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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Hyperemesis Support

999 replies

LucindaE · 14/12/2017 14:41

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, phone them on:
024 7638 2020
Lastly, the NICE guidelines on treatment are useful:
cks.nice.org.uk/nauseavomiting-in-pregnancy
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.

Hyperemesis Support
Hyperemesis Support
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10
Didntcomeheretofuckspiders · 16/01/2018 09:52

How exciting Natsku! Must be quite a small town then?!

Freddo it really does sound like you need to be admitted, please don’t let them fob you off.

Think the Ondansetron might be working a bit, certainly feel a bit less horrible today. I’m going to try to go outside for an hour or so this afternoon so I don’t lose the will to live.

OrangeCloud18 · 16/01/2018 12:25

elephant I am 33+2 today so about 7 weeks till due date but 3 weeks to appointment where they will tell me if I am being induced early or not.

Natsku · 16/01/2018 12:27

Appointment went well, monitored baby's heartbeat and my contractions for a while - had a few that I didn't notice and one that I definitely did! Doctor was really reassuring about my fears, that if I get a spinal headache from the epidural it can be cured really easily, and if I've progressed too much for an epidural I can get a spinal block instead. And less chance of tearing for second births.
Did an ultrasound but couldn't really see much because baby is so squashed up on there but got a good view of his penis Grin he's estimated to be average size so at least I won't have a very big baby to push out. And she's writing on my record what happened last time with DD when she was taken to scbu and no one told me anything for ages and I wasn't allowed to go breastfeed her so that they know to make sure I know exactly what's going on if there are issues again.

Natsku · 16/01/2018 12:27

Yeah small town, just 10k people.

LucindaE · 16/01/2018 13:15

Welcome to Freddo. Sorry I missed you last night. I hope you have been having fluids overnight now, at that level of ketones. As others have said, whatever did that Dr mean by talking about Kate Middleton? Was he implying you couldn't read a kesostick, and imagined the dehydration, seeing it as a 'fashionable' illness, or what? You didn't say which meds you were on, but I hope you are on something better now.
thingymaboob I am so sorry you are still suffering badly so late on, and they won't induce as you are dilated. I do join everyone's wishes in hoping baby comes asap. Poor you, only having three good weeks.
Orangecloud You are very brave to have kept working, and with worries about complications and placental insufficiency.
Elephantgrey Sorry to hear about your complications with hypermobility syndrome.
justtheonethen I am so glad the doctor has given reassurance, and you can take the steroids safely to the end.
Shehz21 Good to hear from you; 'medicates fluffily' is, I'm guessing, a bit of predictive text speak from your phone?
Didn't I am so glad you have been signed off.
Herecomesanother Lovely news about your scan and how it has boosted your morale!
Natsku Here's hoping your baby is the first in your town! I suffer from migraines, and had no problem with a headache from an epidural.

OP posts:
Harebellmeadow · 16/01/2018 14:01

Hi Everyone, I am back, as is my sickness. I had a doctors appointment last week but she gave me nothing for the sickness. She didn't even ask me for details but I suppose I didn't look wasted enough to her. I was told to take over the counter dymenhydrinat In the form of medicine called vomex. However this makes me sleepy all day and I would not be able to drive.
The sickeness had got really mild the last week but today and yesterday it is back again, i don't know why. I am in week 10 or 11.
I am not dehydrated and only sick once or twice a day, with nausea all morning and evening. But compared to many of you that is very mild, so I am grateful. I suppose it is within the border of normal morning sickness rather than HE.

Need to catch up on the last few pages of this thread in detail. Hope everyone is doing ok.

Harebellmeadow · 16/01/2018 14:05

Due date is 13 August.

justtheonethen · 16/01/2018 14:59

Harebell that sounds pretty grim to me! I think your doctor is a bit rubbish. Can you see another one?

Natsku how brilliant, that appointment sounds really positive! I'm so pleased. Hope it's not long for you now.

Harebellmeadow · 16/01/2018 16:27

I think I would have to ask friends locally what they were prescribed. So far, those asked were given nothing but vitamin B, high doses. But also none of them had HE to the point of dehydration or collapse. I think that is the threshold here before the doctor would move me into the "really strong stuff" she mentioned.

If things gets really bad I will protest, but I think my sickness is relatively ok compared to others, and manageable as long as I don't over exert myself at work. I have been taking a few sick days when things were really bad e.g. when I had a cold and also nausea together.

Shehz21 · 16/01/2018 17:37

Orange Oh right. Well here's to hoping you do jot go overdue but baby Orange gets to bake well enough before it's time for he?she? To come out! Brew

justtheonethen Yesss! Can't believe we've reached so far. Well these last weeks are known to drag on a lot though so..

