Managing Severe Morning Sickness: When to Seek Help and Remedies

Morning sickness

Hello, Doctor.
I am currently 9 weeks and 4 days pregnant with my first child.
I started experiencing some nausea around week 7.
I visited the doctor at 8 weeks and 3 days, and the doctor said it wasn't severe enough to require anti-nausea medication.
However, in the past week, I have been vomiting everything I eat, and even a small sip of water makes me feel nauseous.
I've been vomiting so much that my esophagus has started to hurt, and I feel very uncomfortable, vomiting several times a day.
I would like to ask:
1.
Should I see a doctor again under these circumstances?
2.
What methods can help alleviate morning sickness?
3.
I currently have no appetite and am almost unable to have bowel movements.
Could this lead to serious issues?
4.
I have been drinking very little water lately and feel very thirsty.
What should I do?
5.
Sometimes, to relieve my discomfort, I drink cold beverages or soda.
Is it advisable to avoid these during pregnancy?
I would appreciate your advice on these points, as I am currently suffering greatly from morning sickness and don't know what to do.

Xiao Xiao, 20~29 year old female. Ask Date: 2007/10/02

Dr. Lin Zhaopei reply Obstetrics and Gynecology

Nausea during pregnancy is primarily due to the mother's sensitivity to hormones, and in severe cases, it can lead to electrolyte imbalances.
1.
It is advisable to return to the outpatient clinic for a urine test or blood draw to determine if hospitalization is necessary.
2.
Increasing the intake of acidic foods or returning to the clinic for intravenous fluids with vitamin B6 may be beneficial.
4.
Drinking some sports drinks is acceptable, even if they are cold; however, soda is not recommended.

Reply Date: 2007/10/02

More Info

Managing severe morning sickness, also known as hyperemesis gravidarum, can be a challenging experience for many pregnant women. It is essential to understand when to seek medical help and what remedies may alleviate the symptoms. Based on your situation, here are detailed answers to your questions:
1. Should you see a doctor again? Yes, given that your symptoms have worsened significantly, it is advisable to consult your healthcare provider again. Persistent vomiting that leads to pain in the esophagus and an inability to keep food or fluids down can lead to dehydration and other complications. Your doctor may want to assess your condition more thoroughly and may recommend treatments that can help manage your symptoms more effectively.

2. What methods can help alleviate morning sickness? There are several remedies that may help with morning sickness:
- Dietary Changes: Eating small, frequent meals throughout the day can help. Focus on bland foods that are easier to digest, such as crackers, toast, or rice. Ginger tea or ginger candies may also provide relief for some women.

- Hydration: Staying hydrated is crucial. If plain water is difficult to keep down, try sipping on electrolyte drinks, ginger ale, or clear broths. Ice chips can also be soothing.

- Vitamin B6: Some studies suggest that vitamin B6 supplements can help reduce nausea. Consult your doctor about the appropriate dosage.

- Acupressure: Some women find relief through acupressure wristbands, which apply pressure to specific points on the wrist.

- Medications: If your symptoms are severe, your doctor may prescribe anti-nausea medications that are safe during pregnancy.

3. Is the lack of appetite and infrequent bowel movements a concern? Yes, a lack of appetite and infrequent bowel movements can be concerning. Not eating enough can lead to nutritional deficiencies, and infrequent bowel movements can lead to constipation, which is common during pregnancy. It’s important to communicate these symptoms to your healthcare provider, as they may recommend dietary adjustments or supplements to ensure you and your baby are getting the necessary nutrients.

4. What to do about dehydration and thirst? Dehydration is a serious concern during pregnancy, especially with persistent vomiting. If you are unable to drink enough fluids, it is crucial to seek medical attention. Your doctor may recommend intravenous (IV) fluids to rehydrate you if oral intake is insufficient. In the meantime, try to sip on fluids slowly throughout the day rather than drinking large amounts at once.

5. Is it safe to consume cold drinks or soda? While cold drinks may provide temporary relief from nausea, it’s essential to be cautious with sugary sodas, as they can sometimes exacerbate nausea for some women. If you find that cold drinks help you feel better, it’s generally okay to consume them in moderation. However, prioritize hydration with water or electrolyte solutions.

In conclusion, your symptoms indicate that you may need additional support and treatment. Don’t hesitate to reach out to your healthcare provider to discuss your worsening condition. They can provide tailored advice and treatment options to help you manage your morning sickness effectively. Remember, you are not alone in this experience, and seeking help is a vital step toward feeling better during your pregnancy.

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