How many times a day it occurs Whether anything relieves or makes it worse What the vomit looks like How much vomit there is If doctors suspect hyperemesis gravidarum based on symptoms, they do blood and urine tests to determine whether dehydration is present [merckmanuals.com]

In some cases, drowsiness and intellectual slowness are present and this may lead to delirium. [ncbi.nlm.nih.gov]

[…] 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]

• Fatigue

  Ketosis can cause fatigue, bad breath, dizziness, and other symptoms. Women with hyperemesis gravidarum often become so dehydrated that the balance of electrolytes, needed to keep the body functioning normally, is upset. [merckmanuals.com]

  […] pyridoxine) deficiency or vitamin B 12 (cobalamin) deficiency Metabolic imbalances such as metabolic ketoacidosis [11] or thyrotoxicosis [13] Physical and emotional stress Difficulty with activities of daily living Symptoms can be aggravated by hunger, fatigue [en.wikipedia.org]

  Multiple pregancy Pre-eclampsia Premature contractions Urogenital causes Degenerative uterine fibroids Nephrolithiasis Pyelonephritis Uremia Other causes Drug poisoning Food poisoning Iron medication NVP usually has very few attendant symptoms other than fatigue [ncbi.nlm.nih.gov]

• Nausea

  Many pregnant women have some nausea and sometimes vomiting in the first trimester. This is called morning sickness. Symptoms are often more severe in the morning. But nausea and vomiting with pregnancy can happen at any time of the day. [lluch.org]

  Differential diagnosis of nausea and vomiting. Differential diagnosis of nausea and vomiting in respect to abdominal symptoms. [ncbi.nlm.nih.gov]

  Key points Nausea and vomiting in pregnancy are common. It affects around 7 out of 10 women and, f or most women, improves or disappears completely by around the end of the first trimester. Some women experience excessive nausea and vomiting. [healthnavigator.org.nz]

  Hyperemesis gravidarum is extremely severe nausea and excessive vomiting during pregnancy. Women with hyperemesis gravidarum, unlike women with ordinary morning sickness, lose weight and become dehydrated. [merckmanuals.com]

• Jaundice

  If it does, it may severely damage the liver, causing jaundice and degeneration of liver tissue. If hyperemesis gravidarum severely damages the liver or causes severe dehydration, women can become confused. [merckmanuals.com]

  The condition can lead to: Fluid and electrolyte problems Poor nutrition Liver damage and yellowing of the skin, eyes, and mucous membranes (jaundice) B vitamin (thiamine) deficiency Poor growth of the developing baby Key points about hyperemesis gravidarum [lluch.org]

• Headache

  […] obstruction, hyperthyroidism not caused by hyperemesis gravidarum (eg, caused by Graves disease), gestational trophoblastic disease, nephrolithiasis, pyelonephritis, diabetic ketoacidosis or gastroparesis, benign intracranial hypertension, and migraine headaches [merckmanuals.com]

  Headache, muscle pain or tremor and fever (prednisolone, procholrperazine, promethazine, dimenhydrinate, doxylamine, metoclopramide) may also occur. [ncbi.nlm.nih.gov]

At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you. Know why a new medicine or treatment is prescribed, and how it will help you. [lluch.org]

If symptoms recur, the treatment is repeated. Rarely, if weight loss continues and symptoms persist despite treatment, corticosteroids (such as methylprednisolone) may be used for a short time. [merckmanuals.com]

THHG may persist until 18 weeks gestation and does not require treatment. [ncbi.nlm.nih.gov]

Pregnancy outcome and prognosis In most cases, nausea and vomiting during pregnancy is self limiting and is usually resolved by around 20 weeks gestation [ 13 ]. [ncbi.nlm.nih.gov]

Epidemiology of vomiting in early pregnancy. Obstetrics and Gynecology. 1985; 66 :612–616. [ PubMed ] [ Google Scholar ] 30. Depue RH, Bernstein L, Ross RK, Judd HL, Henderson BE. [ncbi.nlm.nih.gov]

[…] 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]

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]

This was partly thought to be due to a lack of evidence of any straight biological pathophysiological pathway [ 42 ], partly due to the finding that many patients seem to need psychological help to cope with the condition. [ncbi.nlm.nih.gov]

If dextrose is given, thiamin 100 mg should be given IV first, to prevent Wernicke encephalopathy. This dose of thiamin should be given daily for 3 days. [merckmanuals.com]

If your nausea and vomiting is preventing you from carrying out your usual daily activities, see your midwife or GP for an assessment. [healthnavigator.org.nz]

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]

[…] replacement Add potassium for replacement after checking electrolytes A further treatment is multivitamin supplementation Glucose solution should not be used unless the serum sodium levels are normal and thiamine supplementation has been prescribed to prevent [bettersafercare.vic.gov.au]