Harebell Hey there. So sorry you are still suffering but weeks I do remember that around week 10-11 it was quite horrendous. May I add that maybe it was at it's worst so hopefully this is just the last bit of you feeling so shit.
Second justtheonethen about that doctor being rubbish. You should see another one if possible.
And pleaase definitely DO NOT overdo it at work. Infact I am in complete awe how you are still managing to go in at this stageShock
You brave brave woman.

Elephant No not me unfortunatelySad
That would be Orange and Justtheonethen with a 7 weeks countdown. But I am doing my 10w countdown atm so not too far behind!

Natsku great news from the appointment. Glad she is writing down your past experience so that you don't have to go through anything similar again.
Cheering on Baby Natsku to be the first born in your town!! Just a handful of days left and your DD daughter's birthday party will be here and he can make his appearance as soon as its over lolGrin

Shehz21 · 16/01/2018 17:42

Big hugs to Lucinda Hey there! Lol it's a term my american friend used to describe me. Seems like it's a popular term for women suffering with HG in the states. Like us hg sufferors who lose a lot of weight initially but then once we manage to get hg under control with medecines, we start putting on weight again and get all "fluffy". People sometimes judge that how dare we say we have been so sick and still have put on so much weight in pregnancy, so that's where the medecines have helped to keep things down and made us all big and round.
Lol sorry this seems like such gibberish now I have written this long paragraph but yeah this is how she explained it to me.Blush

LucindaE · 16/01/2018 18:34

Natsku Sorry - I didn't know you'd had some bad past experience with an epidural when I said that I escaped a migraine with one.
Harebell Sorry you are feeling bad. I was trying to look up 'vomex' (never heard of it, but my ignorance can be limitless; is it a comparativel new drug?). The PC is being intolerably slow. Not sure where you are? Phoning the Pregnancy Sickness Support people on 024 7638 2020 for advice on obtaining effective meds might be good idea. They will phone back with good advice. I so agree with others, you are vey brave to be struggling in. Ten weeks can often be bad, with a hormonal surge.
Didn't I forgot to congratlate you on the Danish Pastry and coke!
Shehz21 Ha, Ha, another term of which I'd never heard. Does that mean one is like one of those baby toys 'fluffy balls' which jingle? Wink. I do love those.
Apologies to anyone overlooked.
DueDates
Thingymaboob 10 January
mrsb87 13 January
Flossyfloss 13 January
1984fs 27 January
Spearo21 24 January
Natsku 27 January
Emu21 22 February
OrangeCloud 4 March
justtheone 9 March
Shez21 22 March
scottishem 22 March
AndInShortIWasAfraid 27 March
Polyfilla 25 April
Poppet1985 28 April
dillydollydarling 4 May
seizethecuttlefish 13 May
Sally Mid May
Bunnyfluffy 20 May
BATMAN 21 May
Greenbeanies 23 May
Elephantgrey 25 May
Meadowhay 18 June
Lifeofpies 39 July
Harebell 13 August
Endorra44 16 August
Didntcomeheretofuckspiders 1st September

OP posts:
mummadave · 16/01/2018 18:51

Had my scan today and have an EDD of 5/8/18 so for me it's a count down until then- seems like a little my way off at the moment!
First time is been out of the house in days today to get to the scan appt so it was a nice change of scenery at least!
I'd lost 5kg since booking with the midwife which I wasn't expecting!
Hope everyone is doing ok, one more day down - keep going! 👍🏼

Didntcomeheretofuckspiders · 16/01/2018 20:19

Managed to leave the house today :) Yay ondansetron! Bought a bloody wedding dress!! I can’t say I had loads of fun, I was feeling pretty miserable but it’s definitely something!

Now attempting to cook dinner for the first time in weeks. Yes just opening the fridge has made me vomit (several times) but I’m still bloody doing it!

mummadave · 16/01/2018 20:38

@Didntcomeheretofuckspiders wow! How exciting!! When is the wedding? How's the dinner cooking going?
OH is out so I ordered a takeaway, I'm basically a vegetarian at the mo because I find meat too heavy in my stomach!

Harebellmeadow · 17/01/2018 04:20

didntcome opening the fridge makes me retch every time. DH was complained to when at Xmas he filled the fridge with (inedible for me) delicacies. He's going to have to do a full clean and then keep an empty fridge.

Harebellmeadow · 17/01/2018 04:26

lucinda vomex is what is used for all sickness types here in Ge.rm.any. It worked amazingly for d/v and a tummy bug. But it makes me very sleepy. So not useful. May try in on a weekend and will report back.

It's main ingredient is en.m.wikipedia.org/wiki/Dimenhydrinate

Natsku · 17/01/2018 06:47

Sorry your doctor is being so rubbish Harebell can you see a different one for a second opinion?

