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Vomiting During Pregnancy | American Pregnancy Association

Unfortunately, vomiting during pregnancy is a common occurrence, with as many as 60-70% of pregnant women experiencing vomiting as an unpleasant symptom of morning sickness.  Morning sickness, particularly vomiting, is one of the most common complaints expressed by expecting mothers. Vomiting while pregnant is one of the common discomforts that leads women turning the American Pregnancy Association for help.
Motherrisk is a North American agency dedicated to helping expecting mothers with morning sickness, nausea, and vomiting.  Nausea and vomiting during pregnancy affect up to 85% of all pregnant women.

What Causes Vomiting During Pregnancy

The specific cause of vomiting during pregnancy is not known. The fluctuation in hormone levels during pregnancy could be one contributing factor. Hormones slow down digestion, which could trigger heartburn, indigestion, and acid reflux, which are all considered possible symptoms of pregnancy and potential triggers of vomiting during pregnancy.
Emergency contraceptive use can also trigger vomiting. Also known as the “morning-after pill”, or Plan B, these pills have concentrated doses of hormones, which can have negative side effects, including vomiting.

What are the Risks Associated with Vomiting During Pregnancy

While vomiting is an uncomfortable side effect of pregnancy, most instances do not pose a health threat to the mom and the baby, so it is not an immediate sign of concern.
It is important, however, for women to distinguish between normal pregnancy symptoms and potentially dangerous conditions accompanied by vomiting, such as hyperemesis gravidarum. Hyperemesis gravidarum is a condition where women experience more severe symptoms of pregnancy, such as profuse nausea and vomiting. These symptoms can have severe consequences, such as weight loss, rapid heart rate, and low blood pressure.  Severe vomiting can prevent your baby from getting the nutrients he needs to grow and develop at optimal health.

How Can You Treat Vomiting During Pregnancy?

Women experiencing morning sickness can lessen the effects by making small changes to their daily routines. For some women, certain smells can trigger nausea and vomiting, so avoiding those smells while pregnant is recommended. Also, having a little food in your stomach can lessen the effects of nausea. It can be good to carry snacks around in your purse or leave them in spots that you visit every day, such as in your car, by your bed, and in your drawer at work.
While vomiting during pregnancy can seem scary and be unpleasant, it is a common occurrence for over 60% of pregnant women. It is important to be aware of your body, so if you are concerned that the vomiting or symptoms you’re experiencing are not normal, it is best to contact your doctor immediately, especially if the vomiting is severe and prolonged.

Want to Know More?

Sources:
Koren, Gideon & Maltepe, Caroline, How to Survive Morning Sickness Successfully, (2013), Motherrisk.
American College of Obstetricians and Gynecologists. (2014). Morning Sickness – ACOG. Retrieved 10 October 2014, from Your Pregnancy and Childbirth. (2010) (5th ed., p. 21). Washington, DC.

Hyperemesis Gravidarum: Symptoms & Treatment



Overview

What is hyperemesis gravidarum?

Hyperemesis gravidarum is an uncommon disorder in which extreme, persistent nausea and vomiting occur during your pregnancy. This condition might lead to dehydration.



Symptoms and Causes

What causes hyperemesis gravidarum?

The condition might be caused by rapidly rising serum levels of hormones such as HCG (human chorionic gonadotropin) and estrogen. Extreme nausea and vomiting during pregnancy might indicate a multiple pregnancy (you’re carrying more than one baby) or hydatidiform mole (abnormal tissue growth that is not a true pregnancy).

What are the symptoms of hyperemesis gravidarum?

Hyperemesis gravidarum usually occurs during the first trimester of your pregnancy. You might have hyperemesis gravidarum if you’re pregnant and you vomit:

  • More than three to four times per day.
  • So much that you lose more than 10 pounds.
  • So much that you feel dizzy and lightheaded.
  • So much that you become dehydrated.

What are the risk factors for hyperemesis gravidarum?

A risk factor is something that increases your chance of getting a disease or condition. Risk factors do not necessarily mean that you’ll develop a condition.

In the case of hyperemesis gravidarum, the following are risk factors:

  • Hyperemesis gravidarum during an earlier pregnancy.
  • Being overweight.
  • Having a multiple pregnancy.
  • Being a first-time mother.
  • The presence of trophoblastic disease, which involves the abnormal growth of cells inside the uterus.



Diagnosis and Tests

How is hyperemesis gravidarum diagnosed?

A healthcare provider will ask about symptoms, take a medical history and perform a physical exam. In addition, the healthcare provider might order certain lab tests to help in making a diagnosis.



Management and Treatment

How is hyperemesis gravidarum treated?

The type of treatment that is required depends on how ill you become. Possible treatments might include:

  • Preventive measures: These might include a pressure-point wristband — similar to those used for motion sickness — vitamin B6 and/or ginger.
  • Small frequent meals: Nausea and vomiting might be treated with dry foods (such as crackers) and small, frequent meals.
  • Intravenous fluids: It is important for a pregnant woman to maintain her fluid intake. Intravenous (IV) fluids might be needed if a woman continues to vomit throughout pregnancy. In severe cases, the woman might require hospitalization and given IV fluids. IV fluids might be discontinued when a woman is able to take in fluids by mouth.
  • Total parenteral nutrition: The most severe cases of hyperemesis gravidarum might require that complex, balanced solutions of nutrients be given through an IV throughout pregnancy. This is called total parenteral nutrition (TPN).
  • Medicines: Medicine to prevent nausea is used when vomiting is persistent and poses possible risks to the mother or baby. If a woman cannot take medicines by mouth, the drugs might be administered through an IV or a suppository. Medicines used to prevent nausea include Promethazine, Meclizine and Droperidol.



Prevention

Can hyperemesis gravidarum be prevented?

Although there are no known ways to completely prevent hyperemesis gravidarum, the following measures might help keep morning sickness from becoming severe:

  • Eating small, frequent meals.
  • Eating bland foods.
  • Waiting until nausea has improved before taking iron supplements.
  • Using a pressure-point wrist band, vitamin B6 and/or ginger, as recommended by a healthcare provider.



Outlook / Prognosis

Is hyperemesis gravidarum fatal?

No. It does not threaten the life of either you or your baby.

Can hyperemesis gravidarum go away on its own?

Hyperemesis gravidarum will (usually) only affect you during your first trimester.

Severe vomiting during pregnancy (hyperemesis gravidarum)

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2-minute read

Nausea and vomiting are common in pregnancy, especially in the first trimester. Some pregnant women experience excessive nausea and vomiting. This condition is known as ‘hyperemesis gravidarum’ and often needs hospital treatment.

Hyperemesis gravidarum isn’t common but it can be severe. It’s much worse than morning sickness. If you’re being sick all the time and can’t keep food down, tell your midwife or doctor as soon as possible.

Symptoms of hyperemesis gravidarum

Excessive vomiting in pregnancy is much worse than the nausea and vomiting of morning sickness. Symptoms usually start between 4 and 9 weeks of pregnancy and usually improve by 15 to 20 weeks. Signs and symptoms of hyperemesis gravidarum include:

  • prolonged and severe nausea and vomiting
  • dehydration
  • ketosis — a serious condition that is caused by a raised number of ketones in the blood and urine (ketones are poisonous acidic chemicals that are produced when your body breaks down fat, rather than glucose, for energy)
  • weight loss
  • low blood pressure (hypotension) when standing up
  • headaches, confusion, fainting and jaundice

The nausea and vomiting are usually so severe that it’s impossible to keep any fluids down, and this can cause dehydration and weight loss. Dehydration is when you don’t have enough fluids in your body.

Hyperemesis gravidarum is very unpleasant with dramatic symptoms, but the good news is it’s unlikely to harm your baby. However, if it causes you to lose weight during pregnancy there is an increased risk that your baby may be born smaller than expected.

