Re: When is morning sickness classed as Hyperemesis gravidarum
It's awful. If you can't keep any liquid down you might need some iv. I had to a few times. You might need a urine test as elevated ketones (I think that's what they are called) are not good for either of you.
Can you chew gum? This helped me a bit. I was sick until the day DD was born I really do send lots of empathy it takes the shine off the vision of glowing mums xx
Re: When is morning sickness classed as Hyperemesis gravidarum
I did read somewhere about the difference between MS and HG being about how much weight loss you experience (as a % of body weight) but I don't know, having been through it I would think there is more too it that just weight loss. I think it was if you lost more than 5% of your body weight you had HG???....I lost over 7% in 1 week, I put my shoes on and could feel they were looser. That is just plain wrong!
But as the others have said hydration is very key to keeping yourself on the right side of OK. Things like hydralyte, gastrolyte or gatorade are good (frozen if you can't keep it down as a liquid, I think it's hydralyte that comes as in iceblock) and going to get hydrated at your hospital. Go and see a GP and work out a plan for how to manage it. With no. 2 I had a plan of start with maxalon, then if going X hours without keeping anything down either into GP or call locum for after hours. Next step was going to the local ER, my GP gave me a letter to present to ER to explain the situation and that I'd already done the first several steps.
But if you have gotten really bad it is probably too late for the at home hydration methods, go and get hydrated in hospital and then once you get back to a better level of hydration the hydralite etc. can be used to try and maintain that good level. If you don't get properly hydrated you end up in a hole that you just can't dig your way out of.
Re: When is morning sickness classed as Hyperemesis gravidarum
Symptoms of HG:
Severe nausea and vomiting
Food aversions
Weight loss of 5% or more of pre-pregnancy weight
Decrease in urination
Dehydration
Headaches
Confusion
Fainting
Jaundice
Extreme fatigue
Low blood pressure
Rapid heart rate
Loss of skin elasticity
I found with my second HG pregnancy that if I took Zofran 4 hourly non stop it was more effective in taking the edge off, it never had that chance to fully leave my system.
The earlier the ondansatron therapy is started the higher the chance of it being effective long term. It needs to over ride the brains ability to tell you to throw up. If you are sick for too long before you start taking it, your brain has its pattern of throwing up already and it is much harder to over ride that reflex.....ITMS.
How are you storing the wafers?? What mg are they? They can lose their 'potency' quite easily if not stored correctly and this would also contribute to the less effectiveness. However, nausea is very hard to combat, the vomiting is somewhat more controlled on Zofran due to how it works. Its job is basically to push the stomach contents into the bowel so in effect you cant throw up (except bile) as there isn't much in there (especially when you aren't eating or drinking!)
It is a health for concern for you as soon as you are dehydrated. As it would be even for someone with, say, gastro, dehydration can kill a person. Obviously not as fast this way as being stranded in the desert but still. As for bubs, they will suck you dry There is a point in which they can suffer from it too, but that is a long way off yet. Long term HG can lead to all sorts of awful things like enamel being eaten from your teeth and a torn esophagus.
One of the more recent drugs they are using is Phenergan. That might be a question to ask your GP. If you can get some IV fluids into you at the hospital, hopefully it can pick you up enough to get on top of it for at least a day or two.
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