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  • Pregnancy and you blog

  • Aug. 23, 2008

    Some tips to deal with pregnancy nausea and vomiting

    By Mary M. Murry, R.N., C.N.M.

120 comments posted

Before I ever got pregnant, I worried I would have pregnancies like my dear sister. I think she vomited from the time the sperm united with the egg until her placenta delivered. She never had relief, it just became more predictable. She got the vomiting and fast labor genes and I got the no nausea or vomiting and the slow labor gene.

According to the UpToDate database, some degree of nausea with or without vomiting occurs in 50 to 90 percent of all pregnancies. It begins at five to six weeks gestation, peaking at nine weeks, and usually getting better by 16 to 18 weeks. My sister was one of the 5 percent who continue with it until delivery.

Why do we get nauseated and vomit in pregnancy? Good question — with no definitive answer. There are no studies that can say what causes it. There are theories about hormonal changes and abnormal gastric motility as well as psychological factors.

What can we do about it? If you know that there is a trigger for the nausea, such as the smell of fried food, avoid that. No trips through a drive-through window. Other triggers can be stuffy rooms, perfume and heat. Brushing your teeth can bring it on. Sometimes the iron in your supplements can cause gastric irritation. You could stop your prenatal and take a standard multivitamin or just take your folic acid supplements until after you are feeling better. Eat before or as soon as you feel hungry. An empty stomach can aggravate nausea. Eat frequent high-carbohydrate, low-fat meals. Powdered ginger (1 to 1.5 grams in divided doses over 24 hours) has a positive effect. Some women find lemon-drop candies help.

If your nausea and vomiting are unstoppable, let your health provider know. There is a condition called hyperemesis gravidarum (too much vomiting while pregnant — have to love the fancy name) that can be serious. If you have persistent vomiting and have weight loss exceeding 5 percent of your pre-pregnancy weight, you could fall in this group. Seek help immediately.

I am sure many of you ladies have experienced this. Share with us the things you did to help get through this stage of pregnancy.

120 comments posted

blog index
  • May 14, 2013 1:45 p.m.

    Skye, you are right. The more nauseated you are, the less you eat and drink, the more your body sort of shuts down, trying to conserve. Right now is the time in pregnancy for some of the roughest nausea and vomiting. There are lots of suggestions from women here on the blog. Many women respond to ginger and others require prescription medication. Talk with your provider if you think you need medication.

    - Mary@Mayo

  • May 6, 2013 12:13 p.m.

    I am 9 weeks pregnant have found my own permit to every restroom. It's becoming very hard for me to eat, let alone sleep. I've taken notice the more nauseous I feel the more exhaustion I have. SOS...

    - Skye

  • April 16, 2013 12:01 p.m.

    Hello ladies! I am in my 7th week and my nausea turned into bad vomiting just a day before yesterday. I couldn't keep anything down even the water. I went to the emergency clinic last night and the doctor gave me this medicine called Ondansetron that is safe to take during pregnancy. It really controlled the vomiting right away. I didn't know that there is actually a medication out there to control vomiting else I would've gone to the clinic sooner. The doctor said that this med is very safe and can be given to the babies or pregnant women. Luckily I didn't dehydrate because I kept having water and ice chips even though I threw up everything. The doctor told me to take one pill and wait for half an hour then start sipping some water. Then wait to see if it stays down before having more and it worked! He told me that have another pill in an hour because my vomiting was so bad. I followed the instructions and started feeling better in the middle of the night. I had some milk and crackers because I finally felt hungry after so long. So I recommend this med to at least control the vomiting if it gets really bad like mine did. I hope that these symptoms go away soon though. Good luck and happy pregnancy!

    - Seema

  • March 16, 2013 4:16 a.m.

