QuestionI am 26 years old and just a weeek ago I had to suffer the loss of my sixth preg. I have no children and I am feeling my self getting more and more depressed. I have been told the I suffer from extreme HEG, but no treatment seems to work, even a little. I have tried zofran, promothizine, tigan and more. I weigh an average of 90 pounds when I become pregnate, by the sixth week I usually weigh around 65 pounds. I am not now pregnate, but I also am not ready to accept that I will never be a mom. But my husband and I are strongly considering my getting a partial hysterectimie. We are worried that my body can not handle another go around with HEG. My question is Do you have any advice for treatment on this condition, besides I.V. and zofran. ? Please help me in finding a doctor that has actually delt with these kinds of cases.
AnswerHyperemesis gravidarum (nausea and vomiting of pregnancy) can be very frustrating. Usually replacement of fluids,correction of electrolyte imbalance, and Zofran help. Sometimes, we give Zofran by IV Pump or Vitamin B. Hyperemesis usually does not lead to miscarriage. Miscarriage occurs in 15-20% of every pregnancy. There is nothing you can do to cause a miscarriage and there is nothing you can do to prevent a miscarriage. If, every time you become pregnant, you suffer from hyperemesis gravidarum, you may have to be kept in the hospital longer until you are, indeed, tolerating a dry, level II hyperemesis diet (baked potato, dry cereal, etc). The trick is to have absolutely nothing by mouth except ginger ale and saltine crackers. When you are able to tolerate the crackers, you can gradually increase your diet. Sometimes liquid nutritional supplements can help. You absolutely have to avoid greasy foods, fatty foods, spicy foods, soups, and dairy products until you can safely eat again.Most gynecologists have lots of experience with hyperemesis patients. I have at least 5 pregnant patients each month who suffer from it so bad that they are hospitalized.