Treating hyperemesis gravidarum

Mild cases of hyperemesis gravidarum may be controlled with a change in diet, rest and antacids. Severe cases may need specialist treatment, and you may need to be admitted to hospital so that doctors can assess your condition and give you the right treatment. This can include intravenous fluids given through a drip to treat the ketosis and treatment to stop the vomiting.

Don’t take medication for hyperemesis gravidarum without talking to your doctor first.

Blood clots and hyperemesis gravidarum

Because hyperemesis gravidarum can cause dehydration, there’s also an increased risk of having deep vein thrombosis (a blood clot). Read more about deep vein thrombosis on healthdirect.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: August 2020

Vomiting in pregnancy: Causes and treatments

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Vomiting is a normal symptom of pregnancy that people typically refer to as morning sickness. Occasionally, there are other causes of vomiting that require medical attention.

Vomiting is one of the most common symptoms of pregnancy. Approximately 70% of pregnant women experience nausea or vomiting during the first trimester, however it can last throughout pregnancy.

However, not all vomiting and nausea during pregnancy are due to morning sickness. In some cases, more serious underlying causes are to blame.

Vomiting in pregnancy is normal. People reportedly described the condition, also known as NVP (nausea and vomiting in pregnancy), as early as 2000 BCE.

Although there is no clear reason for NVP, one theory is that it is due to hormonal changes that a women undergoes during pregnancy.

Despite being commonly known as morning sickness, NVP can happen at any time of the day or night. These symptoms are often limited to the first trimester, but they can occasionally extend throughout the pregnancy, including in the third trimester.

Standard morning sickness usually starts before 9 weeks of pregnancy. Women typically feel nauseated for a short time each day and may vomit once or twice a day.

Hyperemesis gravidarum affects about 3 in 100 pregnancies and causes extreme and excessive vomiting and nausea. Whereas morning sickness is manageable, hyperemesis gravidarum is much more severe. Symptoms include:

  • vomiting more than three to four times a day
  • feeling nauseated almost constantly
  • losing a substantial amount of prepregnancy body weight
  • dehydration

Although the cause of morning sickness is not fully understood, certain risk factors increase the likelihood of a person experiencing more severe symptoms:

  • having a multiple pregnancy, i.e., twins or triplets
  • having had a previous pregnancy with nausea and vomiting
  • having a family history of severe nausea and vomiting during pregnancy
  • having a personal history of motion sickness or migraine
  • being pregnant with a female fetus

NVP during pregnancy can also occur due to certain medical conditions, including:

Food poisoning

Food-related illnesses, also known as food poisoning, occur from eating food or drinking water containing harmful substances, such as:

  • bacteria
  • parasites
  • viruses
  • certain chemicals

Pregnant women are at higher risk than others of food-related illnesses because their immune system is weaker. In addition to this, the fetus’s immune system is not yet strong enough to fight the germs.

Along with nausea and vomiting, foodborne illness can cause the following symptoms:

To minimize their risk of food poisoning, pregnant women should avoid certain food products, including:

  • unwashed fruits and vegetables
  • raw or undercooked eggs
  • unpasteurized milk
  • unpasteurized cheese
  • raw fish

It is advisable to research a full list of foods to avoid to limit the risks of food-related illness as much as possible. Learn more about food poisoning here.

Both the cause and the severity of NVP usually determine the treatment. It can be as simple as making a few dietary amendments or as serious as receiving nutrients and fluid intravenously at the hospital.

Some medical treatments include:

  • Vitamin B-6 and doxylamine: Both of these are safe to take individually or together during pregnancy, as they have no harmful effects on the fetus.
  • Antiemetic drugs: These drugs prevent vomiting, and a doctor may prescribe them if the above combination does not work.

It is important to seek medical advice before trying the following treatments, which some say can help relieve NVP:

  • Acupuncture: This form of alternative medicine involves the insertion of thin needles into specific points on the skin. It is best to choose a practitioner who has trained to work with pregnant women.
  • Acupressure and acustimulation: These techniques involve putting pressure on or stimulating certain points of the body, called pressure points, to help prevent nausea.

Pregnant women can take certain steps — mostly dietary or lifestyle ones — to reduce the chance of vomiting. These include:

  • eating small meals several times a day rather than three big meals
  • avoiding smells that set off the nausea
  • taking prenatal vitamins
  • sipping on water or ginger ale
  • drinking fluids often
  • consuming ginger or using supplements
  • eating plain crackers or dry toast

Various ginger products are available for purchase online.

Normal morning sickness is nothing to worry about and does not warrant a visit to the doctor.

However, severe morning sickness could be hyperemesis gravidarum. If hyperemesis gravidarum seems likely, it is important to see a doctor as soon as possible, as it can have serious complications and require medical treatment.

Pregnant women should see a doctor if any of the following symptoms occur:

  • weight loss of more than 2 pounds
  • inability to keep foods and fluids down
  • being tired or confused
  • blood in the vomit

Sickness during pregnancy usually does not harm either the pregnant woman or the developing fetus.

Medical treatment is only necessary when the cause is something else, such as food poisoning or hyperemesis gravidarum.

Anyone with concerns about vomiting during pregnancy should see a doctor to rule out causes other than morning sickness.

Five ways to decrease nausea during pregnancy

What is hyperemesis gravidarum?

Hyperemesis gravidarum is simply increased nausea and vomiting in pregnancy due to the normal increase in one of the pregnancy hormones. If you are experiencing these symptoms it is important to tell your obstetric provider because if left alone, it can cause severe dehydration. There are simple things you can do at home to help decrease nausea and vomiting and prevent from becoming dehydrated.

How to reduce nausea during pregnancy

Eat smaller, but more frequent meals

Instead of eating a large breakfast, lunch and dinner, eat smaller portions with healthy snacks in between meals. Being too full or too hungry are common triggers for vomiting in pregnancy.

Avoid heartburn

Gastroesophageal Reflux Disease (GERD) or heartburn is a common trigger for nausea and vomiting in pregnancy. Because of normal pregnancy changes, pregnant women are more likely to get heartburn even if they have never had it before. Avoid spicy foods and take over-the-counter antacids like Tums. If your heartburn persists beyond occasional doses of antacids, talk to your obstetric provider about starting an acid blocker medication which is safe in pregnancy.

Dietary supplementation and over the counter medications

Some women experience relief from their nausea and vomiting symptoms from dietary supplements such as ginger and Vitamin B6 (25 mg). The over-the-counter sleeping aid, Doxylamine (Unisom sleep tabs, 12.5 mg in the morning and evening and 25 mg at bedtime), has also been known to help with nausea and vomiting. Ask your care provider first before you start these supplements and over the counter medications.

Tell your obstetric provider about your symptoms

If you are having symptoms of dehydration, such as dizziness and a racing heart, tell your obstetric provider right away.

Drink lots of water

Drink six to eight 8 oz. glasses of water. Electrolyte supplementation such as Gatorade is not necessary. If you choose to drink Gatorade, especially if you are diabetic, drink the low-calorie, low-sugar variety.

Prevent hospitalization for hyperemesis gravidarum

Although you may never be married to a future monarch of the United Kingdom, you may also avoid being hospitalized for nausea and vomiting in pregnancy by following these tips.

Severe vomiting in pregnancy – NHS

Sickness in pregnancy (sometimes called morning sickness) is common. Around 8 out of every 10 pregnant women feel sick (nausea), are sick (vomiting) or both during pregnancy. This does not just happen in the morning.

For most women, this improves or stops completely by around weeks 16 to 20, although for some women it can last longer.

Some pregnant women experience very bad nausea and vomiting. They might be sick many times a day and be unable to keep food or drink down, which can impact on their daily life.

This excessive nausea and vomiting is known as hyperemesis gravidarum (HG), and often needs hospital treatment.

