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2nd trimester nausea & vomiting (long)From: Amy (anonymous@obgyn.net)Wed, 14 Jun 2000 18:20:14 -0500 (CDT)
>Has OB even tried any meds? --Phenergan supp. (mildly effective for 2 hours), Compazine (Made me feel horrible, mentally) and Reglan (made the problem worse.) Any suggestions? Anything I should ask my MFM doc or the GI doc I'm seeing to try or to look for? Will a GI doc even prescribe meds for me without talking to my OB? >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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