I found meat too heavy for much of the pregnancy too mummadave think it was the same when I was pregnant with DD too, but now I'm back to eating meat most days (and craving burgers a lot - no burger places in my town though, at least not ones that do GF ones, so can only get one when we go out of town :( )

Oh I didn't have a bad experience with an epidural last time Lucinda was too scared to get one because of my fears of headaches and whatnot so good to know you didn't get one despite your migraine history. The doctor explained it happens when the fluid gets into the wrong space in the spine but they force a bloodclot to stop it so an easy fix apparently. My bad experience was to do with complications with DD and no one telling me what was going on or letting me go breastfeed her when she was in the SCBU - the doctor seemed quite angry when I told her about that and said that should never have happened. Just wish I had spoken up about it at the time, I think it traumatised me a bit and that's probably part of why I started to get scared of the birth this time.

BadHominem · 17/01/2018 10:00

Sorry, only just had time to catch up.

Yes, @LucindaE, the sooner you get on top of the nausea the better it'll be for the pregnancy. It's a complex process but essentially your nerves that control nausea and vomiting become increasingly sensitive to the point that they fire off with minimal or no stimulation.

Think of it like a burn: it hurts when you burn your skin on the oven but after that you get pain even if you just gently brush a bit of cotton wool on the burn. Cotton wool should not hurt, but those nerves are now sensitised. Starting treatment asap after the nausea begins (similar to immediately pouring lots and lots of cold water over the burn) means that the nerves don't get over stimulated and sensitised. You still get nausea every day, but you're not disabled with it.

My top tips for getting your GP to actually be helpful:

  1. DO NOT BE FOBBED OFF. If one of them mentions Kate Middleton, take them to task: "What do you mean by that?"; "I'm sorry you feel the publicity of her HG has increased your workload but maybe what you're experiencing is women realising that their symptoms are in excess of what is normal are now feeling empowered to seek help."; "Why do you think it is acceptable for me to be disabled by nausea and unable to work or look after my family?"; "If you're not confident in managing sickness in pregnancy please could you recommend a partner in this practice who is, or should I change surgeries?"

Their behaviour is shameful, so shame them.

  1. If what they've suggested doesn't work, GO BACK. It is perfectly reasonable for GPs to start off with general advice about nausea in pregnancy with no treatment - remember, not every woman they see with morning sickness has HG, and they won't know if you're one or the other from a single contact. They aren't fobbing you off, some women really do just need general advice. But if their advice doesn't work you need to go back. And if they prescribe you a drug but it makes no difference or the side effects are intolerable (e.g., cyclizine is not an option for me as I will literally sleep for 8hrs after taking it; nausea improved but wouldn't be able to work safely or drive) GO BACK. There are other drugs they can try instead - they should be following NICE guidance and so will start with the cheapest and safest that works for some, not the most expensive that works for all.
  2. Print out guidelines from HG support organisations and take them with you. GPs are generalists that know a little bit about everything. You may be the first HG patient they've seen this year.

And tips for you helping yourself:

  1. If you're disabled by nausea and vomiting, you need drug therapy. The baby is more likely to be harmed by you being extremely dehydrated, malnourished and immobile than by you taking drugs that allow you to eat and drink.
  2. Once you've got a therapy that works for you, get moving and doing things. Even if you really don't want to. The more you distract yourself from your nausea by getting on with the day (going to work, getting out of the house, being active) the less nausea you'll feel. You'll still feel nausea but the sheer act of being active means that your mind is on other things and it doesn't intensify.
  3. Eat little and often of whatever you can tolerate. HG often becomes a self-fulfilling cycle as your empty stomach makes you feel nausea meaning your stomach remains empty.
  4. Don't feel guilty. Your body is doing amazing things, and that may mean you need to let other things like work, socialising or being super woman slide for a while. You can't do everything, so enjoy slobbing in bed and palm off as much as possible onto the people around you.
Natsku · 17/01/2018 10:05

Excellent advice BadHominem, and good explanation of how not treating it makes it worse.

justtheonethen · 17/01/2018 11:38

Bad excellent advice on dealing with gp. A supportive one makes all the difference but all of them have a job to do so we should challenge poor decisions/advice. Unfortunately so many women find this hard when suffering from HG as they are just so unwell with dehydration and malnutrition that just getting there used their last reserves.

I do think we should be careful about telling people to get out and about/back to work though. Meds work to varying degrees and people feel guilty enough if they can't work/participate fully in looking after the house or kids without being told they aren't distracting themselves enough! The highest dose of Ondansetron alongside metoclopramide and cyclizine together only ever worked enough to stop me throwing up from lying still. The all day nausea and dizziness was crippling still. It worked enough that I could get up and get dressed etc but if I tried to do anything I was back to square one and throwing everything up. It wasn't a case of needing to distract myself, it was a case of managing my symptoms. It's only now that I'm on steroids I can function and they aren't an option in the first trimester when so many women are at their worst despite medication. I just don't like the implication that there is a psychological aspect and HG nausea is totally different from more manageable 'normal' NVP.