Exactly how many pregnant women get HG is not known as some cases may go unreported, but it’s thought to be around 1 to 3 in every 100.

If you are being sick frequently and cannot keep food down, tell your midwife or doctor, or contact the hospital as soon as possible. There is a risk you may become dehydrated, and your midwife or doctor can make sure you get the right treatment.

Important:
Coronavirus (COVID-19) update

If you’re well, it’s really important you go to all your appointments and scans for the health of you and your baby.

If you’re pregnant, hospitals and clinics are making sure it’s safe for you to go to appointments.

If you get symptoms of COVID-19, or you’re unwell with something other than COVID-19, speak to your midwife or maternity team. They will advise you what to do.

Find out more about pregnancy and COVID-19

Symptoms of hyperemesis gravidarum

HG is much worse than the normal nausea and vomiting of pregnancy.

Signs and symptoms of HG include:

  • prolonged and severe nausea and vomiting
  • being dehydrated. Symptoms of dehydration include, feeling thirsty, tired, dizzy or lightheaded, not peeing very much, and having dark yellow and strong-smelling pee
  • weight loss
  • low blood pressure (hypotension) when standing

Unlike regular pregnancy sickness, HG may not get better by 16 to 20 weeks. It may not clear up completely until the baby is born, although some symptoms may improve at around 20 weeks.

See your GP or midwife if you have severe nausea and vomiting. Getting help early can help you avoid dehydration and weight loss.

There are other conditions that can cause nausea and vomiting, and your doctor will need to rule these out first.

See the healthtalk.org website for videos and written interviews of women talking about their experiences of hyperemesis gravidarum and how they coped.

What causes hyperemesis gravidarum?

It’s not known what causes HG, or why some women get it and others do not. Some experts believe it is linked to the changing hormones in your body that occur during pregnancy.

There is some evidence that it runs in families, so if you have a mother or sister who has had HG in a pregnancy, you may be more likely to get it yourself.

If you have had HG in a previous pregnancy, you are more likely to get it in your next pregnancy than women who have never had it before, so it’s worth planning in advance.

Treating hyperemesis gravidarum

There are medicines that can be used in pregnancy, including the first 12 weeks, to help improve the symptoms of HG. These include anti-sickness (anti-emetic) drugs, vitamins (B6 and B12) and steroids, or combinations of these.

You may need to try different types of medicine until you find what works best for you.

You can visit the Bumps website to find out which medicines are safe to use in pregnancy.

If your nausea and vomiting cannot be controlled, you may need to be admitted to hospital. This is so doctors can assess your condition and give you the right treatment to protect the health of you and your baby.

Treatment can include intravenous fluids, which are given directly into a vein through a drip. If you have severe vomiting, the anti-sickness drugs may also need to be given via a vein or a muscle.

The charity Pregnancy Sickness Support has information and tips on coping with nausea and vomiting, including HG.

Will hyperemesis gravidarum harm my baby?

HG can make you feel very unwell, but it’s unlikely to harm your baby if treated effectively.

However, if it causes you to lose weight during pregnancy, there is an increased risk that your baby may be born smaller than expected (have a low birthweight).

Other symptoms you may experience

Pregnancy Sickness Support is in touch with many women who have had HG, and who report having some or all of the following symptoms in addition to the main symptoms listed above: 

  • extremely heightened sense of smell
  • excessive saliva production
  • headaches and constipation from dehydration

If you experience these symptoms, you are not alone. Many women have them and they will go away when the HG stops or the baby is born.

How you might feel

The nausea and vomiting of HG can impact your life at a time when you were expecting to be enjoying pregnancy and looking forward to the birth of your baby.

It can affect you both emotionally and physically. The symptoms can be hard to cope with. Without treatment HG may also lead to further health complications, such as depression or tears in your oesophagus.

Severe sickness can be exhausting and stop you doing everyday tasks, such as going to work or even getting out of bed.

In addition to feeling very unwell and tired, you might also feel:

  • anxious about going out or being too far from home in case you need to vomit
  • isolated because you do not know anyone who understands what it’s like to have HG
  • confused as to why this is happening to you
  • unsure about how to cope with the rest of the pregnancy if you continue to feel very ill

If you feel any of these, do not keep it to yourself. Talk to your midwife or doctor, and explain the impact HG is having on your life and how it is making you feel. You could also talk to your partner, family and friends if you want to.

If you want to talk to someone who has been through HG, you can contact Pregnancy Sickness Support’s help section. They have a support network across the UK and can put you in touch with someone who has had HG.

Bear in mind that HG is much worse than regular pregnancy sickness. It is not the result of anything you have or have not done, and you do need treatment and support.

Another pregnancy

If you have had HG before, it’s likely you will get it again in another pregnancy.

If you decide on another pregnancy, it can help to plan ahead, such as arranging child care so you can get plenty of rest.

You could try doing things that helped last time.

Talk to your doctor about starting medicine early.

Blood clots and hyperemesis gravidarum

Because HG can cause dehydration, there’s also an increased risk of having a blood clot (deep vein thrombosis), although this is rare. 

If you are dehydrated and immobile, there is treatment that you can be given to prevent blood clots.

Read more about how to prevent deep vein thrombosis.

Nausea or Vomiting During Pregnancy

Topic Overview

Many women have problems with nausea and sometimes vomiting (morning sickness) during the first 16 weeks of pregnancy. For some women, morning sickness may be one of the first signs of pregnancy. The term “morning sickness” can be misleading, because symptoms can occur at any time of the day. The causes of morning sickness are not fully understood, but hormone changes that occur during pregnancy may play a role.

Morning sickness usually goes away as a pregnancy progresses. While many women feel better after the first trimester, some report ongoing nausea or vomiting through the second trimester. You may be able to gain some relief from morning sickness using home treatment, such as changing what, when, and how much you eat. Talk to your doctor about safe medicines to treat your nausea and vomiting.

Vomiting during pregnancy is more likely to be serious if the vomiting is moderate to severe (occurs more than 2 to 3 times per day) or is accompanied by lower abdominal (pelvic) pain or vaginal bleeding. These symptoms may be caused by an infection, ectopic pregnancy, miscarriage, or some other serious problem.

If you have severe, ongoing nausea and vomiting (hyperemesis gravidarum), see your doctor for treatment. This uncommon complication of pregnancy can lead to dehydration. You may need prescribed medicines, hospitalization, or both.

Be sure to watch for signs of dehydration if vomiting develops. Even mild dehydration can affect other problems, such as constipation or heartburn, that may occur during pregnancy.

Symptoms of mild dehydration include the following:

  • You may be more thirsty than usual.
  • Your urine may be darker than usual.

Symptoms of moderate dehydration include the following:

  • You may be a lot more thirsty than usual.
  • Your mouth and eyes may be drier than usual.
  • Your urine may be much darker than usual.
  • You may pass little or no urine for 8 or more hours.
  • You may feel dizzy when you stand or sit up.

Symptoms of severe dehydration include the following:

  • Your mouth and eyes may be extremely dry.
  • You may pass little or no urine for 12 or more hours.
  • You may not feel alert or be able to think clearly.
  • You may be too weak or dizzy to stand.
  • You may pass out.

Call your doctor if:

  • You have symptoms of moderate dehydration.
  • Vomiting is so severe that you are not able to drink fluids.
  • Your vomiting has not gotten better with home treatment.

Practice the following good health habits until you see your health professional:

  • Eat a balanced diet.
  • Do not smoke.
  • Do not use alcohol or drugs.
  • Avoid caffeine or limit your intake to about 1 cup of coffee or tea each day.
  • Do not clean a cat litter box.
  • Avoid people who are ill.

