eat snacks that are high in protein. Drink fluids often during the day. Get plenty of fresh air. Avoid fatty foods or foods that are hard to digest.

Always check with your health care provider before taking any medicine to relieve nausea or before you use any health food remedies (such as ginger supplements) to relieve nausea.