Natsku I'm so glad you're feeling more confident. Sounds like you had a horrible time last time. Interested to read about the epidural headache, that's been putting me off them too.

Mumma I didn't eat any meat (except chicken cooked dry and chopped into tiny piece and hidden) until I started steroids. I was repulsed by it.
Congratulations on lovely scan Smile

Didn't hurrah! So glad it's working for you! When are you getting married?

BadHominem · 17/01/2018 12:18

@justtheinethen Sorry my message came across in that way because that is not how it was meant at all.

You sound like you're at the extreme end of the spectrum to be on quadruple therapy, and in fact there are women that terminate their pregnancies because their HG is so extreme. As with most illnesses it is a spectrum and the majority of people are in the middle.

But don't underestimate the psychology that underlies illness. For someone like you you may feel it has no impact, but the fact you were getting up and getting dressed is/was achieving so I'd argue you were doing exactly as I advised. You could just as easily have stopped in bed and done nothing, and some people will be inclined to do that.

Two examples:

  1. fibromyalgia has been shown to respond extremely well to Pain Management Programmes - non-pharmaceutical therapy with multi-disciplinary teams that help patients to take back control of their lives from FM. It doesn't treat the FM, but it does help them them to manage their lives in spite of the FM, and I have spoken with many patients who sings its praises for the difference it has made to their lives.
  2. The "PJ Paralysis" campaign, where hospitals encourage in-patients to get dressed in their own clothes and sit out of bed. It's not telling them their illness isn't making them unwell, but by lying in bed in hospital gowns their psychology takes on the part of "sick person who can do nothing for themselves and are at the mercy of their disease". Patients improve faster and get home sooner by getting out of bed and trying to feel like their normal selves.

I emphasised going to work because it is a normal activity for a lot of people. I want everyone to feel encouraged that they shouldn't feel like HG is a prison sentence, and that may be because through my filters if I wasn't able to go to work I would be terrible. I need to go to work, and the idea of being too sick to work terrifies me because my brain would tear itself apart stuck at home on my own.

But you should do what you are able to do within the limits that your HG puts you in. Having HG does not necessarily mean that you can't do anything, and what I want to emphasise is that what little you are able to do you should do, even if that's putting on a new pair of pyjamas and lying on the sofa instead of the bed.

Please never ever underestimate the psychology of health. It may not have a bearing on how severe an illness is, but it does have an impact on response and recovery. And it's not easy, but that doesn't mean I shouldn't highlight its importance.

BadHominem · 17/01/2018 12:29

Also, as an aside, I'm not surprised ondansetron, metoclopramide and cyclizine didn't work for you - the metoclopramide and cyclizine work in opposite ways and would have cancelled each other out. Metoclopramide encourages forward movement of the gut and cyclizine discourages forward movement of the gut. They have other mechanisms actions so are sometimes successful if prescribed together but actually this is more likely down to luck than judgement.

justtheonethen · 17/01/2018 13:54

Interesting about cyclizine and metoclopramide! I thought cyclizine worked by blocking signals to the brain. Without the cyclizine which got added in second trimester (didn't work on its own in first) I was still a total mess so it definitely helps alongside the others for me. To be honest though nothing except the steroids have helped.

I've been suicidal for months of this pregnancy and have tried many times to go back to work/engage with real life which has ended me up back in hospital so I guess I just feel a bit defensive as I have tried to be positive about things but ultimately I found that the more I tried to feel positive about it just made me feel like I was failing more when I didn't feel positive/manage to get out of bed.

I was close to terminating at points in the first trimester and have had some real moments of regret later on that I didn't. I had ivf to get pregnant and I feel awful about thinking that but I have barely coped. I think I'm trying to say that I don't think my outlook on it has made me feel better or worse!

Ultimately to me HG has been a prison sentence.

Mustang27 · 17/01/2018 15:45

No news from Thingy yet?

Just you have done incredibly well!!! Please try to look at how hard it's been and how resilient you have actually are still to be hanging in there. You are and have been very strong.

Nat that sounds bloody awful no wonder you are worried this time round.

Bad pain management programme left me feeling like a total failure with my fibro Sad although several years on i can go without meds and can manage pain but that could be down to my sheer stubbornness.

Hi to any new faces. Sorry if you are struggling it gets better and it's totally worth it even if you you have to wait to get your reprieve after labour or feeding.

What was the Facebook group called again once you had baba? Does anyone remember?