Credits

Current as of:
May 29, 2019

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP – Emergency Medicine
Adam Husney MD – Family Medicine
Kathleen Romito MD – Family Medicine
H. Michael O’Connor MD – Emergency Medicine
Kirtly Jones MD – Obstetrics and Gynecology

Current as of: May 29, 2019

Author: Healthwise Staff

Medical Review:William H. Blahd Jr. MD, FACEP – Emergency Medicine & Adam Husney MD – Family Medicine & Kathleen Romito MD – Family Medicine & H. Michael O’Connor MD – Emergency Medicine & Kirtly Jones MD – Obstetrics and Gynecology

90,000 Toxicosis during pregnancy – what doctors advise – ISIDA Clinic Kiev, Ukraine

31 January 2019

Toxicosis during pregnancy is perceived by many women as inevitable: this is the body’s reaction to the really serious processes that take place in it in the first weeks and months of pregnancy. And all that remains to be done is to patiently wait for the end of this difficult period. This setting is not entirely correct .

Toxicosis requires the attention of a doctor

The first trimester of pregnancy is the most important, it is at this time that all internal systems and organs are laid in the baby. Therefore, any health problems in the mother are not a very good foundation for such an important “construction”.
In addition, behind the external manifestations of toxicosis – nausea and vomiting – may hide more serious problems, in overwhelming cases – obvious, sometimes – hidden, detected only by laboratory tests.This can be, for example, various skin lesions, convulsions, in the most severe cases – jaundice of pregnant women, bronchial asthma of pregnant women, disorders of water-salt balance, metabolism, etc.

Therefore, close medical supervision of the condition of the expectant mother, who is experiencing toxicosis in the first trimester of pregnancy, is necessary. This is the most important rule, which cannot be neglected in any case.

Why does toxicosis occur in the first trimester

The only absolutely proven hypothesis about the causes of toxicosis does not exist.The most common are:

Early toxicosis is a reaction of the immune system. The human immune system reacts to the appearance of a foreign protein (embryo) by activating its forces and producing a fairly large number of antibodies. In response to these antibodies, nausea and vomiting occurs. “Accustomed” to the existence of a new life within itself, the body turns off the production of antibodies and toxicosis disappears.

Toxicosis is caused by hormones. Scientists – supporters of this theory of the onset of toxicosis – explain the attacks of nausea by the appearance in the body of a new, strongest organ – the placenta, which produces the hCG hormone.It is this hormone that causes an attack of vomiting. This theory is supported by the fact that the peak of the hCG hormone in the blood of a pregnant woman often coincides with the onset of vomiting. In addition, at the time of an attack of toxicosis, a decrease in corticosteroids in the adrenal cortex is often recorded.
The neuro-reflex theory has the largest number of supporters among scientists. According to this theory, during pregnancy in a woman, the more ancient, subcortical parts of the brain are activated. It is there that the centers responsible for protective reflexes are located – the vomiting center, the centers of smell, salivary glands, stomach, etc.e. Activation of these centers leads to vomiting.

As you can see, all the causes of toxicosis in the early stages of pregnancy are due to natural, natural causes for a woman’s position. Why, then, do some women have toxicosis, while others do not? Everything is explained by the general state of health: in the presence of chronic diseases of the gastrointestinal tract, liver, thyroid gland, after induced abortions and against the background of bad habits, the occurrence of toxicosis is more likely.

What to do?

In case of toxicosis, the doctor observing your pregnancy will give a referral for a urine test, which can be used to determine the severity of toxicosis and dehydration of the body, biochemical and general blood tests.Depending on the test results and the degree of toxicosis (mild – vomiting no more than 5 times a day, severe – 10-20 times a day), the doctor will recommend a hospital stay or compliance with special rules at home.

How inpatient treatment will help

A hospital stay may be necessary, since with frequent vomiting, dehydration may occur, metabolism may be disturbed, a decrease in blood pressure, an increase in pulse rate, a decrease in urine output, and constipation may occur.If measures are not taken in time, a violation of water-salt, protein, carbohydrate and fat metabolism, acid-base and vitamin balance, the functions of the endocrine glands may develop. All this can negatively affect the development of the baby, because it is in the first trimester of pregnancy that all the main organs and systems of the baby are laid and formed.

Therefore, in no case should you refuse hospitalization if your doctor recommends it.

Treatment for mild toxicosis

A mild form of toxicosis (vomiting no more than 5 times a day) can be controlled using simple methods.
Diet is a very important factor. Avoid food that is too hot or cold – this will provoke an attack of vomiting. Eat often – at least 5-6 times a day, but in small portions. Trust your intuition – if you feel that pickles or exotic fruits are what you need, allow yourself to do so. But remember that your diet during the period of toxicosis should be balanced and your menu should be complete in terms of proteins, fats and carbohydrates.

Do not forget about the drinking regimen : many women suffering from toxicosis enjoy drinking tea with mint during this period – it not only quenches thirst, but also soothes.

Breakfast – in bed. If vomiting usually occurs in the morning, eat breakfast in bed without getting up. Lemon tea and a few crackers can help prevent nausea. If you feel that your newly awakened body is ready to take in a light and healthy breakfast, do it.

Avoid overwork, both physical and nervous. Sometimes attacks of nausea provoke fatigue, this is more often in the afternoon. A soothing tea can help relieve nervous tension.You can also take motherwort or valerian after consulting your doctor.

Early toxicosis usually disappears completely at about 12 weeks of gestation, less often it can last until the 16th week. Be patient and be extremely attentive to the nuances of your well-being – this is very important for the health of your baby.

Looking for a clinic that you can trust to monitor your pregnancy? Trust the specialists of the ISIDA clinic. Do you have any questions? We will be happy to answer them if you call the ISIDA clinic on 0800 60 80 80, +38 (044) 455 88 11.Or ask us your question and we will definitely answer it.

90,000 from the first signs to quality therapy with competent specialists

Precinct gynecologist

Lukyanova

Yana Sergeevna

Obstetrician-gynecologist, endosurgeon Member of the European Society of Gynecological Endoscopy Member of the European Society of Human Reproduction and Embryology

To make an appointment

Pregnant women often suffer especially from a form of body poisoning – toxicosis.Pathology is accompanied by nausea and vomiting. In pregnant women, the body is poisoned with fetal products. This pathology manifests itself in a wide range of symptoms. Modern medicine is able to eliminate the disease.

Toxicosis in pregnant women: a manifestation of the disease

Toxicosis is poisoning. The fetus secretes products inside the woman’s body. The latter begins to perceive the work of the fetus as hostile. As a result, symptoms of poisoning appear.

Signs of toxicosis in pregnant women:

  • persistent nausea and strong morning gag reflex;
  • increased drowsiness;
  • Constant weakness and poor performance;
  • constant mood swings of a sharp character;
  • dislike of strong odors.

Pathology manifests itself during the first trimeter of pregnancy. But not all women watch her. Why this is happening – there is still no exact answer. Over time, the phenomenon disappears by itself. But some have toxicosis late in pregnancy. This is a more dangerous form of toxicosis, since it can negatively affect the course of pregnancy. You will need to be monitored by specialists at a hospital.

Symptoms of pathology appear gradually after conception.In the beginning, the disappearance of appetite and increased irritability are observed. The disease is gradually increasing. But for one woman, only a few symptoms are characteristic, and not all at once. And so for everyone.

Do you have symptoms of toxicosis?

Only a doctor can accurately diagnose the disease.
Do not delay the consultation – call

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The origins of the development of pathology

During pregnancy, hormonal changes in the female body occur.This is a natural process.

Modern science is not able to give an exact answer about the development of toxicosis. Each woman develops this ailment individually. It all depends on the immunity and physiological characteristics of the pregnant woman’s body. Quality therapy requires an individualized approach.

The nascent fetus produces waste products and develops toxins. The disease is not terrible and you should not be afraid of it. The task of the expectant mother is to alleviate her situation in the possible ways.

