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The Motherisk Nausea and Vomiting of Pregnancy (NVP) Forum

Motherisk receives questions from around the world about morning sickness symptoms, effects, treatments and ways to cope. Those questions and answers are posted here for anyone to read, provided the reader acknowledges and accepts the proviso and disclaimer below.

Forum > Hyperemesis Gravidarum: Anticipating HG
Anticipating NVP/HG

NVP Counselor
Date: 2004-08-28

Question:
When I was pregnant with my first child, about 4 years ago, I experience severe morning sickness, every day, for the whole 9 months. I had to go to the hospital numerous times for I.Vs. I tried sea bands, and medications, nothing worked at all. I was diagnosed with Hyperemesis Gravidarum, which I heard if you have it once, chances are it wil happen again. Is this true? I am now almost 5 weeks pregnant with my second child. For the past 2 weeks, I have been vomiting non-stop. My OB-GYN put me on Premesis RX and Phenergan, but it is not helping at all. Do I have HG again? Is there anything I could do to help myself? I cannot keep anything down. I take my prenatal vitamins at night like I was told to, but I get up during the nght to get sick. What can I do? Pleass help! Thank You in advance

Answer:
No two pregnancies are alike. Hopefully your NVP symptoms in your second pregnancy may not be as severe as in your first. It is important to start treating NVP at the very onset of symptoms. You seem to have done that. Premesix contains Vitamin B6 which is part of the safe, first line treatment used in Canada (Diclectin). If vomiting frequently, medication may not be kept and we assume that you took Phenergan suppositories rather than pills to assist its efficacy.

Other treatment options are listed in our treatment algorithm posted on this website under Newsletters and Updates, Update Archive, February 2002. Please discuss this algorithm with your doctor.

Sometimes severe symptoms similar to HG can be caused by H.Pylori, a stomach bacteria. If that is the case, typical treatments for NVP/HG will not work.

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