Second Trimester Nausea & Vomiting: Causes & Relief

Question
A lot of people have told me in the second trimester vomiting and getting nauseous should get better. I have been have a lot of trouble with it. I puke almost everyday and at 15 weeks i have no put on any weight but instead I am loosing weight. I read in an article online that the slowing down of digestion can cause acid regurgitation.  Most of the time when i do get sick its without food and I am wondering if it could be the problem i am having now.

Answer
Dear Courtney,

The nausea and vomiting which occurs for many women (as many as 75%) during the 1st trimester of pregnancy is typically related to the surge of hormones. But by the time your 2nd trimester rolls around, these hormone levels have typically begun to stabilize, therefore calming the nausea and vomiting. Unfortunately, for some women nausea and/or vomiting does persist into the 2nd trimester. Heartburn can also sometimes cause nausea and is usually relieved with antacids like Mylanta.

One possible cause for a return or continuation of nausea and vomiting during the 2nd trimester is a condition known as hyperemesis gravidarum. Hyperemesis Gravidarum is a condition that sometimes afflicts pregnant women, and its symptoms include severe nausea and vomiting. It is a diagnosis of exclusion and may result in weight loss; nutritional deficiencies; and abnormalities in fluids, electrolyte levels, and acid-base balance. The peak incidence is at 8-12 weeks of pregnancy, and symptoms usually resolve by week 20 in all but 10% of patients. Hyperemesis gravidarum is generally treated with changes in diet, rest, and sometimes antacids. In general, anti-nausea medications are to be avoided during pregnancy.

I hope this information has helped you and answered your question. I wish you well.

Brenda