Additional causes of toxicosis development:

  • placenta growth;
  • protection of the body from the effects of an actively growing fetus;
  • 90,093 the presence of chronic diseases;

  • unstable psychological state of a pregnant woman;
  • genetic predisposition;
  • multiple fetuses;
  • large age pregnant.

The development of toxicosis is accompanied by a considerable number of factors.It is difficult to independently try to determine the source of the problem and how to influence it. Specialists of JSC “Medicine” (the clinic of Academician Roitberg) will help a woman get rid of the sensations of discomfort and turn the initial stage of pregnancy into pleasure.

Risks of toxicosis

Despite the natural origin of the disease, it carries risks. They are associated with the course of pregnancy and the quality of bearing the fetus. Also, the disease can negatively affect the general condition of a woman.

Risk factors for toxicosis in pregnant women:

  • lack of quality sleep;
  • constant overwork;
  • lack of a power supply system.

The fetus requires additional resources of the female body for development. But the body does not rest and does not receive quality nutrition for the growth of the fetus.

There are several degrees of early toxicosis in pregnant women:

  • mild degree. Vomiting no more than 5 times a day.Loss of body weight no more than 3 kg;
  • medium degree. Vomiting up to 10 times a day. In 2 weeks, a woman can lose up to 10 kg of weight. Unsatisfactory general condition;
  • severe degree. Vomiting more than 25 times a day. Weight loss is more than 10 kg. Development of hepatic and renal failure, general degradation of the body.

Observation of a general deterioration in well-being and active manifestation of symptoms is a reason to consult a specialist. Vomiting and a lack of food deprive the fetus of important nutrients.

Risks of complications

The effect of toxicosis on the body of a pregnant woman depends on the degree of development of the disease. The first degree is harmless to the woman’s body and occurs naturally. In some cases, the second degree does not pose a threat. With a normal course, symptoms disappear by 14 weeks.

The third degree is dangerous for the health of the woman and the fetus. The body is dehydrated and depleted. Women are at risk of complications:

  • heart and renal failure;
  • 90,093 pulmonary edema;

    90,093 falling into a coma with exhaustion;

  • placental insufficiency in the late stages of pregnancy;
  • delay in fetal development;
  • 90,093 risk of premature birth.

Toxicosis is not always mild in pregnant women. The health of the fetus is in the hands of the mother and father. With the development of symptoms of the disease, the risk of complications increases proportionally.

Contacting a specialist

Do not rely on your own strength in overcoming toxicosis in the early stages and its consequences. Specialists of JSC “Medicine” (the clinic of Academician Roitberg) believe that pregnancy should be comfortable. Despite the absence of a threat from a mild form of the disease, you should still see a doctor.

Factors determining an urgent visit to a doctor in the center of Moscow with toxicosis of pregnant women:

  • vomiting more than 5 times per day. Due to the regurgitation of nutrients, the body develops depletion and dehydration;
  • 90,093 the amount of urination decreased, and the urine became dark in color. Dizziness is observed with vigorous activity;

    90,093 pain in the abdomen;

  • vomiting when eating and not eating for more than 12 hours;
  • weight loss exceeds 2.5 kg per week.

The listed toxicosis factors reflect serious problems with the body. Time wasting will lead to even more problems.

Doctor’s visit or visit: preparations

Poor health, constant vacuum and vomiting require preparation before visiting a medical center on your own. Relax before going to the hospital.

Close Required:

  • make an appointment with the pregnant woman in advance;
  • organize delivery in the most comfortable conditions by car or taxi as soon as possible;
  • promptly pick up the pregnant woman from the clinic.

In case of acute problems it is worth waiting for the doctor to visit your home. An ambulance is an effective measure in the fight against toxicosis, since the patient may be unable to move independently.

Diagnostic measures of toxicosis

Obvious symptoms do not give the right to self-diagnose toxicosis during pregnancy. The patient should be examined by a specialist. Doctors of various fields are engaged in the treatment of diseases at our multidisciplinary medical center in the center of Moscow.It depends on the strength of the disease and the presence of additional pathologies.

  • Gynecologist. Qualified specialists will tell you how to deal with toxicosis with medication and other means. The pregnant woman will be explained the causes of toxicosis and how long the toxicosis lasts. The doctor will listen to the symptoms of a pregnant woman’s toxicosis and accurately outline the clinical picture. Toxicosis of the first pregnancy should not cause fear and patients – the task of the gynecologist is to give confidence to future women in labor. There is also an opportunity to ask a specialist about the timing – when the toxicosis ends.
  • Severe toxicosis and the presence of complications require an in-depth study of the patient’s condition by other specialists. In our clinic there is an opportunity to be examined by a physiotherapist. The doctor will tell you how to relieve toxicosis and reduce its effect on other organs.
  • Problems of a personal nature will be resolved by a psychologist. The specialist will help resolve family problems until the toxicosis ends. The psychologist will tell you how to deal with toxicosis.

The family and the pregnant woman herself should prepare in advance for the period when toxicosis begins.They do this at the stage of pregnancy so as not to irritate the woman once again. JSC “Medicine” (Clinic of Academician Roitberg) provides a full range of medical services for pregnant women in the Central District.

Treatment methods

Strong manifestations of the disease require the prima of specialized drugs. Self-medication can be harmful, so be sure to consult with the specialists of JSC “Medicine” (clinic of Academician Roitberg). So there will be no risk of harm to the fetus.

Principles of treatment:

  • mild form does not require treatment. It all comes down to observation;
  • elimination of gagging;
  • Choleretic drugs relieve symptoms and improve liver function;
  • other prescribed drugs will help get rid of muscle spasms, eliminate abdominal pain, lower blood pressure and overcome general weakness.

Medicines are prescribed by qualified doctors based on test results.Unsupported research findings and treatment are hazardous to health.

Home measures to combat toxicosis

Folk remedies can relieve a mild form of the disease. Pregnant women and loved ones should take care of the implementation of proven methods.

Home remedies for toxicosis:

  • full sleep;
  • 90,093 regular long walks;

    90,093 food intake in small portions, but often;

    90,093 refusal from fatty and salty foods;

  • to remove all foreign and unpleasant odors in the home that cause irritation;
  • favorable psychological environment.

Do not succumb to stress and overwork. Controlling your emotions will help you achieve a happy meeting with your newborn. Folk remedies will help you easily transfer a simple form of toxicosis.

Toxicosis during pregnancy: myths and misconceptions

There are well-established opinions about the manifestation of toxicosis. Not all of them are true. You should not listen to public opinion.

  • There will be a girl in case of nausea. Vomiting is a symptom of intoxication due to fetal development.What gender he will have does not matter.
  • In a strong organism, the manifestations of toxicosis are more powerful. Here, rather, on the contrary – a strong organism is able to cope with the problems that have arisen.
  • Toxicosis cannot be cured. The phenomenon does not lend itself to complete treatment, but the condition of a pregnant woman can be significantly alleviated.

Only specialists can give exact answers to questions.

Preventive measures

Preventive measures are aimed at preventing the occurrence of side effects of toxicosis.It is important for a young mother to control herself throughout the day.

Useful Hints:

  • absence of sudden movements, especially in the morning;
  • 90,093 split meals with lots of snacks;

  • cumin or regular chewing gum prevents vomiting;
  • 90 093 high intake of vitamin B6 contributes to the absence of vomiting4 90 094

  • only light food in the diet;
  • 90 093 drinking large volumes of liquid per day in small portions;

  • drinking mint decoctions.

Prevention will improve your well-being. The phenomena of toxicosis, subject to the daily regimen, will practically not disturb the young mother.

Toxicosis treatment: how to get to specialists

JSC “Medicine” (Clinic of Academician Roitberg) is engaged in customer service in the Central Administrative District and helps when toxicosis begins in pregnant women. Patients of the clinic can call an ambulance from our center to their home in order to quickly reduce powerful toxicosis during pregnancy +7 (495) 229-00-03.

