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Hyperemesis

Cannabinoid Hyperemesis


Presentation

  • During last two presentations he admitted to the chronic abuse of marijuana,which was confirmed with positive findings of tetrahydrocannabinol in urine.[dlib.si]
  • During last two presentations he admitted to the chronic abuse of marijuana, which was confirmed with positive findings of tetrahydrocannabinol in urine.[worldcat.org]
  • […] eating disorders. [3] [4] Diagnosis is usually made based on the observed signs and symptoms. [3] HG has been technically defined as more than three episodes of vomiting per day such that weight loss of 5% or three kilograms has occurred and ketones are present[en.wikipedia.org]
Weight Loss
  • Hyperemesis gravidarum is an extreme type of morning sickness with symptoms like severe nausea, vomiting, and weight loss.[insider.com]
  • Hyperemesis gravidarum means you are unable to take in food and fluid and can suffer fatigue, dehydration and weight loss (HER foundation, 2018).[nct.org.uk]
  • Hyperemesis gravidarum ( HG ) is a pregnancy complication that is characterized by severe nausea, vomiting, weight loss, and possibly dehydration. [1] Feeling faint may also occur. [2] It is considered more severe than morning sickness. [2] Symptoms often[en.wikipedia.org]
Painter
  • Available from: [1].pdf [Accessed 27th March 2018] Veenendaal MV, Van Abeelen AF, Painter RC, Van der Post JA, Roseboom TJ. (2011) Consequences of hyperemesis gravidarum for offspring: a systematic review and meta‐analysis.[nct.org.uk]
Upper Abdominal Pain
  • Case report: We report a case of a 21-year old patient who repeatedly presented at our Department of Internal Medicine with hyperemesis and upper abdominal pain.[dlib.si]
Constipation
  • You’d receive this medication alongside a laxative as one of its side effects is extreme constipation (Pregnancy Support Sickness (PSS) and the British Pregnancy Advisory Service (BPAS), 2015).[nct.org.uk]
  • ] Some pregnant women choose to have an abortion due to HG symptoms. [7] Signs and symptoms [ edit ] When vomiting is severe, it may result in the following: [11] Loss of 5% or more of pre-pregnancy body weight Dehydration, causing ketosis, [12] and constipation[en.wikipedia.org]
Jaundice
  • Complications [ edit ] Pregnant woman [ edit ] If HG is inadequately treated, anemia, [11] hyponatremia, [11] Wernicke's encephalopathy, [11] kidney failure, central pontine myelinolysis, coagulopathy, atrophy, Mallory-Weiss tears, [11] hypoglycemia, jaundice[en.wikipedia.org]
Metallic Taste
  • I could think of nothing but the nausea and the metallic taste in my mouth – and soon the vomiting began. It sounds a strange way to describe a pregnancy, but it felt as if I was being poisoned.[dailymail.co.uk]
Convulsions
  • The great convulsions of my body each time I made a mad dash to the toilet terrified me. When I visited my GP after ten days of this hell I was told to pull myself together.[dailymail.co.uk]
Excitement
  • I remember how the joy and excitement at the thought of a baby on the way was overshadowed by the sudden and violent onslaught of nausea that took hold at about four weeks.[dailymail.co.uk]
Confusion
  • My head was pounding and I was beginning to feel quite confused. My skin was itchy and dry. At Queen Charlotte’s, a specialised maternity hospital in west London, they were both immediately attentive and kind.[dailymail.co.uk]

Workup

Estrogen Decreased
  • Another postulated cause of HG is an increase in maternal levels of estrogens (decreasing intestinal motility and gastric emptying leading to nausea/vomiting). [11] Pathophysiology [ edit ] Although the pathophysiology of HG is poorly understood, the[en.wikipedia.org]
Helicobacter Pylori
  • Helicobacter pylori and pregnancy-related disorders. World Journal of Gastroenterology: WJG. 20(3):654.[nct.org.uk]
  • "Endoscopy in hyperemesis gravidarum and Helicobacter pylori infection". International Journal of Gynaecology and Obstetrics. 79 (2): 105–9. doi : 10.1016/s0020-7292(02)00230-8. PMID 12427393.[en.wikipedia.org]

Treatment

  • Here is everything to know about hyperemesis gravidarum, from its symptoms to potential treatments.[insider.com]
  • If conservative dietary measures fail, more extensive treatment such as the use of antiemetic medications and intravenous rehydration may be required.[en.wikipedia.org]
  • Our work includes researching the cause and treatment of NVP and HG and producing educational and supportive information for sufferers, carers and health care professionals and leading on research on the condition.[charityfilmawards.com]
  • The Duchess of Cambridge is receiving treatment at the King Edward VII Hospital in London pictured Doctors ran constant checks to make sure my vital organs were still functioning.[dailymail.co.uk]

Epidemiology

  • […] significant difference in the neonatal death rate in infants born to mothers with HG compared to infants born to mothers who do not have HG. [11] Children born to mothers with undertreated HG have a fourfold increase in neurobehavioral diagnoses. [38] Epidemiology[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Another postulated cause of HG is an increase in maternal levels of estrogens (decreasing intestinal motility and gastric emptying leading to nausea/vomiting). [11] Pathophysiology [ edit ] Although the pathophysiology of HG is poorly understood, the[en.wikipedia.org]

Prevention

  • Hyperemesis gravidarum can prevent you from doing your job, from looking after other children, and might leave you feeling depressed and anxious.[nct.org.uk]
  • If oral nutrition is insufficient, intravenous nutritional support may be needed. [12] For women who require hospital admission, thromboembolic stockings or low-molecular-weight heparin may be used as measures to prevent the formation of a blood clot.[en.wikipedia.org]
  • These drugs prevent vomiting. Many antiemetic drugs have been shown to be safe to use during pregnancy. Others have conflicting or limited safety information.[acog.org]

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