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Hyperemes is Gravidarum or Morning Sickness
Morning sickness (hyperemesis gravidarum) which is seen predominantly in the first 3 months of pregnancy is thought to be secondary to a rapid rise in female hormones (HCG) during that time. Common symptoms include nausea and vomiting that tends to be worse in the morning. Certain foods or scents may stimulate waves of nausea. Morning sickness, in isolated cases, can be difficult to control. Patients may become dehydrated, endangering both the mother and the developing fetus. Evaluation by a physician will include medical history and physical examination. Blood pressure will be checked with the patient lying down and while standing, which will show an abnormal drop in the blood pressure indicating dehydration. Blood tests for blood count and blood chemistry will also be useful. Urinalysis may provide evidence of starvation, if ketones are present in the urine. Pregnancy ultrasound may be used to check the baby's condition. Treatment is based upon findings. Severely dehydrated patients will require IV fluids for rehydration. Severe vomiting may require medications (anti-nausea) and hospitalization. Patients able to retain oral fluids may be discharged with close medical follow-up.
HINTS FOR SELF HELP
1. Snack on toast or crackers BEFORE you get out of bed in the morning.
2. Eat smaller, more frequent meals.
3. Avoid alcohol and smoking.
4. Avoid fatty foods and sweets.
5. Get plenty of rest.
6. Maintain a light exercise plan.
7. Drink plenty of water or juices. See your physician for prolonged morning sickness
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