What is hyperemesis gravidarum?

Hyperemesis gravidarum is a condition that causes frequent vomiting (throwing up) during pregnancy. It is like morning sickness, except the symptoms are much more severe. Morning sickness is the nausea and vomiting that many people have during pregnancy. Even though it is called "morning" sickness, it can happen any time of day.

What are the symptoms of hyperemesis gravidarum?

People with hyperemesis gravidarum vomit every day, often many times a day. They can lose weight and get dehydrated because they are vomiting so much.

Symptoms of dehydration include:

• Urinating less often than usual

• Having dark yellow urine

• Feeling dizzy when standing up

• Weight loss

Symptoms of hyperemesis gravidarum usually start during the first 2 to 3 months of pregnancy. Most people feel better by the middle of their pregnancy. But some people feel sick until late in pregnancy.

How can I find out if I have hyperemesis gravidarum?

Your doctor or nurse should be able to tell if you have hyperemesis gravidarum by learning about your symptoms and doing an exam.

Is there anything I can do on my own to feel better?

Yes. To feel better, you can try the following:

• Eat as soon as you feel hungry, or even before you feel hungry

• Snack often and eat small meals. The best foods to eat are high in protein or carbohydrates, and low in fat. These include crackers, bread, pretzels, nuts, and low-fat yogurt.

• Avoid foods that are spicy, greasy, or acidic (such as oranges)

• Drink cold, clear beverages, such as sports drinks and ginger ale. Avoid coffee. Also, try to drink between meals, rather than with a meal.

• Suck on popsicles or ginger-flavored lollipops

• Brush your teeth right after you eat

• Avoid lying down right after you eat

• Take your vitamins at bedtime with a snack, not in the morning

• Avoid things in your environment that upset your stomach, such as stuffy rooms, strong smells, hot places, or loud noises

• Have someone make your meals for you

• Wear "acupressure" bands on your wrists. These are special bands that can help with morning sickness or motion sickness.

How is hyperemesis gravidarum treated?

Treatment depends on how severe your symptoms are. If you are dehydrated or have lost a lot of weight, you will probably need to be treated with an IV, typically, this service is administered in a hospital setting, but with Nervana Medical we able to provide you this service at the comfort of your home. 

• Fluids that go into your vein through a tube is called an "IV"’

• We will provide you with intravenous hydration as well as vitamins to help reduce your nausea. If you are still nauseated, we will give you conventional medications to stop your nausea and vomiting

Can hyperemesis gravidarum be prevented?

Doctors strongly recommend that anyone who might get pregnant or who is pregnant take vitamins. The vitamin should contain at least 400 micrograms of folic acid. Taking vitamins before pregnancy and in early pregnancy might help prevent nausea and vomiting.Pregnancy may be a difficult time for some individuals, with various challenges. From nausea and vomiting to meeting various heightened nutritional requirements, supplemental nutrients can be a very useful tool for expecting mothers. (Khorasani 2020) For example, multivitamin and mineral supplements can help mothers to hit these nutritional targets, and thereby reduce the risk of certain birth defects and preterm delivery. (Wolf 2017) Some nutrients may require supplementation beyond a prenatal multivitamin in order to hit therapeutic targets for reducing the risk of pre-eclampsia or hospitalization. (Makrides 2014)(Regitz-Zagrosek 2018) Certain nutrients such as EPA and DHA are even associated with improved measures of infant cognitive development. (Nevins 2021) Finally, certain therapeutics may reduce nausea and vomiting experienced during pregnancy. (Khorasani 2020) Based on current research findings, the ingredients in our Pregnancy Nutraceutical protocol below have been associated with  improved health outcomes in women who are pregnant.

Will my baby be healthy?

Babies born to people with hyperemesis gravidarum for the entire pregnancy are a little more likely to be smaller than average. But otherwise, the condition doesn't seem to cause problems for your baby. Taking medicines for nausea and vomiting during the pregnancy should not affect your baby either.