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Pregnant, vomiting and headache, iron and calcium, morning sickness. - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1357 Questions
Doctor :   Hi
User :   hello dr
Doctor :   Please proceed with your query.
User :   i am 4 and half months pregnant
Doctor :   Ok
User :   still have vomiting and headache...though its less as compared to fiest trimester
Doctor :   Ok
User :   what should i do to avoid these things
User :   i am taking medicine for Iron and calcium only...
Doctor :   I would like to few more things which would help me in suggesting you: Doctor :   Ok
User :   sure
Doctor :   Is this your first pregnancy?
User :   no
User :   this is second
Doctor :   Ok
User :   first baby is already 2 years now
Doctor :   Ok
Doctor :   Did you face similar problems during your first pregnancy?
User :   headache yes..but no vomiting
Doctor :   Ok
Doctor :   When does usually in a day you have vomitting?
User :   generally in morning
Doctor :   Ok
Doctor :   May I know the contents of the vomitus?
User :   since its in monings..its generally liquid
Doctor :   Ok
Doctor :   May I know the exact location of your headache?
User :   on both the ends of the forehead
Doctor :   Ok
Doctor :   Do you have any acidity related complaints?
User :   yes..sometimes
Doctor :   Ok
Doctor :   Did you see your doctor for these symptoms?
User :   yes...she suggested a medicine for only first 3 months
Doctor :   Ok
User :   but nothing happened with that medicie...
Doctor :   May I know the names of the medicine?
User :   and i still have thois problem
Doctor :   Ok
Doctor :   May I know the names of the medicine?
User :   doxinate for vomiting and nausea
Doctor :   Ok
User :   and one was folic acid
Doctor :   OK
Doctor :   How many episodes of vomiting do you have per day?
User :   generally one
Doctor :   Ok
Doctor :   Does your headache persists for the whole day?
User :   mainly in morning and evening
Doctor :   Ok
Doctor :   After going through the description provided by you, I feel that you might be suffering with Hyperemesis gravidarum.
Doctor :   This is a condition seen in few pregnant female with excess vomiting in the first trimester.
Doctor :   This is usually caused due to hormone secreted by the placenta which induces vomiting.
Doctor :   The usual treatment for this would be DOXINATE and other anti emetic medications which was prescribed by your doctor.
Doctor :   Doxinate is considered to be safe and effective in pregnancy and hence widely used.
Doctor :   The other anti emetics have teratogenic properties hence avoided during pregnancy.
User :   is there anything specific to eating and drinking habit..that may help
Doctor :   This will usually reduce after the delivery of the child.
User :   i do not drink much water...
User :   can that cause this also
Doctor :   Yes, it is important to maintain hydration for the well being of you and your child.
Doctor :   As you lose electrolytes in vomitus it is important to regain them back through the diet.
Doctor :   Please consume lots of water.
Doctor :   And have lots of green leafy vegetables and fruits.
User :   are tomatoes a good vegetable during pregnancy
Doctor :   Avoid sudden sitting up in the morning from sleep.
Doctor :   Yes, tomatoes are good vegetables but can produce acidity which can harm you as you are already taking iron tablets which causes acidity.
Doctor :   Please avoid tomatoes or have limited amounts.
Doctor :   Avoid excess coffee and tea.
Doctor :   as these both can produce gastritis and hence vomiting.
Doctor :   Avoid spicy and oily food.
User :   how about iced green tea
Doctor :   You can have green tea but a cup a day or two.
Doctor :   Take TAB BECOSULES, once a day as this contains vitamin B6 which is considered to be useful in reducing vomiting.
Doctor :   You can have diet rich in ginger, which is also considered to be having properties of reducing vomiting.
Doctor :   Please do not over exert during vomiting as this can cause complications like oesophageal injuries.
Doctor :   The basic treatment of this would be antiemetics with supportive medications.
Doctor :   As you already had doxinate, I would suggest you to follow the above measures and keep yourself hydrated.
Doctor :   Please do not try to self medicate as many medicines can effect the fetus too.
Doctor :   These symptoms would reduce gradually and would completely stop after the delivery.
Doctor :   Did you follow my suggestions?
User :   yes doctor...
User :   i will follow ur advice...
Doctor :   Are there any more queries for me to help you with?
User :   not as of now...thanks a lot doctor...
Doctor :   Thanks for consulting me.
Doctor :   Take care
Doctor :   Bye for now.
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