Are you also having a hard time with morning sickness after having a baby? (Hyperemesis Gravidarum) Let's learn about it!

Becoming a mother is one of the most beautiful experiences in life, isn't it? But it's also normal to experience some discomfort and illness during this journey. Many people experience morning sickness and vomiting during this time. But for some, this can be a bit more severe. That's what we're going to talk about today.

What is morning sickness, which usually occurs during pregnancy?

Many mothers experience nausea and vomiting during the first trimester of their pregnancy. We call this 'Morning Sickness'. As the name suggests, this condition can occur not only in the morning, but at any time of the day, even at night. It usually starts around 6 weeks into pregnancy, and peaks around 9 weeks. Then it subsides considerably between 16 and 18 weeks. Although this is a bit uncomfortable, we consider it a normal symptom of a healthy pregnancy. So there is nothing to worry about.

So what is this severe morning sickness?

Now let's talk about severe morning sickness. This is when the nausea and vomiting mentioned earlier are much more severe than normal. Specifically, you vomit several times a day, lose weight, become dehydrated, or are at risk of dehydration. This is a relatively rare condition that can occur during pregnancy. However, if it is not treated properly, it can affect the health of the mother as well as the development of the baby.

Medically, we call this 'Hyperemesis Gravidarum' . This means 'excessive vomiting during pregnancy'. This condition often begins at the same time as normal morning sickness. That is, it can start around 6 weeks and peak around 9 weeks. However, sometimes it can last longer, and may even last throughout the entire pregnancy. In most cases, the symptoms gradually decrease as the pregnancy progresses.

This condition (Hyperemesis Gravidarum) is most common during a mother's first pregnancy. However, once this condition occurs, it is more likely to occur again in subsequent pregnancies.

Why does this condition (Hyperemesis Gravidarum) occur? What are the causes?

The exact cause of this severe morning sickness is not yet known. However, it is believed to be related to hormonal changes during pregnancy. In particular, it is suspected that the hormone 'Human Chorionic Gonadotropin' (HCG) may be responsible for this. This is because this severe vomiting or (Hyperemesis Gravidarum) condition is most common during the period when the level of this hormone HCG is at its highest in a pregnant woman's body.

This condition can also run in families. That means if your mother or sister has had this condition, you are more likely to develop it too.

There are some other factors that increase the risk of developing this severe morning sickness:

• If there is more than one baby in the womb (like twins, triplets).
• If you have vomited while traveling before (history of motion sickness) .
• If you have migraine headaches accompanied by nausea or vomiting .

What problems can arise from this situation?

The nausea and vomiting that occur in this condition (Hyperemesis Gravidarum) are so severe that it can harm both the mother and the baby. Imagine, how does the mother get the nutrition she needs when she can't keep anything down? Then her body weight starts to decrease . Also, since a lot of fluids and stomach acids are released from the body along with vomiting, dehydration and electrolyte imbalances can occur.

This is very important: If the condition (Hyperemesis Gravidarum) is not treated properly, it can lead to serious conditions such as organ failure in the mother and early birth of her baby . So this is not something to take lightly.

When should I see a doctor? What symptoms should I have?

If you're pregnant and you have any of these symptoms, you should see a doctor right away . Don't put this off, okay?

• If you can't eat or drink anything because of nausea all day long.
• If you vomit more than three or four times a day, or if you cannot keep anything down.
• If the vomit turns brown, or if you see a little blood or streaks of blood .
• If you lose weight .
• If you feel faint or dizzy .
• If the amount of urine produced is less than normal.
• If the heart rate is high (palpitations).
• If you always have a headache .
• If you have a strange, fruity odor coming from your mouth or body.
• If you feel unimaginably tired .
• If you feel confused and have difficulty concentrating .

How to treat this severe morning sickness (Hyperemesis Gravidarum)?

For normal morning sickness, we tell people to eat a piece of dry cracker in the morning and eat bland food. People with severe morning sickness are also told to do these things. However, when the symptoms are severe, these things alone do not provide relief.

Then, medical treatment can include things like:

• Giving the gastrointestinal system a rest by going without food or drink for a short period of time.
• Intravenous (IV) fluids . This helps to restore the amount of water lost from the body.
• Giving vitamins and nutritional supplements .

Some people may be given medication to stop vomiting. This can be taken orally or given intravenously. Your doctor may also recommend eating foods containing ginger or taking vitamin B6 supplements to reduce nausea.

In addition, these things may also help:

• Eat a bland, low-fat diet .
• Eat small, frequent meals . Don't eat a large meal at once.
• Drink plenty of fluids when you are not feeling nauseous.
• Stay away from spicy, oily foods .
• Eat high-protein snacks .
• Stay away from sensory triggers, such as smells and sounds, that make you uncomfortable. For some people, even a strong smell coming from the kitchen or the sound of someone talking can make this situation worse.

If this situation is causing you to feel stressed, anxious, or depressed, talking to a therapist or counselor about it can be a great way to put your mind at ease, as this can be a really difficult experience.

What else do I need to know?

With proper treatment, mothers suffering from this severe morning sickness (Hyperemesis Gravidarum) can recover completely. They can also ensure that both they and their baby get the nutrition they need and stay healthy. Making small changes to your lifestyle can help reduce nausea and vomiting and make your pregnancy a little more enjoyable.

These symptoms usually improve over time. And, of course, once you start your new journey as a mother, that is, after having a baby, all these discomforts will go away. So it is very important to stay strong.

So, what are the most important things we need to remember from all of this? (Take-Home Message)

Okay, so, from what we've talked about, there are a few things you need to keep in mind.

• Morning sickness is common during pregnancy, but if it is unbearable, meaning you vomit several times a day, lose weight, or are unable to eat or drink, it may be Hyperemesis Gravidarum .
• Do not ignore this condition (Hyperemesis Gravidarum). It can affect both mother and baby.
• If you have any unusual symptoms (the red flags we talked about earlier), seek medical advice immediately . Don't delay.
• There are good treatments for this. So there is nothing to worry about. With treatment, both you and the baby can stay healthy.
• Your mental health is also very important . If you are feeling down during this time, don't hesitate to talk about it and get help.

Finally, you are not alone in this journey. Doctors and family are there to help you. Stay strong, get the necessary medical advice, and you can get through this time successfully!

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