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Pregnant. Having acidity, irregular motion, vomiting tendency and losing weight. What to do?

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OBGYN, Maternal and Fetal Medicine
Practicing since : 1979
Answered : 79 Questions
Hi Doctor,

I'm 22 week pregnant.. suddenly I'm feeling that I have no hunger at all, also I am feeling light vomiting tendency. There are irregular motion and acidity (almost everyday) as well. Because of all these I'm loosing weight .. before pregnancy my weight was 38-40 kgs, but now it's only 42.1 kg in the 22nd week of pregnancy.

Please suggest how can I gain weight and how can I get rid of all the problems mentioned above?
Posted Wed, 20 Mar 2013 in Women's Health
Answered by Dr. Nirja Chawla 15 hours later
Congratulations on your pregnancy.
The main issue with you seems to be severe hyperacidity. Lets solve this first...
There are many anti- acid preparations available Over The Counter (OTC) - those that do not need a prescription. The oldest and the one with the maximum safety data in pregnancy is Ranitidine. This needs to be taken empty stomach, twice a day. Take the first tablet early morning and the second half hour before dinner, when we expect empty stomach. Incidentally, empty stomach would be half hour before a meal or 2 hours after a meal. You can take this for the entire duration of pregnancy without adverse effects.

Change your diet pattern. Instead of a 3 meal day make it a 5-6 meal day meaning thereby that you should take small, frequent meals. Keep the stomach half full all the time, never empty.

Avoid very hot food and drinks (in temperature) and oily, spicy food with too many condiments. Keep it simple, savouring the natural flavours of food. Add amla (Indian gooseberry) to your diet in any form - dried powder, fresh or candied. Amla contains amlaki which is naturally antiacid.

Raise the head end of your BED by placing elevators or bricks. Do NOT raise the head by placing pillows as this causes abnormal curvature of the spine and will cause backache.

These measures are likely to solve the loss of appetite, light vomiting and acidity.
As far as the irregular stools are concerned, this may be another reason for your acidity. Solve this by increasing fibre in your diet - whole grains and pulses, vegetables and fruits. Add Isabgol husk 2 tablespoons daily at 6 pm with 1 large glass of water.

The normal weight gain during pregnancy is 4-11 kgs; most of the weight gain occurs after 26 weeks of pregnancy. It is a myth that you need to eat for two during pregnancy. Most women get unduly worried if they are unable to eat as much as is forced down on them by well meaning relatives and friends. Addition of an extra bowl of pulses and an extra bowl of curds over and above your normal non-pregnant diet is good enough. Add 5-10 almonds per day in any form. Eat 5-9 helpings of fruits and vegetables and take good walks. If your doctor feels that the placenta is not low-lying, it's a good idea to do yoga. Many books and CDs are available in the market for yoga during pregnancy. You could even check out authentic sources on the net.

I hope this answers your queries. Take care.
Dr Nirja Chawla
Above answer was peer-reviewed by
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