- by Dr Jameela Khalid
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- Dec 05 2017
Hyperemesis Gravidarum: Signs, Symptoms, and Treatment
Many women experience morning sickness, or nausea, during pregnancy. This condition is generally harmless. This condition can be quite uncomfortable, it typically goes away within 12 weeks. Hyperemesis Gravidarum (HG) is an extreme form of morning sickness that causes severe nausea and vomiting during pregnancy. It doesn’t go away and severe vomiting that causes severe hydration and doesn’t allow to keep any food or fluids down.
It usually starts during the first trimester of pregnancy. The most common symptoms are:
- Feeling nearly constant nausea
- Loss of appetite
- Vomiting more than three or four times per day
- Becoming dehydrated
- Feeling light-headed or dizzy
- Losing 5 percent of your body weight due to nausea or vomiting
- Decrease in urination
- Low blood pressure
- Rapid heart rate
- Loss of skin elasticity
HG seems to have a connection to human chorionic gonadotropin (hCG). This is a hormone created during pregnancy by the placenta. hCG levels typically double every 48 to 72 hours. These levels can continue to rise throughout your pregnancy. The trophoblastic disease can also cause HG. It occurs when there is an abnormal growth of cells inside the uterus.
Risk of HG
- Having a history of HG
- Being pregnant with more than one baby
- Being overweight
- Being a first-time mother
Distinguishing between morning sickness and hyperemesis gravidarum
- Nausea sometimes accompanied by vomiting
- Nausea that subsides at 12 weeks or soon after
- Vomiting that does not cause severe dehydration
- Vomiting that allows you to keep some food down
- Nausea accompanied by severe vomiting
- Nausea that does not subside
- Vomiting that causes severe dehydration
- Vomiting that does not allow you to keep any food down.
The doctor will look for medical history and a standard physical exam is done to diagnose. Blood and urine samples are taken to check for signs of dehydration.
- Intravenous fluids are given to restore hydration, electrolytes, vitamins, and nutrients.
- Tube feeding: Nasogastric and Percutaneous endoscopic gastrostomy.
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