    Hi all ladies, welcome to motherhood. I am 9 weeks preg with my second baby and do face the same diff of nausea and vomiting. I had morning sickness with the first one too. Its tiring all day and just wanna the sun to set. Just a smal tip for those ladies ANISEED WATER, GINGER & LEMON CANDIES HELPS. TRY DIFFERENT KINDS OF FOOD. ASK YOUR BEST FRIEND TO COOK FOR YOU. EARLY MORNING JUST THROW UP THAT EXCESS ACID IN YOUR STOMACH. YOU FEEL BETTER. RELAX RELAX RELAX. TAKE SHORT NAP. SAY TO YOURSELF JUST SOME MORE MONTHS AND YOU WILL BE FINE INCASE YOU FEEL ANYTHING WRONG JUST CONSULT YOUR DOCTOR All those courages ladies feeling the same just think about those women who wish to have a baby and are waiting for a good news. This feeling has to end one day with a bundle of joy in our hands to complete the family. So fight it bravehearts. I just wake up in the morning and say to myself i am gonna be okay today and even if not i will fight this nausea and vomiting for my sweetheart. My husband says when you go through all these difficulties surely God is going to bless you with a lovely baby. THIS HELPS ME. Have a blessed pregnancy dearones.

    - Ann

  • March 1, 2013 8:55 a.m.

    Hello ladies! I'm currently 8.5 weeks pregnant with my first child. I also was diagnosed with Lyme 6 months ago. At first I was nauseous all day with no vomiting, but have recently begun a routine of vomiting every morning, taking a short nap, and eating when I awake. The rest of the day I don't vomit, but am very nauseous. I crave a ton of foods from meat to hot sandwiches to tater tots, but when anything I crave is put in front of me, my gag reflex says no. I've tried small meals, keeping something in my stomach, Sprite, crackers before I get up, resting, staying active, sipping cold drinks, nothing really helps. The only thing that gives me any degree of relief is sleeping on my stomach [right arm and leg straight, left knee bent up, and left arm tucked under chest]. It's the only way I can sleep or lay down. Laying on my side of back worsens the nausea. Heat makes me nauseous, and so does pasta. Sometimes even the thought of fatty foods makes my throat tighter. I've realized where I am will also change it. At my mother's I'm less nauseous than I am where I live with my fiance and his mother. Stay away from stress! It feels like slow torture and that it will never end, but it can't last forever. It will soon pass.

    - Nicole

  • February 19, 2013 9:53 p.m.

    Hi girls. I am 27 weeks with my second baby. I had morning sickness with my first child, but nothing like this. I was hospitalized for almost a month at 20 weeks, had a PICC line inserted because I couldn't keep anything down and had to have IV feeding while in the hospital. I know hyperemesis is daunting, especially when you feel like you can't function. I spent the first 16 weeks trying every remedy mentioned in every book/article but got no relief. There was a point where I was vomiting for 18 or more hours a day. I am happy to report that like many of the above comments, zofran and phenergan around the clock helps A TON. I rest a lot, because the more active I try to be, the more sick I get. I am off of IV meds now and able to eat up to 1 small meal a day, along with as much liquid as possible. I have found my "good" time of day and I utilize it as much as possible, especially to get ready for this new addition! Thanks to all for sharing your stories, they made me feel as normal as one can feel with this condition.

    - Jamie

  • February 12, 2013 8:14 a.m.

    I am 9 weeks on second child on first i had a bit of dizzyness and tirdness but my goodness nausea with a bang this time round not even getting sick kinda of wish i did a lil to see if i would get relief! very tired all the time not sleeping well and its hard enough with 2 year old that doesnt like sleep ither! taking pregnacare plus which might stop im just hoping at week 12 this all goes im eating all the time to try stop it but aint working! nothing is working can of coke sipping it did work but now not so much!!

    - Claire

  • January 30, 2013 9:03 a.m.

    Moms traits. So I have the condition of what is called hyperemisis. my mother had this as we'll with both if her pregnancies. With my first child I had a pickline in my arm and went into the hospital every other day, to receive iv's. Along with taking two pills zofran and phenegrin where I would rotate taking them every 4 hrs. I was,on the pills the whole pregnancy and iv's till I was 20 weeks. I am now pregnant with my 2nd child I am sick again and very nasous. I am just not throwing up every 3/5 minutes like with my first. best thing I have found is the medicines and rotating them. Along with eating as soon as I feel queasy. Drinking alot of fluids and never eating anything spicy just bland. And staying down the more your up the worse it is with this condition. They say your pregnancy follows your mothers foot steps, so true including with hyperemisis. Good luck including if your dealing with this. It's a long road a head, take it day by day, this to will pass. I swore I would never do it again, and here I am 3 years later. Although this,is my last.

