Hyperemesis Gravidarum

Hyperemesis gravidarum (HG) is a pregnancy complication that is characterized by severe nausea, vomiting, weight loss, and possibly dehydration. Feeling faint may also occur. It is considered more severe than morning sickness. Symptoms often get better after the 20th week of pregnancy but may last the entire pregnancy duration.
It is not as common as regular morning sickness.
Symptoms

Throwing up

  • Persistent

or Feel like vomiting

common

Weight loss

common

Rapid heart rate

or Confusion

or Low blood pressure

or Dry mouth

common

Poor appetite

common

Fatigue

or Dizziness

common

Anxiety

or Depression

or Feeling moody

or Lack of concentration

or Feeling agitated

common

Excessive saliva flowing

or Increased sensitivity to smell

common

Dark urine

Risk factors

Pregnancy

Previous pregnancy with Hyperemesis Gravidarum

Family history of hyperemesis gravidarum

Pregnancy with more than one baby at a time

History of molar pregnancy

First pregnancy

Treatment
Dry bland food and oral rehydration are first-line treatments. In some cases, hyperemesis gravidarum is so severe that hospitalization may be required. Hospital treatment may include some or all of the following: 1-Intravenous fluids (IV) – to restore hydration, electrolytes, vitamins, and nutrients 2-Tube feeding: -Nasogastric – restores nutrients through a tube passing through the nose and into the stomach. -Percutaneous endoscopic gastrostomy – restores nutrients through a tube passing through the abdomen and into the stomach; requires a surgical procedure. 3-Medications – metoclopramide, antihistamines, and antireflux medications.
Recommended specialist

If you have Hyperemesis Gravidarum, then a visit to an obstetrician-gynecologist is recommended.

Contact an

Obstetrician-gynecologist

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