You can make an appointment by phone +7 (495) 775-73-60, on the website using the registration form or at the administrators in the clinic: 2nd Tverskoy-Yamskaya per, 10.

90,000 Causes of toxicosis during pregnancy and advice on proper nutrition for prevention

Most women are sure that toxicosis is a faithful companion to pregnancy. In fact, only half of pregnant women suffer from it. And if you do not feel nauseous in the morning, do not worry that your pregnancy is “fake” – such suspicions are completely unfounded.The absence of toxicosis only indicates that your body has easily rebuilt to a new rhythm of work, coping with stress perfectly, it has adapted to a new state without the manifestation of nausea, vomiting and disturbances of its general systems.


Symptoms of toxicosis

However, not everyone is lucky, and many women still experience morning sickness, often accompanied by vomiting. The concept of toxicosis implies the poisoning of the body with toxins (they arise in the process of metabolism in the body of a woman and a fetus).Changes in the functioning of the central nervous system and hormonal changes in the body also play a role. Lack of sleep, diet disturbances and poor nutrition, overwork, and spending time in a confined space can aggravate the discomfort.

Early toxicosis has other symptoms: irritability, increased salivation, loss of appetite, weakness, drowsiness, changes in taste buds, weight loss. Symptoms of toxicosis can be observed even with a frozen pregnancy, which can be distinguished by the absence of fetal movement and heartbeat.

The first signs of early toxicosis can appear as early as 5-6 weeks of pregnancy. Most often, by 13-14 weeks, the woman’s condition stabilizes. But toxicosis can manifest itself at a later date, in the third trimester.

Gag reflex

Vomiting is one of the most striking manifestations of toxicosis in late and early pregnancy. Most often, it is active for 20 weeks.It is noted: the earlier the vomiting began, the harder it proceeds.

There are several degrees of severity of the gag reflex in a pregnant woman:

  1. Mild nausea and a small amount of vomiting, which occurs no more than 5 times a day, usually after meals. The woman’s condition is unchanged, weight loss is no more than three kilograms.
  2. Vomiting increases up to ten times a day, regardless of food intake.Weight loss in two weeks can be more than three kilograms. The well-being of a pregnant woman deteriorates significantly: weakness occurs, pulse rate increases, blood pressure decreases.
  3. Excessive vomiting is observed, which can go up to 25 times a day. This leads to dehydration of the body and a sharp loss of weight – more than ten kilograms. The temperature rises, bad breath appears, pulse quickens, blood pressure drops and the woman becomes inhibited.In some cases, kidney damage may occur. With prolonged vomiting, which becomes life-threatening for a woman, doctors recommend artificial termination of pregnancy.

    Causes of toxicosis

    There is no exact answer to the question of why toxicosis occurs. However, doctors still identify a number of reasons that determine the appearance of symptoms of toxicosis in the early and late stages of pregnancy.

    1. Changes in the hormonal system . From the first hours of fertilization of the egg in the uterine cavity, a woman begins cardinal hormonal changes. The composition of hormones changes dramatically, which is reflected in the behavior, health and well-being of the pregnant woman. A woman becomes irritable, touchy and whiny, she suffers from nausea, and her sense of smell is aggravated.
    2. Placental development . It was found that toxicosis washes out the female body in the first trimester, until about 13-14 weeks, when the placenta is formed.In the second trimester, the placenta takes over the protection of the fetus from toxins, and until then, the female body performs this function on its own.
    3. Defensive reaction . Another proof of the ingenious decisions of nature. Often, a pregnant woman reacts sharply to the smell of tobacco smoke or coffee, refuses to eat eggs, meat or fish. All this is no coincidence. These products can be hazardous to health due to the pathogenic microorganisms they contain.The gag reflex and nausea protect the fetus and the mother’s body from the ingress of substances harmful and dangerous to them, in which case toxicosis in pregnant women is biologically necessary. In addition to the toxins and poisons contained in the food consumed, insulin produced after each meal has a negative effect on the development and growth of the embryo.
    4. Chronic infections and diseases . Infections and diseases that are not cured to the end lead to a weakening of the immunity of a pregnant mother.This can provoke toxicosis in the first trimester. To avoid this, it is necessary to connect a full complex of vitamins at the stage of pregnancy planning, as well as consult a specialist and undergo a full examination. After that, undergo a course of treatment, especially for infections.
    5. Psychological changes . Severe toxicosis in the third trimester can begin due to the psychological and emotional state of the expectant mother. Nervous experiences, stress, lack of sleep, emotional upheaval and irritability are the causes of severe toxicosis, leading to nausea and vomiting.
    6. Age criteria . Pregnancy after 30-35 years of age is considered dangerous, especially if this is the first conception or there have been multiple abortions before. The development of toxicosis can manifest itself much stronger and more risky. Experts say that the younger the future mom is, the easier it is for her to tolerate possible symptoms of toxicosis. But there are exceptions to this rule.
    7. Multiple pregnancy . Toxicosis in the second half of pregnancy in a mother with twins manifests itself much more often and more progressively than in a woman with a singleton pregnancy.



    Nutrition for toxicosis of pregnant women

    Don’t think about it. Reducing the number of meals will help to save from toxicosis and vomiting. First, the embryo needs various trace elements and vitamins. Secondly, even the shortest diet, which is aimed at consuming only one product, can soon cause an allergic reaction in both the mother and the fetus. A balanced diet is the best solution.

    • From the very beginning of toxicosis, eliminate those foods that cause nausea. These most often include dairy products.
    • To replenish the level of minerals – sodium and chlorine – table salt is recommended. Salted fish or cucumbers will even be useful during this period. However, do not forget about the measure, especially for women with chronic kidney disease.
    • The menu for toxicosis in late pregnancy is significantly different.First of all, this applies to salt and salty foods. They can cause fluid retention in the body.
    • The best prevention for late toxicosis is moderate food intake. Remember that protein plays an important role in late toxicosis, and a lack of protein leads to a decrease in it in the blood. Therefore, it is recommended to add boiled fish, cottage cheese and boiled lean meat to the diet of a healthy diet.

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    You may be interested in :

    90,000 Nausea in pregnant women linked to anti-miscarriage

    “Hope II”, Gustav Klimt, 1907 (detail)

    A statistical study has shown that pregnant women who complain of nausea and vomiting in the morning are less likely to have miscarriages.These results are published by JAMA Internal Medicine journal .

    Faintness, nausea, and sometimes vomiting often accompany pregnancy, especially in its early stages. For most women, this “morning weakness” goes away by about the fourth month, but for some it may linger longer. The exact cause is unknown, although it is assumed that it protects the growing fetus from microbes and toxins that can damage it, including from substances that enter the mother’s body with food, coffee, alcoholic beverages, as well as from their metabolic products.

    “It is generally accepted that nausea is indicative of a normal pregnancy,” explains Stefanie Hinkle, an epidemiologist at the National Institutes of Health, “although so far there has been little hard evidence to support this.” In their new work, Hinkle and her colleagues first examined the relationship between morning sickness and pregnancy on a fairly large body of data.

    Scientists used the information collected in 2007-2011 by the Effects of Aspirin in Gestation and Reproduction (EAGeR) project, which investigated the possible beneficial effects of low-dose aspirin.These data covered 797 women, in 188 of whom the pregnancy ended in spontaneous abortion – miscarriage. The authors note that, unlike previous works, their research is based on information that was collected directly during pregnancy, and not on memories or reconstructions. The EAGeR members kept a daily diary of their condition, recording each case of nausea and vomiting throughout the period from the second to the eighth week of pregnancy. Then – from the 12th to the 36th week – they filled out monthly questionnaires.