    - Dianne

  • January 28, 2013 12:23 a.m.

    Lani, I think you might want to try the medication. You can start with 1/2 a tab to see how your bode responds to the medication.It is for the good if it helps you to keep some food or liquids down. If you can keep liquids down but not solids, then drink everything you can. If you are losing weight, be sure to talk with your health care provider. You may need IV fluids. In the mean time, keep trying little bites of different things. Little bites are better than no bites at all. Serene had some good suggestions. Maybe go through the other posts and try things that have helped others. We never know what will help us. Just keep trying.

    - Mary@Mayo

  • January 24, 2013 7:25 a.m.

    I'm posting cos I haven't seen anyone else mention this. I'm 8 weeks with my first and I found that cold and/or sour foods make it worse, not better. I tried lemonades, ginger teas and so forth last week and was very sick. What helps is hot (not even warm, it's gotta be fairly hot), liquid/soupy and milky/creamy. If it's sweet or salty, it's better. Like a glass of hot milk with sugar added. Hope it helps some of you. Good luck!

    - Serene

  • January 18, 2013 5:49 p.m.

    I am 6 1/2 weeks pregnant with my first child. I have absolutely NO appetite and anything I take down comes right back up! Just being around food or even thinking of it makes me sick... I work at 6am and it is so hard because from the moment I wake up to the moment I fall asleep I am never feeling well. My doctor prescribed me Promethazine 25mg to help with the nausea and vomiting but I have yet to try it. I'm real iffy about pills I ingest, not to mention being pregnant I REALLY watch what I take! It has been about a week, my nausea seems to have worsened, and I haven't eaten a REAL meal... A couple bites of this, a few nibbles of that... But no matter what I do, nothing helps. I can tell I've lost weight, my cheek bones are much more defined and my pants which once fit me are now all too loose! Any advice helps... Thanks!

    - Lani

  • January 13, 2013 12:24 a.m.

    I am almost 7 weeks. I do suffer from motion sickness, even did as a baby. My parents loved to tell stories of me as a baby with the motion sickness to past boyfriends. Even my husband heard some of the stories. The nausea is exactly like motion sickness, except even when I eat something it is still there, just not as bad as before I ate. I have found that ginger ale helps. A co-worker also gave me some ginger candies that have helped. A suggestion of a food to avoid, especially in the morning is yogurt. I also found toast helps. I have also found that pretzels help me more than crackers. I will sometimes suck on the pretzel because the salt helps. I have been taking women's gummy vitamins. The pill vitamins always make me nauseated, even before I was pregnant. The gummy vitamins do not. Hope this helps.

    - Jane

  • January 5, 2013 10:18 p.m.

    I am now 15 weeks and my doctor said in 99% of pregnancy this is when the nausea goes away but not for me it is almost all day every day I have tried everything their is to help it and nothen seems to work I have 3 kids and this is my worst pregnancy if their is any suggestions that I might not know about I would love to here them.

    - chelsey

  • January 1, 2013 12:54 a.m.

    I had hypermesis gravidarum during my first pregnancy and now 6 weeks into my second the nausea is back with a vengeance! I feel for all of you that are going through this and yes it is frustrating to try every thing recommended with no results! I cannot let my stomach be empty or else the vomiting starts and it is hard to get under control. Best wishes to all you ladies experiencing rough pregnancies, you are courageous!!

    - Kristen

  • December 31, 2012 9:16 p.m.

    Hi girls, I am reading this because I haven't seen anything posted about "Sea Bands", these are elastic bracelets with a bead that presses on a nerve in your wrist. My daughter used these during her two pregnancies and never had morning sickness. These can be purchased at WalGreens or CVS Pharmacies. They are great to wear on cruises and prevent sea sickness. Ginger snap cookies are suppose to help also. I have 3 children and I worked when I was pregnant with the first one. My husband brought me toast and tea or Sprite before I ever got up out of bed. Then I took my time getting a shower and dressed. Seems like rushing around can bring on nausea. When I got to work I had toast and jelly. I tried to never get empty. I only missed 1/2 day of work during my first pregnancy and worked up to the morning my daughter was born. Hang in there, it seems like an eternity, but one day you miracously will feel fine and look forward to childbirth classes and parenting classes, and baby showers. It is so amazing to hold your little one for the first time and the memories of pregnancy and nausea just fade away. Hang in there you will get through it. Be good to yourself and take your time. Pregnancy is such a special time in your life, a little baby being totally dependent on you.

