Hyperemesis Support

[LucindaE]

I hope everyone suffering from the Horrors of Hyperemesis will find this thread useful as a source of support and information.

There's no TMI on here - can't be by definition - and nobody should feel ashamed of moaning as much as they feel the need to.

MOH's wonderful website is full of useful information on this illness:
sites.google.com/site/pregnancysicknesssos/
Another invaluable website is:
www.pregnancysicknesssupport.org.uk/
If you need help in obtaining medication, this phone number is
brilliant:
024 7638 2020

Lastly, the NICE guidelines on treatment are useful:
cks.nice.org.uk/nauseavomiting-in-pregnancy#!prescribinginfosub

I would like to thank Everyone who has given such invaluable support and advice on this and on previous threads.

Remember when you are at your worst, 'This Too Shall Pass'. It really will.
So many women on this thread have thought they couldn't get through this, but they did.

If I didn't laugh living I'd cry - basic daily functioning, that's all I'm asking for! Never taking it for granted again.

Baby car seat and pram- ooh, its getting real now!

I have now emerged from bed at half 4 in the afternoon. A quick Google tells me my Gp, post office, hairdresser and asda are open later than I thought so thoughts of a vague productivity are not completely lost!

Lucinda, lovely lovely comments like that (whilst very much appreciated) should be kept from highly hormonal women who are prone to weeping...

I have also weighed myself today and am only half a kilo under my starting weight. I think calippo ice lollies, and their distinctive ice crystal formation that is really lovely to suck on, are to blame thank.

Can't remember who asked about Cyclizine but I found it made no difference to the N&V. Meto made me feel awful. Promethazine helped but made me like a zombie and Prochlorperazine was ok ish. Everyone seems to be different though so hopefully the Cyclizine will help you!

punk is it possible to find out the name of your HG specialist? A dear friend is just pregnant with her third and had terrible HG on her second pregnancy and also ended up with all kinds of complications. She got cyclizine today but isn't sure it will be enough and her GP hadn't heard of onastredon (Sorry sp). I sent her this link and all the others already :) It's amazing how some women struggle on without help for this I don't know how they get through.

petit it's all a bit scary! They were the last things pretty much that we needed. Repeated vibe sending to the baby to make an appearance this weekend as I'll be well over the 37 week mark and I'm so keen to have this over with. Not sure it's working though Oh to do the little things as you say....my lovely shampoo and conditioner I can't wait to use but had to put them well away from me as the smell was overpowering! Pre-pregnancy I could hardly smell them at all.

Sorry to all the newcomers on the thread and gentle pats for everyone. boo that's lovely news :) and hope it went well mrsb

Hi everyone,

Hope you are all ok, haven't caught up properly. Had a very frustrating apt today. Basically, new doctor, not happy about my weight gain or glucose levels so I have to change my diet. Got upset as it means eating more stuff I have strong aversions too. Explained my sickness and she thinks it's because I'm eating too much too quick!

Scan itself was ok. Hb strong and movement good but it had it's back to us.

She mentioned the lack of ds test again, and that the other doc didn't put any details of my last scan in my file and that I was supposed to have one at 17 weeks but nobody told me so she wants a more detailed private scan by the end of the week but couldn't recommend or refer us to anyone! And they kept me waiting for 3 hours today. Only to make me more anxious than I was before. If anyone is an expert my weight gain so far is 3kg which is my total and my sugar is 90.

Sorry I didn't read everything properly hope boo got on ok today.

I've been wondering that. At what stage does the lack of weight gain / weight loss become an issue?

Hello newbies :-( sorry you need to be here but congrats on pregnancy.

Quick drop in...just absolutely exhausted. Work tomorrow, I think I may have to call it a day after that. Struggling to do most things now and the nausea is here to stay until d day.

Starry agree with Kali about the ranitidine. I take 150mg twice daily. I have it on repeat prescription from my GP. It not only reduces the burn but also the amount of bile I vomit (quite dramatically)

Boo congrats on boy! Lovely news.

Hope your scan went okay MrsB

20 days, not long but I really am done with this now. 32+ weeks of it...

Living sounds like we are both having a rough final run :-(

From what I've gathered if you don't gain any weight across two trimesters, so if by entering second you've not gained any weight that's a red flag. Also 5% weight loss seems to be a significant marker however presumably this is taken into account with how you are clinically as well and over what time period. Losing it quite quickly is pretty worrying.

Studies have shown those who gain less than 7kg throughout their pregnancy are at risk of intrauterine growth retardation. So overall weight gain is important. I've hardly gained any in the third tri but because the prednisolone helped me to gain (pile it on!!) across the second I've not needed to worry. I've gained around 12kg now (woohoo!!)

Depending on your original weight will also dictate the average weight you should gain. So those with low BMIs would be expected to gain more compared to those who are overweight and can get away with gaining less.

