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This is my second pregnancy. I had pretty bad nausea and vomitting with my first child, but not bad enough to be HG. This time, I feel like the nausea and vomitting is much worse. I'm only about 7 weeks, and I've been throwing up nearly daily (multiple times a day) for about a week now. Yesterday I threw up 4 times, more than I ever threw up on one day with my first.

Is it possible that I have HG? Can you have it in a second pregnancy if you didn't have it the first?

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Hi, and welcome to the site! We do consider pregnancy questions to be on-topic and welcome here. –  Beofett Jan 2 '13 at 18:22
    
Oh - I didn't see that. I just looked at the FAQ and pregnancy wasn't listed in the set of topics that are OK. –  user3618 Jan 2 '13 at 19:53
    
That may be something we have to fix; thanks for pointing that out! –  Beofett Jan 2 '13 at 20:06
    
What does HG mean? –  Torben Gundtofte-Bruun Jan 2 '13 at 21:23
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It means Hyperemesis. It is a condition where so called morning sickness is so extreme that the woman becomes unable to function, starts losing weight, becomes dehydrated and malnourished because she simply cannot keep food down. There are anti nausea medications to help. –  balanced mama Jan 3 '13 at 0:53
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2 Answers 2

up vote 2 down vote accepted

I had severe nausea during my one and only pregnancy and yet have been told by medical staff that a second might be perfectly normal and vice-versa. I had a doctor tell me at the end that I might have had hyperemesis, but that she had just learned about it. Since I only had three weeks left, it was never officially diagnosed or anything, but I got some extra help anyway. From what I know, there really isn't an official way to "diagnose" hyperememsis. They will test your urine and there is some thought that it is related to levels of hCG (which I had a very high incidence of even in my second trimester).

Not all doctors and nurses know about it so ask about it at your next check-up. If you go more than 24 hours without food staying down (or, even more importantly, water). Go into an urgent care facility, get rehydrated and get help.

Now, in regard to helping with the sickness you are dealing with, HP or not, have a dry cracker or granola bar near your bed when you go to sleep at night. One good way to stave off actually getting sick (even if you feel really sick), is by always having a few bites and never letting yourself get truly hungry. Just a nibble or two before you actually get up out of bed, followed by a few sips of water can make a huge difference.

My OB recommended taking a daily vitamin (which I usually didn't keep down because it made me feel sick too), but again, I did find that taken with a bit of food, I was more likely to keep it down a little longer (if not, getting sick when there is food in there is a lot less unpleasant than when your stomach is empty).

Also, extra B12 helped a little, avoiding gassy foods and acidic foods helped ease the symptoms somewhat and listen to your cravings and aversions. You are pregnant so you don't have to politely eat that (fill in the blank here) that your friend made for dinner and brought over - even if you do need to politely say thanks and offer it to your husband to eat ;-/

Mention your concerns to your doctor and take heart! Even though I struggled for 8 of 9 months, lost over 5 lbs over the course of the whole pregnancy (instead of gaining), and had to have a drip to get hydrated a couple of times, my baby was above average in weight and length and perfectly healthy.

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Thank you. I just got nervous because my morning sickness last time lasted well into my fourth month. And if it's worse this time, I don't know what I'm going to do... Also, my mother had HG, so I worried that it is genetic, even though it didn't show up the first time around. –  user3618 Jan 2 '13 at 19:49
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My Mom had pregnancies much like mine was and there is some evidence that it might be genetic - or at least partially so as well. Seriously, eight months of Nausea sucked but with help and support you can get through it! Besides, maybe it'll come to an end as quick as it started for you. Here's to hoping!!! –  balanced mama Jan 2 '13 at 19:51
    
I am shocked to hear of doctors not knowing about HG. –  justkt Jan 2 '13 at 19:55
    
@balancedmama Yes. My first was a boy. I was thinking that maybe this means I'm having a girl now. I guess I'll find out in 7 months... (And both of my mother's HG pregnancies were girls.) –  user3618 Jan 2 '13 at 20:00
    
My wife had hyperemesis with our first child, and was admitted into hospital on two occasions. For the second, she had morning sickness, but nothing as severe. –  Urbycoz Jan 3 '13 at 13:00
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I believe it is possible to have hyperemesis in any pregnancy. However vomitting more times during a subsequent pregnancy does not automatically mean hyperemesis. I had morning sickness during my first pregnancy that occasionally included vomitting up to five times a day and I vomitted 3 times a day for a few weeks. That was not hyperemesis. My medical provider said that morning sickness to require medical attention until I was unable to keep any food or fluids down for 24 hours.

Hyperemesis includes a significant loss of body weight (5% or more), dehydration, and can lead to keytones in the urine and other serious conditions for mother and baby if not treated. It is usually diagnosed based on dehydration or weight loss.

Even without HG, even without keeping nothing down for 24 hours, it is quite possible to be morning sick enough to find daily life difficult. In that case you should consult with your medical provider about medication. In the United States Zofran is a commonly proscribed anti-morning sickness drug. Even if you do not have hyperemesis you should speak to your provider if you are having difficulty due to morning sickness.

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Thank you for your answer. –  user3618 Jan 2 '13 at 19:47
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