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How to Treat Hyperemesis Gravidarum

Kate's Not the Only One: What It's Like to Have Hyperemesis Gravidarum

With all three of my pregnancies, I had morning sickness so severe that I vomited 24/7 and needed IV rehydration and other medical interventions. This kind of severe morning sickness, known as hyperemesis gravidarum (HG), is more common than you might think. 

Not all moms realize what they are experiencing is out of the norm, but those who have experienced it say that if you're sick enough to wonder, then you probably have HG.

Is It HG or Morning Sickness?

It's a misconception to say that HG is just severe morning sickness. Certainly morning sickness is miserable, but HG can be a life-threatening complication for both mother and baby.


The Hyperemesis Education & Research Foundation (more commonly known among HG patients and survivors as Help HER) provides a comparison chart on its website to help mothers understand the difference between morning sickness and HG.

Some of the more obvious symptoms that indicate HG include:

  • Rapid weight loss due to excessive vomiting (one to two pounds a week).
  • Vomiting multiple times a day with the inability to even keep down water.
  • Vomiting bile and/or blood, sometimes accompanied by excessive salivation.
  • Dehydration.
  • Constant gagging.
  • Headache, dizziness, and/or fainting.

If you are experiencing any of these symptoms, it's very important to talk to your obstetrician before they get worse.

Treatment Options

There are a number of treatment options for HG. Your treatment will depend on how far your HG has progressed, an evaluation your doctor will make not only by observation, but also with lab tests. Treatment is often a combination of therapies, including IV rehydration, medication, nutritional therapy, and sometimes even bed rest. 

The medications doctors prescribe vary. Circle of Moms member Lisa G. was prescribed Zantac, while others have been told to take B-12 vitamin in combination with Doxylamine (found in Unisom, the over-the-counter sleep aid), or the more expensive drug Ondansetron (Zofran).

Moms with HG point out that one of the biggest benefits of Zofran is that it comes in many forms. Nicole N. explains that one of the options is an IV form that can be used with a portable pump that administers a steady supply of Zofran 24 hours a day, seven days a week.

Coping With the Emotional Toll

Getting through the emotional effects of HG is almost as difficult as withstanding the physical effects. It can be overwhelming and isolating.

As mom Kate C. so vividly describes her HG symptoms: "Your esophagus is on fire, your stomach hurts, you can't breathe, your whole body hurts, you're starving, and you're exhausted." Add to that the stress of being sick with an ailment that few people understand.

"This isn't just bad morning sickness, and more people need to realize that," emphasizes Erin H. "Dismissing it as being less than it is leads to these women feeling incredibly alone and helpless."

That's where an organization like Help HER can really help you. Not only is it a network of women who are going through or have survived HG, but it's also a research organization devoted to learning more about HG. Its website provides fact sheets for family, friends, and physicians to help them understand what you're going through.

3 Ways to Cope
Reach out to other women with HG: Since HG is so debilitating, get support by joining an online group like Circle of Moms' Moms With Hyperemesis community.

Ask for help: Though they may not understand HG, your family and true friends will see how sick you are. Tell them you need help around the house or with your other children. 

Do what you have to do to be OK: If the only thing you can keep down is lemonade and cheese doodles, so be it. If you have to sleep half the day, find a way to do it. 

Taking care of yourself is paramount. As Erin points outs, HG can be dangerous: "[Some women with HG] suffer dehydration, malnutrition, and sometimes organ failure." If you don't take care of you, how can you take care of that beautiful baby when it's born?

The preceding information is for educational purposes only. For specific medical advice, diagnoses, and treatment, consult your doctor.

Image Source: Getty
Join The Conversation
LuschkavanOnselen LuschkavanOnselen 4 years
I had HG with both pregnancies, and now, with an 8 month old on my lap, I still feel a wave of nausea when I hear the words HG. I think the most poignant part of this article for me is 'Dismissing it as being less than it is leads to these women feeling incredibly alone and helpless'. I had zero support from the medical community first time round (in the UK) despite crazy weight loss and everything else. Second time I knew what it was and what to do about it, and pretty much demanded Zofran (Ondansetron). They didn't want to give it to me, but eventually did. By that point I was vomiting blood. The hardest part was people who said 'have you tried ginger?' or 'oh, everyone has morning sickness'. I am so grateful for everyone that does anything to spread the word about this horrible condition.
StephanieRafferty StephanieRafferty 4 years
I also had these symptoms with my last 2 pregnancies, and it was worse during the last one. If I tried to eat more than once a day, my body rejected the food and hurled it back up. But I wasn't suffering from the condition mentioned here. It turned out that I had a gallbladder full of stones and the hospital I had been going to failed to figure it out for over 10 years. I ended up in the ER at another hospital a week after my youngest baby was born and they told me the nausea, pain, and wanting to pass out were gallbladder attacks. I had to be admitted and put on IV antibiotics for 2 days before they could do the surgery. I hated being away from my new baby and the rest of my family for that long, but I might not be alive today if they hadn't caught it.
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