    - Linda

  • December 31, 2012 5:03 p.m.

    Hello. I am currently 8/9 weeks with my 8th pregnancy. This is the first time I have been affected by nausea, of any kind. Because of this, and other reasons, we are suspecting twins. So far, not being overly active and eating frequently helps, but doesn't take it away completely. Here's to it ending soon!

    - Jennifer

  • December 9, 2012 5:37 p.m.

    This is truly miserable. I am on here hoping to find some more suggestions but I see all the things I have already tried. I am on Zofran, Promithizine(sp) in both suppositories and pills, B-6 and Unisom and I still have frequent days that I can't keep anything down. It is so frustrating. I have been going through this for a few weeks now and the doctor has already sent me in for fluids once. The one piece of advice I can offer is to at least suck on ice chips if all else fails. The biggest thing I have always been told when taking care of my other son when he was sick was not to let dehydration set in. I must say it is at least somewhat comforting to know that I am not alone in this because it feels like it. Best of luck everyone.

    - Annie

  • December 8, 2012 1:24 a.m.

    Hi,I am Oneda. This is my first pregnancy and I am 30 weeks, having a boy soon. Now that my stomach is getting smaller because of the baby pushing up, I can`t eat normally. I through up this morning after having two cookies and my prenatal vitamin and also in the evening after having some chicken wings and nachos. Even though I feel much better after cleaning up my stomach I still feel sick and I don`t know what to do for my upset stomach. What should I eat after throughing up?

    - Oneda

  • November 15, 2012 1:45 p.m.

    Hi I am 7 weeks pregnant. I have lost 8 pounds since I found out I was pregnant. I found out roughly 3 weeks. My mother had the condition hyperemesis gravidarum when I was in her. I have told every doctor I've been to because I can't keep anything down. I can't even drink water. I need help. I have even been to the er for dehydration and low potassium.

    - Adrianna

  • September 30, 2012 4:33 a.m.

    I know it is horrible to lay on the couch and just want to be but out of your nausea and vomiting misery. I think there is nothing quite like it. You can begin to feel like you will never have a normal life again. I think we can also look forward to the end of the first trimester thinking the nausea and vomiting will go away. It sometimes takes longer to go away. There have been really good suggestions in the posts. Try to keep the faith that it will get better.

    - Mary@Mayo

  • September 20, 2012 2:48 p.m.

    I dont know if I will ever get through this I am 20 with my first child and almost 7 weeks. Im on zofran but constantly feeling sick and nauseous. I throw up here and there I just wish time could fly...

    - Biya

  • September 19, 2012 3:20 p.m.

    P.s alot of the times you can control how you feel by the way of thinking, if you try doing allll your daily things that you usually do then that helps try to keep your stomach full & your mind busy eat a healthy snack while watching T.V ( favorite show) you'll feel alot better.

    - No name given

  • September 19, 2012 3:16 p.m.

    Hi ladies, im 7 weeks pregnant & this is my first pregnancy& I get somewhat nauseous, with no vomit. I think what helps is EATING, & doing stuff around the house, the more I lay down the more worse I feel. I try to eat alot of my favorite!! Foods. & all these things seem to make it a little better.

    - jocelyn

  • September 12, 2012 10:54 a.m.

    Hey ladies, my name is Natalia and im 9 weeks pregnant. This is my second pregnancy. During my first pregnancy I did not experience any morning sickness/nausea at all. This time around i feel like im going to die from the minute i wake up till the minute i go to sleep. this sucks. Im 19 years old and in so much pain. Any suggestions on how to deal with it. small meals havent been helping at all only makes it worse. My 2 year old son has been causing stress and so have the autistic kids that i work with. could that be the problem? stress? Please let me know. Thanks

    - Natalia

  • September 7, 2012 7:05 p.m.

    hello 10weeks on my 3rd child .every day i feel bad i cant sleep i cant eat im sick all the time .. is there any thing to do for me to be more active , need help

    - christin

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