    In the second week, 18 percent of women were shown to report nausea and 3 percent reported nausea with vomiting. By the eighth week, those numbers had risen to 57 and 27 percent, respectively. At the same time, miscarriage in these women was observed much less frequently: according to Hinkle and her co-authors, nausea is associated with a 56 percent decrease in the risk of miscarriage, and nausea and vomiting – by 80 percent. Scientists conclude that the symptoms of “morning sickness” during pregnancy are associated with a lower risk miscarriages (at least in women who already have a history of miscarriages, which were studied in the EAGeR project).

    Previously, in a similar statistical study, it was shown that excessive vomiting during pregnancy correlates with the frequency of girls’ birth. There is no scientific explanation for this pattern yet.

    Roman Fishman

    90,000 Vomiting during pregnancy – causes, diseases, diagnosis, prevention and treatment – Likar24

    The early stages of pregnancy are characterized by the appearance of nausea and vomiting, the so-called toxicosis.In this case, toxicosis leads to loss of appetite, hypotension, increased sensitivity to odors and increased salivation.

    Toxicosis is not a pathological phenomenon, but a normal reaction of the body to pregnancy, since in this way it tries to get rid of substances that can be harmful to the fetus.

    However, if toxicosis is accompanied by excessive vomiting, which leads to dehydration, weight loss, then this can be an alarming signal and a reason to consult a doctor.

    There are several stages of toxicosis:

    1. Vomiting is repeated about 5 times a day, mainly in the morning and after meals. This stage can be accompanied by mood swings and decreased appetite. Minor weight loss may occur at this stage.
    2. At this stage, vomiting occurs about 10 times a day, heart palpitations appear, and the temperature rises.
    3. The third stage is considered severe and hazardous to health. Vomiting occurs constantly, the woman’s condition worsens, weight decreases, metabolism is disrupted.This phenomenon is called hyperemesis.

    The average duration of toxicosis is about 15 weeks of pregnancy. Despite the widespread belief that toxicosis is a symptom of the early stages of pregnancy, it can also manifest itself in the later stages. This phenomenon is called gestosis, and it is dangerous for the pregnant woman and the fetus, therefore, measures should be taken immediately.

    The causes of toxicosis in pregnant women can be due to both natural factors (exposure to a hormone produced by the placenta) and other factors, including:

    Effect of medicines or vitamins .Some prenatal vitamins can cause nausea and vomiting, for example if they contain iron. Also, certain drugs can cause such adverse reactions, so it is worth consulting a doctor before using them.

    Diseases and inflammation. For example, gastroenteritis can cause nausea and vomiting in pregnant women.

    Neurological causes and disorders of the central nervous system. Headaches, increased intracranial pressure, and various neurological causes can cause this symptom.

    Increased gastric acidity . May also cause nausea and vomiting during pregnancy.

    Psychological factors . Stress, overwork, fear can greatly affect the general condition of the body, causing unpleasant symptoms.

    Hormonal changes. During pregnancy, hormonal changes occur in the body, so these symptoms can be caused by such changes.

    Low sugar level. It is worth getting tested to check your blood sugar levels, as insufficient sugar levels can cause nausea and vomiting in pregnant women.

    Heredity. Toxicosis can occur in those women who have a hereditary predisposition to this symptom.

    Power supply. Salty, fatty and sweet foods can also cause toxicity, so it is worth limiting their use. Cases of poisoning are also not excluded.

    Women who vomit during pregnancy, which is accompanied by alarming signals (fever, vomiting of blood, dehydration, etc.).), you must undergo a thorough examination by a doctor. Diagnostics include:

    • Urinalysis for ketone bodies
    • Blood test for the presence of electrolytes
    • Doppler ultrasound – vascular diagnostics
    • Pelvic ultrasonography
    • Observe weight changes
    • Gynecological examination
    • Ultrasound

    Gastroenteritis is an infectious disease caused by viruses or bacteria, which is accompanied by inflammatory processes of the gastrointestinal tract.May cause pain, nausea and vomiting.

    Pyelonephritis is an infectious and inflammatory kidney disease. The disease leads to a number of unpleasant symptoms, including tremors, high fever, back pain, nausea and vomiting.

    Cholecystitis – inflammation of the mucous membrane of the gallbladder. This disease causes pain in the right side, chills, fever, nausea, and vomiting.

    Appendicitis is an inflammation of the appendix. Symptoms include pain in the right side of the abdomen and in the navel area, constipation, bloating, diarrhea, decreased appetite, nausea, and vomiting.

    In any case, if symptoms appear, you should immediately contact your gynecologist. You may also need the help of a gastroenterologist, neurologist, nutritionist, psychologist, psychotherapist.

    In order to alleviate the symptom (if it is mild and caused by natural factors) at home, you can choose one with these tips:

    Mint and ginger, from which you can make tea, help to alleviate the symptom.

    Food should be divided into small portions.Servings should be divided into several meals.

    If you are not allergic to citrus fruits, you can, for example, occasionally drink water with lemon, grapefruit or lime. However, do not drink citrus juices, especially if the stomach is acidic.

    Still mineral water can also be an effective way to combat nausea and vomiting. First, it will ensure the renewal of the water supply. Secondly, it will weaken toxicosis.

    You should always have an individual snack with you, which helps with toxicosis.For example, apples, lemon or mint candies, cheese sandwich, etc.

    It is also worth going to the toilet often, since the retention of feces in the body can cause the release of toxins that increase toxicosis.

    If you are sensitive to odors, you should avoid them.

    Fresh air also normalizes general health, in particular, reduces the manifestations of toxicosis. Therefore, it is worthwhile to often ventilate the premises and go for walks.

    Yoga and meditation also have a good effect on the psycho-emotional state, causing calming and reducing stress levels.Also, moderate physical activity raises immunity and improves physical fitness.

    Compliance with the correct diet and daily regimen. You should not skip meals, food should be balanced and healthy, selected individually, you need to get enough sleep, rest and not be overwhelmed.

    Taking essential vitamins can also improve overall health and help the body to resist infections.

    Stressful situations should be avoided. Experiencing stress or depression has a bad effect not only on the health of the woman, but also on the health of the baby.In addition, all sorts of anxieties and experiences can cause headaches (even migraines), gastritis and other unpleasant consequences, which are sometimes accompanied by nausea and vomiting.

    Medication should be taken with caution. Some drugs can cause adverse reactions in pregnant women, and some can reduce toxicosis. Therefore, before taking the drug, it is imperative to consult a doctor.

    Relaxing massage. A light massage can not only soothe but also ease unpleasant symptoms.However, you should be careful and consult your doctor about the appropriateness of massage.

    It is better to eat meat with a low fat content, as fatty foods can provoke increased toxicosis.

    It is important to control the level of blood pressure. If the pressure constantly changes, then increases, then decreases, you should immediately consult a doctor.

    Do not forget to periodically consult a doctor and undergo medical examinations.

    90,000 When does early toxicosis begin and how to deal with it during pregnancy

    Early toxicosis of pregnancy is a condition that causes a lot of suffering for a woman.Some people feel the “catch” even before the delay, while for others it starts from 5-6 weeks. Obstetrician-gynecologist Galina Vladimirovna Ovsyannikova talks about the causes of toxicosis and how to alleviate it.

    Symptoms of toxicosis

    Food addictions change sharply, there is an increased sensitivity to odors, nausea, irritability, constantly wanting to sleep.
    Less often, there is uncontrollable salivation, low-grade fever, vomiting.

    Usually this condition takes a woman by surprise.She needs to continue to work, take care of her family, she has a lot of things planned. With this she goes to the doctor, already pretty tired and with a sad look. And we start to figure it out.

    Firstly toxicosis does not torment everyone. Some simply eat everything and do not gain weight, or even lose weight, and this is their toxicosis. Such women are lucky. Although they also manage to worry about this, as they have heard enough “as it should be” from their friends.

    Secondly the severity of toxicosis depends on the state of the nervous system, lifestyle and the “similarity” of the baby to the mother in terms of protein composition.

    And more about that.

    Toxicosis: why and for what?

