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Re: 2nd trimester nausea & vomiting (long)
From: Claudia Twisdale RN (anonymous@obgyn.net)
Wed, 14 Jun 2000 17:00:10 -0500 (CDT)
Has OB even tried any meds?
At Wed, 14 Jun 2000, Amy wrote:
>
>The baby was exactly the right size on the ultrasound. My SLE
>apparently puts me at higher risk for IUGR so they are monitoring his
>growth. Does being so sick all the time also increase this risk? I am
>extremely frustrated because my doctors don't seem to be doing anything
>to try to help me feel better because they are trying so hard to find
>the cause of my illness. I saw the doctor Monday and told him the meds
>weren't working so he made me an appointment with a GI doctor friday and
>wants me to come back next Monday. I wish they would try another
>medication or something to help me feel better. Is it normal to be
>refered to a GI doc for these problems? I can't imagine that he'll be
>able to do anything for me without talking to my MFM docotors first.
>>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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