January 2012 Moms

When to go to ER for dehydration?

Lately, my m/s has gotten worse... I've had a water aversion for the past five weeks, and I've (shamefully) only been drinking about 8 oz. of water a day.  I have, however, drank a lot of homemade brothy soups, along with lots of fruits and vegetables during that time, though it doesn't always stay down.

Particularly in the last two days, I feel like I've thrown up all the water that I've drank, along with 70% of my food intake.  I used to have relief starting at about 8 or 9 p.m., but I don't get that anymore... I throw up everything up until I go to bed at about 10:30, and when I wake up in the middle of the night, I feel like I have to puke as well.  

 I'm already on Zofran and wear Psi Bands, and they don't help much.  I called into work for my first sick day ever yesterday... I get lightheaded once in a while, but yesterday, I had issues getting out of bed at all, because every time I would stand up, everything would start turning white (I ignored that once a couple years ago and ended up passing out), so I would have to lay back down in bed.

 I really worry about my fluid intake, but I'm still peeing regularly (woke up three times last night to pee), and my pee is still light yellow and looks healthy.  I did the skin pinch test, and my skin always goes back flat immediately, so that's fine too.  I feel like I'm not getting anywhere near as much water as I need and that I throw up what little I do drink, but my pee color and frequency seems perfectly fine... so when do I know when it's time to head to the ER for an IV?  I want to make sure that I'm doing what's best for my baby, but I don't want to go in "crying wolf" either... 

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Re: When to go to ER for dehydration?

  • imageniccimax:

    I would say if your pee is fine so are you.  Keep doing what you are doing and get into the doctor next week.  But you know your body best.

    Are you eating at all?

    If you chug a bunch of water would it all just come back up? 

     I do have my next OB appointment next Wednesday, so I'm definitely going to bring it up then.  I am eating about six small meals a day, but the majority of it just comes back up about a half hour to an hour after each meal.

     Yes, a water chug would be a terrible idea for me.  Even when I try to do four small sips of water every 20 minutes, it triggers vomiting for me.

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  • I am so sorry! I agree that if you're peeing and it's not bright yellow, you're probably okay right now, but I don't blame you for worrying. I don't know your doctor situation, but if I was worried like you, I'd call my doctor and talk with his assistant about it. At the very least, bring it up at your next appointment.

     

    I haven't been throwing up, but I've been super nauseous and, up until this week, water  has been a real trigger for me. I could drink a bit of sparkling water with a lime wedge, but not much and not regular water, which is not like me. If you're anything me, the m/s will subside eventually you will have a new appreciation of being able to drink water! =P

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  • My Dr says to go to the ER for dehydration if you haven't been able to keep liquid down for 24 hours.
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  • Have you tried squeezing a fresh lemon in your water?  It helps my m/s and it helps me get the water down...



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  • In my experience, by the time you realize you are starting to dehydrate, it's usually time to go get an IV because at that point, you can drink all the gatoraid and water you want and it's not going to replenish you fast enough. If you start to feel weak, feverish, get the shakes, and body aches, call your doctor on the way to the emergency room to get re-hydrated ASAP.

    Keeping down only about 30% of what you are taking in aren't the greatest odds. You can call your doctor at the first chance possible and see what they want to do, that's always the safest bet instead of waiting til your appointment, even though it's that close. 

    I say if you have to ask and it's worrying you, why wait? The doctor's give us their numbers and pager numbers for these situations. You are paying them so use all your resources!

    I hope you get to feeling better.

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  • Thanks for all your advice so far, ladies.  I think at least for today, I'm probably safe...  I just came back from going out for Mexican with DH and had a virgin margarita (thank you to the OP of that thread!) and that seemed to hit the spot, at least for now.  I just wanted to get an idea of what to watch for, so thank you all!  I'll be sure to tell my OB when I meet with her on Wednesday, and if things get worse before then, I'll be sure to call her or head over to the ER.  
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  • Don't just look at the color of the urine, also note the smell. If the smell is strong, regardless of color, it can point to dehydration as well.

     

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  • If you are feeling weak or faint, that is a concern. Fruit juice slushes, popsicles, and crushed ice helped my m/s because water was not my friend.
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  • I would go if I were you.... usually I would think you were ok with regular urinating and all. But if it's been weeks for you... and maybe 1 week for me, it's probably a good idea to go. I mean everyone is different but I had to go in tonight when I didn't even think I was dehydrated. I ended up having to get an IV and receiving 1000ml of saline.

     

    I hope everything works out and you start feeling better. I can definately sympathize with the m/s getting worse and everything, even fluids, coming back up. I've been going through the same thing..

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  • I'm having issues drinking as much water as I should as well.  While I've not spent as much time vomiting, I'm nauseous all the time (unless I'm sleeping) and it makes it very hard to drink.  I don't want to take Zofran, but I didn't urinate very much today at all, and when I just did, it was dark yellow.  I'm stressed about this all the time b/c I'm not drinking anywhere close to 64 ounces per day.  Sometimes even thinking about drinking water can make me gag.  Should I go in for fluids at this point?  Though I'm not urinating very often and my pee is dark yellow right now, I'm not experiencing the dizziness and headaches I've heard others complain about. I'm 9 weeks 2 days along, and am thoroughly frightened of the stories I've read online about dehydration causing deformities.  Unfortunately, it didn't help that on Saturday I went in for an ultrasound and the baby was lying at the bottom of the sac (which, of course, made me worry that he/she wasn't floating around).  Any advice?
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