Why vomiting?
21yr old preganent(1st tremister) Female C/o Vomitting & nausea due to vomits anoroxia & loss of appetite & feel weakness All Blood investigation reports are normal USG scaning also show normal preganancy ..ll wt is the management & treatment??
Hyperemesis gravidarum, or pernicious vomiting of pregnancy, is a complication of pregnancy that affects various areas of the woman’s health, including homeostasis, electrolytes, and kidney function, and may have adverse fetal consequences. Nausea and vomiting are common in pregnancy, affecting up to 70% to 85% of pregnant women. Hyperemesis affects between 0.3% and 2.3% of all pregnancies. The condition is defined as uncontrolled vomiting requiring hospitalization, severe dehydration, muscle wasting, electrolyte imbalance, ketonuria, and weight loss of more than 5% of body weight. Most of these patients also have hyponatremia, hypokalemia, and a low serum urea level. Ptyalism is also a typical symptom of hyperemesis. The symptoms of this disorder usually peak at 9 weeks of gestation and subside by approximately 20 weeks of gestation. Approximately 1% to 5% of patients with hyperemesis must be hospitalized. Women who experienced hyperemesis in their first pregnancy have a high risk for recurrence.
? ANC..WITH.. ANEMIA..AND .. NEMESIS.. NEED'S.. IV..FLUIDS.. PPI.. ONDANCETRAN.. POLYBION.. TAB .. DOXINATE.. PANTAPRAZOLE.. SYMPTOMATIC T/T..
It’s normal Tab Doxinate 2 bd Or tab Ondosterone 4 mg sos Glucose orally or 25% glucose 100 ml I V BD
Anc. With hyperemesis. Pnv . PPI.
Morning sickness in pregnancy (Hyperemesis gravidarum) with anaemia. She can try Tab Pregnidoxin 1 tab twice daily for 1 month and Iron folic acid, calcium daily for 3 months.
Its common in most pregnant ladies In reports mch low need folic acid Rx Doxylamine and folic acid
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