    • Nervous system. It has been noticed that toxicosis is most pronounced in anxious women, leaders, doctors, teachers, that is, people with increased nervous stress. And, by the way, note that animals do not have such toxicosis as humans do. They do not take upon themselves “all the world’s responsibility” and therefore they do not feel sick or vomit. At most, females sleep a lot and retire to save energy.
    • Lifestyle.If a woman enters pregnancy not in a resourceful state, tired, exhausted, slagged from poor nutrition and lack of water, and even after some illness, poisoning, herpetic manifestations, ARVI, then the body will try to “put the woman to bed” to sleep, rest, gain strength, eat different foods to replenish supplies. Everything is logical. This is a smart move in the fight for survival.
    • Any person has a unique genetic code, which is laid down at the time of fertilization.And how much it will be unlike the mother’s code, so toxicosis will be expressed. To make it clearer, there are people who are so similar in this code, protein composition, that their organs can be transplanted to each other and they will take root. Others, on the contrary, are not alike at all, and if, for example, a kidney is transplanted from such a person, then it will be rejected. Also here. If the child has inherited a similar genetic code, then the intoxication from getting his protein into the mother’s blood will be less. And vice versa. As pregnancy progresses and the placenta forms between the mother and the baby, a placental barrier forms.And toxicosis decreases: therefore, in most women, it goes away by the 12th week.

    How to survive?

    There are no recipes common to all: we are all different and each has its own cause of toxicosis. Still, there are rules that help most women:

    • Get more rest and sleep. Sleep whenever possible and the body asks. A woman with severe toxicosis is almost always helped by sick days for 5.
    • Avoid long meal breaks.Eat light and high-calorie foods every 3 hours. Banana, date, dried fruit, sweet yogurt often help. It’s not scary if there is a roll or biscuits. All this is quickly digested, absorbed and gives you energy. But it is better to refrain from meat, fish, fatty and multicomponent dishes (for example, Olivier salad). This food is difficult to digest and assimilate. You will have to experiment with fiber. During pregnancy, constipation is often due to a relaxed – for the company with the uterus – intestines. In this case, coarse raw fruits and vegetables will trigger peristalsis and regulate stool, but in some, they cause gas and unpleasant colic in the stomach.So you have to try.
    • Very often, nausea is especially pronounced in the morning, after sleep. This is due to the large hunger interval. To smooth out the sensation, try to have a light snack just before bed. If you get up at night to use the toilet, then sip half a banana or a cracker along the way. And in the morning, waking up, not getting out of bed yet, eat yogurt, curd, bun. Lie down for another 20 minutes. Then get up, eat loose breakfast, and only then brush your teeth.
    • The more dehydrated the body, the more intoxication.Start drinking warm, hot, good quality water in small sips. Necessarily between meals, not during. For taste, you can first add lemon or lime, you can buy mineral water in a glass at a pharmacy and drink it, preferably stirring and releasing gases from the bottle. But if you have not drunk water before, or drank very little of it, then you should not suddenly start drinking it in large quantities.

    Medical treatment of early toxicosis also takes place, but only in severe forms!

    And most importantly, remember, this state, although nasty, is temporary, absolutely safe for both you and the child.It will go away on its own very soon. And you will stop feeling weakened, sick pregnant, and you will feel your pregnancy as a big, important and very joyful “business.”

    90,000 Nausea, due to which a pregnancy is terminated

    Photo author, PA

    Pidpis to photo,

    Morning sickness in pregnant women can be of varying intensity; in the worst cases, women must stay in bed

    It is estimated that about 10,000 pregnant women each year suffer from acute nausea and vomiting – a condition known as hyperemesis gravidarum – much more severe than the usual morning sickness that occurs every third expectant mother.

    In particular, the Duchess of Cambridge suffers from hyperemesis, who is soon to give birth to her second child.

    Her pregnancy problems have brought attention to this dire condition, which sometimes causes women to spend their days in bed and vomit thirty times a day. But for 10% of patients, the symptoms of hypermesis are simply unbearable.

    In their opinion, they have no choice but to terminate the pregnancy.

    The British charity Pregnancy Sickness Support has published a report on various cases of hyperemesis in pregnant women entitled “I Won’t Get Over Another Day.”The data presented in the document indicate that a large number of pregnant women do not receive the necessary care and treatment.

    The report is based on the stories of 70 British women who, in the past 10 years, have decided to terminate their pregnancies due to extreme nausea.

    “Really bad”

    The experience of these women shows that therapists and antenatal clinics are sometimes reluctant to prescribe medication for nausea or to acknowledge the seriousness of the condition.

    Lily (not her real name) knows what a severe form of hyperemesis is.

    During the first pregnancy it was “really bad, but I put up with it,” she says.

    The first few months she lay in bed, could only do a few sips of water and vomited up to 30 times a day. She suffered from dehydration and hunger, having overall lost 19 kg in weight during this period.

    “I was very weak and could not stand on my feet, my head was spinning. I could not stand any smells of food – but what, I was sick even from the smell of my husband.”

    “I remember one time I tried to swallow some beans – but they came back in seconds.”

    A therapist sometimes came to Lily and prescribed medications for her nausea, but they did not help.

    Finally, after 22 weeks of pregnancy, the disease gradually disappeared, and vomiting occurred only once a day.

    In 2011, Lily had a daughter.

    “I begged the doctors for steroids”

    But a few months later she became pregnant again, and this time she could not even drink water – she was so nauseous.

    She felt very bad, and since there was a child at home, she simply could not take care of herself.

    “I begged the doctors for steroids (they are sometimes prescribed for women who are not helped by other anti-nausea drugs), but we just moved, I did not have an up-to-date urine test, and I was not admitted to the hospital for rehydration therapy.”

    Photo author, Getty

    Sign up to photo,

    The Duchess of Cambridge is one of those women who suffer from hyperemesis

    As the report says, women are sometimes told that steroids can harm the fetus or are too expensive.

    Less than one in ten women were offered steroid treatment; 47% of the women surveyed said that they were either denied such treatment in response to their request, or simply did not remember about it.

    According to Caitlyn Dean, director of Pregnancy Sickness Support, many women are unreasonably convinced that there is no safe medication for pregnant women. Sometimes their doctors reinforce this belief.

    “But in fact, a considerable list of medicines is both safe and effective.Some of them have been around for over 50 years. ”

    “ There is ample evidence that they do not cause any problems. ”

    Dr. Dagny Rajasingam, consultant obstetrician at St. Thomas Hospital in London and a member of the Royal College of Obstetrics and Gynecology, claims that hyperemesis of pregnancy is a well-known condition that should be taken seriously.

    “First, women should be prescribed anti-nausea pills, then hospitalized for intravenous rehydration and nutrition if necessary, and in very severe cases, steroids.”

    Awareness of hyperemesis will help doctors and midwives develop more empathy for patients with acute nausea, she adds.

    “We must give every pregnant woman a guarantee that she will have someone to discuss these problems with.”

    No choice

    Lily stopped trying to get the best medical care during her second pregnancy as she spent all her energy on daily survival.

    In the end, it seemed to her that there was no choice.

    “With all our maternal instincts, it takes despair to end a child’s life.”

    Photo author, ivanmikhailov

    Pidpis to foto,

    Even plain water can cause severe nausea in women with severe hypermesis

    “I really felt like I was about to stretch my legs.”

    The woman says she does not want to have more children and is afraid of getting pregnant.

    “I do not trust doctors. They do not take this problem seriously enough, so it will all end with just another abortion.”

    As for Caitlyn Dean, she went through three pregnancies with hyperemesis, but thanks to a competent doctor and good medical care before and after conception, the third pregnancy was much easier.

    Dean wants all women with hyperemesis to receive this kind of care, and believes that reducing abortion requires a service that puts pregnant women at home with IVs to stay hydrated.