It's a nightmare though, if I hadn't had pred I don't know if the pregnancy would have survived I was so malnourished. Now I'm on a really low dose I can barely eat and the aversions increase the more things I vomit back up :-(

mrsnec I'm glad scan went well about baby, but what a pain about diet.
Also, about eating too much too fast, what a ridiculous comment to be quite frank!
Petitlapin Sorry to make you cry, oh dear, but I will miss you!
George I do hope cyclezine does the trick.
Bling Germany, this is an international thread indeed. It's very brave of yo to fo for it again.
SahsaMonsta That sounds like an awful day! I just hope you had your own loo or one really close, puking three times sounds and once on the way there - surely you were too ill to stir from the house...
livnzuid Oh dear, too!
Wavesto Okla and Everyone.
Leaves clucking anxiously...
xx

Sorry that should be on leaving second tri with no weight gain....
I'd be worried before that though!

PunkstarCorss posted - Very succinct and expert sounding advice. Sorry you're feeling bad again.
xx

Living sorry just seen your post.
My consultant is Professor R Taylor at the RVI in Newcastle. He gets referred all those for steroid consideration, so anyone with severe HG that has been unresponsive to the usual suspects. I'd been on four anti-emetics before I saw him including ondansetron.
He's a prof in metabolic medicine.

www.helpher.org/downloads/Taylor-research-prednisolone-treatment-2009.pdf

This is one of his HG papers re steroids.

Your poor friend...her GP needs to be ringing obstetrics for advice if they've not heard of ondansetron. Or change GP!!

Thanks Lucinda it's nearly over though. Although in some ways it feels harder because it is so close but not quite here!

Thanks punk, that's exactly what I thought. I was 75kg before pg. Bmi of 26 so a little over but I was 96 kg before ttc! Anyway, up to week 15 I stayed the same weight, so now at 77.8kg between weeks 15 and 20 I don't think that's bad I'd say that's bang on. I think in my weight brackets the healthy gain is 10kg or 1.5 stone so surely I'm ok?

Dr Google has just told me blood sugar of 90 is ok too. I don't like ignoring Dr's advice the diet she wants me on is extreme to me. It's basically how the hospital told me to lose the weight in the first place. I might just cut out coke and sweets and ignore the rest. Shame, mil did an online order with the British corner shop. Those abroad have you heard of it? You pay25e to ship a box and fill it up with English goodies. I've got crumpets, ribena, hobnobs and tunnocks teacakes on their way! But according to doc am not allowed any of it!

Yes the docs comment about this made me really angry. Dh even said, see I told you it was your fault! He's lucky I didn't kill him. I didn't have the energy to argue with either of them. The other thing that annoyed me was there was nothing scientific on my notes about dehydration. They'd not used ketosticks the guy in the lab just wrote one word on my urine analysis which means yellow! And another thing she thinks coughing causes contractions and harms the baby and thinks I look tired and need to drink coffee.

I'm almost wishing nasty bloke doc was back! He was there yesterday but had upset another brit lady who was kicking off and refusing to see him!

Thanks for all your support.

Great news boo!

Hope we all have a better day today!

Yes, yesterday was tough - I'm lucky that the loo is about 20 paces from the office! I've taken to carrying a couple of zip lock sandwich bags around, especially when driving, just in case I need to vomit while out and about.

Working from home is the best idea ever in my mind! Shane I still have to get up and take dh to work in the car, but that's only 3 miles each way, usually with a break when I get there!

Hope today feels more positive to everyone.

That sounds awful mrsnec! It's very frustrating to have poorly informed doctors with a negative attitude. I know almost nothing about weight gain so can't help. I had gained 2 kilos as well at 17 weeks from 53 to 55kilos. First pregnancy I gained 11 kilos overall, but most of it later on so my gynea thought I was OK this time round as well. DD was 3.160 at birth which was a good weight, current baby is estimated at 500 grams at 22 weeks which again is fine. Don't know if that helps at all though, sorry.

Hi all, newbie to this thread.
I was just popping by as I was wondering how much vomiting is too much? When should one seek help?
I have had several previous PGs with 1DS, and have had no nausea or vomiting whatsoever in previous pregnancies, just a little heartburn in some.
This time I have felt ill from the start, with regular vomiting. I have been prescribed progesterone due to my RMC history. Maybe this has exacerbated things, but I am vomiting constantly. I feel dizzy and constantly hungry, but not brave enough to eat. I am living off mint tea right now ( at least it's in season! ). Just wondering when to seek help. With my history, I worry everyone will think I'm neurotic. Also, perversely, think that pregnancy symptoms are a good sign, and might mean that this one might stick!

Reading all comments about weight above, do they worry about this if there is vomiting. With DS, I lost weight for the first 5 or 6 months ( which I didn't have to lose) and by the time I stopped work at 37 weeks, I had gained only 1.4kg. I did gain another 4kg after stopping work, and baby was 4kg, so if his growth was impaired at all that's probably a good thing ;)

Sorry for rambling post. Any advice welcome.
Thanks in advance, wishing you all peaceful day

cuppa if the nausea is so bad it's preventing you living a normal life it's too much and you need help. If you are vomiting a lot and not managing to eat/drink then you need to be monitoring Your levels of dehydration.

