Nausea and vomiting are common problems among mothers-to-be, especially in early pregnancy. The so-called morning sickness, which occurs at the beginning of pregnancy, is usually not harmful to your he alth. However, if nausea and vomiting begin after the end of the first trimester or are accompanied by abdominal pain and other disturbing symptoms, they may indicate diseases that are often life and he alth-threatening. Find out what causes nausea and vomiting in pregnancy.

Nausea and vomitingoccur in most womenpregnant . These symptoms are the most common and bothersomein early pregnancy(during the first trimester). It is most commonly referred to as "morning sickness", but both nausea and vomiting can occur at any time of the day - including in the afternoon, evening and even at night. In addition, they can be of varying severity (from mild to severe) and varying frequency (periodic or persistent).

Nausea and vomiting are likely pregnancy related if it begins in the first trimester, lasts or recurs several days a week, and resolves spontaneously after 12-14. week of pregnancy. During this time, abdominal pain is absent, and the pregnant woman does not report other disturbing symptoms. The so-called morning sickness can be relieved by changing your diet. It is therefore beneficial to drink or eat frequently (5-6 small meals a day), especially mild-tasting foods. In this case, theBRAT diet(bananas, rice, apples, toast - bananas, rice, applesauce, toast) will work. A small meal before getting out of bed can help.

However, if nausea and vomiting have been a problem since the end of the first trimester of pregnancy, or if they coexist with abdominal pain or other disturbing symptoms, it may indicate a serious illness.

Nausea and vomiting in pregnancy - causes related to the pregnancy

  • so-called morning sickness- uncomplicated nausea is mild, transient, and lasts varying lengths of time throughout the day, primarily during the first trimester. It is not known how this type of nausea occurs. It is believed that metabolic, endocrine or psychological factors may play a role. Increased levels of certain hormones may also be of importance;
  • irresistible vomiting of pregnant women- frequent, severe and transient nausea and vomiting, accompanied by an inability to ingest adequate amounts of fluids and food orally. There are also symptoms of dehydration - increased heart rate, dry mucous membranes, thirst, weight loss;

IMPORTANT! Incompetent vomiting of pregnant women may lead to dehydration (often with electrolyte disturbances), acidosis, and weight loss, which is an indication for prompt medical intervention.

  • endocellularis formed as a result of faulty fertilization of the egg, which grows strongly in the uterus. The uterus is then larger than the time of pregnancy would indicate, and in some cases heart activity and fetal movement are not recorded. The disease is characterized by severe recurrent vomiting. Sometimes there is increased blood pressure and vaginal bleeding. In addition, the uterus exudes clump-like tissues;
Important

If a pregnant woman is struggling with severe nausea and vomiting, which suddenly subsides, and the soreness of the breasts decreases, consult a doctor as soon as possible. This may mean that the pregnancy has stopped developing.

Nausea and vomiting in pregnancy - non-obstetric causes

  • gastrointestinal disturbance- manifests as non-chronic nausea that may progress to vomiting. Usually there is also diarrhea. The belly is soft, without tenderness, bloated;
  • intestinal obstruction- colic pain with constipation and abdominal distension, gas retention. This condition usually affects patients after abdominal surgery;
  • appendicitis ,cholecystitis- the so-called sharp abdomen - hard, strongly tense and distended abdomen with localized pain;
  • urinary tract infectionlubpyelonephritis- pollakiuria, urge to urinate or urinary retention, pain in the lumbar region , fever;
  • migraine- headache, weakness, confusion, nystagmus;

Nausea and vomiting in pregnancy - medications

Nausea in early pregnancy can be caused by drugs taken by the mother-to-be, e.g. vitamins for pregnant women containing iron.

How to deal with nausea and vomiting during pregnancy?

Source: x-news.pl/Dzień Dobry TVN

References:The Merck manual. Clinical Symptoms: A Practical Guide to Diagnostics and Therapy , pp. ed. Porter R., Kaplan J., Homeier B., Wrocław 2010

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Pregnancy