High-Risk Pregnancy

Severe hyperemesis?

Is anyone suffering from severe HG?  If so, has your doctor given you anything that has actually worked?

I am about 7 1/2 weeks along based on the past two U/S last Thursday and yesterday. 

10+ days ago I started not being able to hold any liquids or solids down for more than an hour at best.  After two days we went to our OBGYN who prescribed the generic of zofran.  Even with this 24/day, Sea Bands, ginger candy, 7 days (so far) of bedrest, B-pregnancy pops, and all the other "usuals" I've only been able to keep SOME water down and a few crackers a day down for more than an hour for the past 2 days.

I'm still vomiting at least 10+ times a day (down from 35+ at least) and I already lost approximately 14lbs. in the first 6 days, with extreme dizziness/nausea almost 24/7.  Tests show that while I'm obviously dehydrated, I haven't developed keytones yet or severe dehydration plus I'm urinating at least 1x/day.  MH is on the rescue squad and we were also instructed to keep taking bloodpressure etc. and given "safe" levels.

If we don't end up in the hospital before Tuesday (which I'm not sure that'll happen), we have an appointment that afternoon to meet with a specialist and HomeHealth nurse who will hook up a shunt for IV's with nutrients at home that MH can hook up for the 8 hours while I'm asleep. 

They did the 2nd U/S yesterday (unexpectedly) because they are obviously worried that it's affecting the baby. 

"She" seems okay but I'm having a difficult time and lots of guilt accepting that I'm not causing "her" problems and could be doing more.

I'm pulling strings here - looking up every and anything on the internet that I can find for suggestions.  I dont' know anyone who has had it to this extreme so anything would be helpful. 

Thank you!

Re: Severe hyperemesis?

  • Sorry to hear about all your struggles.  I too suffered similar symptoms during my first pregancy.  My kidney's were starting to shut down-keytones to blame.  I will tell you that once the zofran gets into you via the pump with the IV hydration, it will make a difference.  Or at least it did for me.  It took a few days of nutrients, IV zofran and some TLC from the home nurse team to get me on the right track. I eventually got a PIC line as regular and Mid lines kept blowing.  The one thing I will kind of warn you about is that if you are doing hydration with the IV, you won't really be able to do it all overnight for 2 reasons- the bag needs to get changed every few hours (mine were 2-3hrs) and also you will have to pee a million times while it is going on.  I worked from home for part of the time and then when I started going back into the office I did a few hours in the morning and then the rest at home after work.

    I stayed on it until week 22 and then weaned back on to oral zofran for the duration of the pregancy.  The very second I deleivered the placenta- not the actual baby- I feel so much better.

    Also on a side note, my Dr. warned me about having a second baby and that I could do some serious damage to my kidneys if I suffered the same symptoms.  But I'm glad to report I am at week 24 right now and I never threw up once with this baby!  What a difference!

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  • First, I just want to say that I feel your pain!! You sound exactly like me I was horrible by 6wks and it only got worse--until it got better. I ended up getting the home IV's and a zofran pump. I was on IV fluids for 24/7 until I was about 15 weeks. I, like pp, ended up getting a PICC line because my IV's kept blowing and after 2 weeks of being on IV's constantly (a regular IV needs to be changed at least once every 3 days) I ended up running out of good veins to use and thats when they went with the PICC line (which honestly was a MUCH better situation for me) I also was able to hook my zofran pump up to my PICC line so I didnt have to poke myself daily w/ new insertion sites.

    Once you get on fluids for a while and get the zofran pump dosage right you will definitely feel better. I will say that I basically didnt eat until 15 weeks but I was able to keep soup down a little and the constant nausea and vomitting did subside while I was on the IV and pump. Unfortunately my PICC line ended up getting infected (which can be kind of serious) around 15 weeks and I was landed in the hospital for 5 days but once I had the PICC line removed in the hospital my hyperemesis decided to go away and by the time I left the hospital I was on no more IV fluids and I was able to go back to oral zofran and then eventually no zofran at all

    I pretty much went my whole 2nd trimester with minimal vomitting and nausea (at least compared to my 1st trimester--after the 1st tri I had a pretty high tolerance for feeling crappy 24/7 lol) so keep hope that this may not last your whole pregnancy and once your dr's figure out how to manage it it WILL get better, take each day at a time, find what helps and works for you ( i lived on minute maid cherry limeade frozen cups--it was the only thing that stayed down and tasted good) eat and drink what you can, dont worry about it hurting the baby just focus on getting better-i know its hard not to worry but it really will be okay--GL! Feel free to PM if you have any other questions for just need to vent! (sorry this was a novel!)

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  • Oh and I forgot to add that like pp said--you will probably be hooked up to the IV 24/7 they generally dont just do it at night and for me I had to get up every 8 hours to change my fluid bag and give myself more zofran in my pump--just dont be surprised if they want you on it continously also here is a link to my blog--if you go back to the beginning posts i talked all about my experiences and started posting from the beginning of my hyperemesis experience so you can get an idea of what to expect since I know there isnt a ton of info out there--have you checked out the hyperemesis.org there are some message boards on there too!

    https://laurensrealreality.blogspot.com

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  • curious lurker - but with relevant info.  I had HG with both my pregnancies I made the news I threw up so much.  they tried zofran, reglan, phenergan, and a variety of other OTC meds. When my doctor suggested I start smoking pot (OMG - yes he DID!) I moved back to my hometown and got a new doctor.  She had me try Unisom - it's an over the counter sleep aid that worked!!  I went from never leaving the bathroom - literally - to only throwing up about once a day.  I took one unisom and a B6 every night.  Towards the end of pregnancy, we tried to wean me off of it.  24 hours after the last tablet, I would start throwing up non stop again.  During my 3 days of labor with my daughter, I wasn't on it and threw up the entire time.  I stopped only once the placenta was delivered. 

    I started unisom at week 7 with my son - what a difference!!

     back to lurking...

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  • I am so sorry (((HUGS))), my sister had severe hyperemesis with my nephew. She was on bedrest for 6 months and lost 20 pounds in the beginning, she was hospitalized twice for iv fluids when she had keytones in her urine.

    It took a lot with insurance to get things straight for coverage, but she finally was doing "okay" when she got her zofran pump put in her leg (it took a long time though, and by that point it was hard to get her back to healthy) and was continually taking Reglan and something else??

    Her OB was *hoping* they could make it until 24 weeks.

    It was soooo hard to watch her go thru HG. We all felt helpless. I am so, so sorry. It doesn't seem like it should be so hard to carry a baby. The worse thing about it, I think, is how misunderstood it is, people think it's morning sickness, but it is so much worse than that.

     I think the fact that they are doing so much, so soon, is really good. My sister found a lot of support on the helpher.org website, and even had a women that had HG check-in on her each day and give her advice on what to say to Doctors, etc.

    I made this video about my sister to help people understand better what HG is all about.

    The good news - Mason was a week overdue and was healthy as can be. Besides some nice scars on her legs from her pump site getting infected, my sis is doing really good too.

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