Do try to eat little and often, bizarrely not doing so really makes the nausea worse. When I was really bad I always took the attitude of better to eat and puke than sit feeling even worse because I hadn't eaten. For me, it didnt always reappear as often or as quickly as I thought it would, but everyone is different on that, so it's trial and error really.

MrsNec
Your Dr doesn't sound like they were helpful at all.

In my last pregnancy I was back to my starting weight by 20 weeks, obs were pleased with that and just booked me a growth scan for 34 weeks. I think different Drs just say different things! I was the same as Boo, piled it all on in third tri last time. My starting BMIs have been 19 in both pregnancies, dropped to 16 at peak weight loss this time which is why they were concerned in my case. I looked grim.

I don't see how you could follow a diet....surely it's a case of just trying to eat what you can manage. I think we all have some guilt about our poor diets through this horror, no point in making someone feel worse about it.

Hi Cup
Sorry you are suffering. It's horrible isn't it? I think if I was only surviving on mint tea I'd want something to help :-(
Early meds can help to prevent things escalating so it's probably worth seeing your GP. Bleugh hate the hunger but too nauseous to eat feeling!
If you're vomiting constantly that doesn't sound like typical nv in pregnancy. Get yourself checked out...this could be HG :-(

Oh mrsnec you are not having a good time of it are you? Is it too much or too little weight gain? Because I have put on over 35 kilos (!) and my consultant is totally unphased. A lot is water retention because my lithium dosage is high and lithium means you retain more water and I drink easily at least 4 litres of fluid a day which is a mix of water, whole milk, orange juice and tonic. Mainly water. Well I tell myself it's water retention hehe as I actually don't want to eat that much. I was about 78 kilo at the start and well over 100 now. And I have a big baby.

Very jealous of all you petite ladies on here :)

Such lovely news that you could see the heartbeat and that he was wriggling. To be honest that's all that matters I reckon. If you want reassurance could you go to somewhere like the foetal medical centre in London for a scan and checkup just for the day and go private?

As for your dh, words fail me. I'd better say nothing in case I am rude but when did he become a doctor specialised in hyperemesis? And are you sure him and my mother are not swapping notes?!

Is it worth trying the helpline just to talk it through with a medical professional who won't shout at you?

And punk thank you I will pass that on. She's south now but from Newcastle funnily enough!

Bit out of puff been for more blood tests and there is more drama as they switch from paper requests to electronic. So glad dh was with me or I would have lost it. I am recuperating in a cafe whilst plotting what to get dh for his birthday. Not sure I will be up to baking a cake - due date is the same day as his birthday! But will try to think of something.

I say he, it could of course be a she!

Living it's hard when you're on meds that do strange things to your body! Loads of that weight will drop off after baba born. I think I have a slight hump from the pred! OH denies it but I think he's just trying to be nice (along with the pred induced acne and sideburns!!!! Bah!)

Although I freaked when I got home last time and I'd barely lost any weight!!! So don't weigh yourself straight away, took a while for my body to realise a baby had departed :-) and loads of it is just extra fluid/increased blood volume.

I'm in work later today, the thought does not please me. I'm totally out of puff now and rolling around like a weeble.

Ooo Living for some reason I thought you were having a she!

Hi all, I apologise in advance I just need a bit of a moan to people who can sympathise. So done being pregnant now! Woke up at 5 this morning with heartburn, went and took my ranitidine which felt like it was just sat in my throat and led to bile run and nosebleed which didn't stop for 20 minutes .

Have barely slept and still feel like my throat is blocked by something which tends to lead to more vomiting till it shifts, just tried a bowl of cereal which normally is fine and feels like my throats on fire. Just wanna go crawl into bed and sleep but the midwife is coming for a home visit and just said sometime in the morning so am stuck waiting for her to turn up. I am 36 weeks tomorrow and the idea of going overdue and having 6 more weeks of this is hideous and depressing.

I know compared to some of you who are in the throes of the hideous first trimester this is nothing in comparison especially when I think back and remember what it was like, but I just want my baby now and to feel normal again.

Cuppa that does not sound like something you can live with. Try the GP again he may have some better ideas for medications. The earlier threads have suggestions for the main medicines that tend to help with HG.

Diddy what a nightmare! Everyone seems to be having a really bad time of it lately! I get loads of nosebleeds as well, try vaseline. It keeps the nostrils moisturised and really helps avoid some nosebleeds.

punk my bad I referred to Mrsnec's wriggler as a he mine is definitely a girl. The amount of scans I've had I think we would have seen something by now. Work gosh, good luck.

diddy I am at 37 weeks and I am not sure which one was worse, first or third trimester. Both horrendous but in different ways. Me and punk are at the same stage as you and can emphasise. God I just want this baby to arrive. Can you go for a c section so at least you know when it will be over? I'm so done with sleepless nights not being comfortable and waking up with nausea and heartburn.

Give me my body and brain back!