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Re: 2nd trimester nausea & vomiting (long)
From: Amy (anonymous@obgyn.net)
Tue, 13 Jun 2000 17:08:41 -0500 (CDT)
Thanks, Claudia for your empathy. The throwing up is driving me nuts
and I walk a thin line between not wanting to eat because I know what's
going to happen and knowing that I need to eat something for the baby to
survive. I guess my questions are: What are the risks for the baby at
this point if I keep losing weight and what can or should the doctors be
doing for me at this point? On a side note--I had a renal ultrasound
today and they said everything was fine.
At Tue, 13 Jun 2000, Claudia Twisdale RN wrote:
>
>Yuck, nothing worse than throwing up! I had WAY MUCh vomiting with Miss
>Priss #1, lost 13 pounds in 10 days, hospital for 6 weeks, etc. I was
>tried on phenergan, Tigan, Vistaril, Reglan, and all did not work. Ended
>up with thorazine. Finally got better after about 18 weeks. Not so
>sure the nausea is coming from SLE, but kidney stuff may definitely be.
>By the by, I am also in midst of SLE diagnosis, and doing the protein in
>urine, etc. Only + is that i am not pregnant! Good luck
>
>At Mon, 12 Jun 2000, Amy wrote:
>>
>>Thank you in advance for your help with previous posts. I have another
>>question. Two weeks ago, I was hospitalized for a kidney infection--the
>>bacteria grew on two clean catch samples, but not in the specimen they
>>got from cathiterizing me. The treated me for 60 hours with two
>>antibiotics for pseudomonesis (sp). I initially had a fever and nausea
>>and vomiting, but it went away mostly while I was in the hospital--the
>>fever completely, the other mostly. Because the cultures were
>>inconclusive, they believe I may have had a kidney stone (I have had
>>four in the year before I became pregnant). They sent me home with
>>percocet and phenergan. Two days after being released I became
>>seriously dehydrated and returned to the hospital for I.V. fluids. (The
>>vomiting returned with avengance). Since that time, I have had serious
>>problems with nausea and vomiting. (I get sick about 20 times a day.)
>>They've tried phenergan--it works for about two hours. They tried
>>reglan and it actually made me feel worse. I went to the O.B. today
>>and my urine showed +1 protein, trace amounts of ketones and there were
>>red blood cells in it. I have lost 10 pounds since being weighed in the
>>hospital and feel terrrible all the time. They ordered another renal
>>ultrasound and are sending me to see a G.I. doctor on Friday. I asked
>>the resident about the protein and blood in my urine and he seemed no to
>>think it was a big deal, but the attending ordered a urine culture &
>>sensitivity anyway.
>>
>>I should mention that I am 25 weeks pregant, have SLE (only one minor
>>episode of kidney involvement over seven years ago.No problems with the
>>disease until becoming pregnant, disease is under control according to
>>my rheumatologist with the help of prednisone). I see a MFM doctor
>>because of this and a history of infertility
>>
>>My questions are: What is the next step--What happens if I keep losing
>>weight and what are the risks to my baby? and What should I be asking my
>>doctors to do/look for in my care?
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