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Re: 2nd trimester nausea & vomiting (long)

From: Claudia Twisdale RN (anonymous@obgyn.net)
Tue, 13 Jun 2000 18:20:56 -0500 (CDT)


1st thing I would like to see happen for you is for MD to find anti nausea med to work for you. 2nd thing, push your liquids as much as you can shove in. No it is not great to lose while pregnant, but how is baby looking on u/s? Also suggest eating when you feel least nauseated, and eating whatever you think you can hold in. If that means a peanut butter sandwich and a coke at 2 AM, so be it. I hope this yucky stuff gets better, I can really feel for ya hon!

At Tue, 13 Jun 2000, Amy wrote: >
>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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