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Old 09.06.2015, 16:02
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Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecologist

Hi all,

I'm new to the whole Swiss healthcare system so I am looking for some help.
My husband and I found out we are pregnant a few weeks ago (right after I got insurance thankfully) and we have made an appointment to see a Gynecologist next week as by then I will be 7/8 weeks along.
Last week I saw a regular doctor at the same clinic as I wanted to ask some questions about medications I was on in case they were harmful for the baby so I could get off them/change asap.
Although he didn't say so I got the vibe that this wasn't really the way that things are supposed to go and that I should have waited for my first Gyn appointment.
My problem at the moment is that for the last week I have had REALLY bad nausea, I can hardly keep anything down and i've lost a lot of weight. I just feel awful all the time So i'd like to go back to the doctor to see if he can prescribe something to help. Is this ok to do or do I need to wait until my Gyn appointment? I just don't like the idea that my baby is missing out on the things it needs to develop because I can't keep food or water down
Also before anyone asks I have tried EVERYTHING the internet/family members/strangers have suggested to help with the nausea and nothing is helping so please don't tell me to just drink more ginger tea or to grin and bear it!
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Old 09.06.2015, 16:59
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Pregnancy sickness is awful. You have my sympathies. Don't let anyone write it off as "just morning sickness". If a doctor were to do this - find a new doctor. Some women have been hospitalised because they've gotten so dehydrated - needed to have a drip. That's what happened to my wife with our first one. Try sipping small amounts of water. She drank 2 litres a day in this way with the second and third - one bottle of mineral water per day, making it easy to measure - and it kept the worst away. She tended to feel less awful by evening, so would eat a little then.

And... all three kids born perfectly healthy. It seems baby takes what baby needs!

If you need medical assistance, don't worry about the "proper" procedures. Go see your doctor. Or possibly call your gynaecologist and ask for an emergency appointment. It's in nobody's interest for you to suffer.
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Old 09.06.2015, 17:20
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

A teacher in our school district needed several leaves due to her difficult pregnancy, and in the end she had to take a full-time leave, and this rather early in her pregnancy, like forth month or something.
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Old 09.06.2015, 17:27
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Do you already have a gynaecologist? i suggest you phone one, if the vomiting is that bad, you may need medical attention, they will prefer you to see the gynaecologist... The severe case of 'morning sickness' is called hyperemesis gravidum or 'HG' for short. I had fairly normal levels of morning sickness with my first and second children, but severe HG for the third. Between week 9 and week 14 I lost 6 kg and like the case above, ended up being rehydrated on a drip, which is not really as dramatic as it sounds.

In the meanwhile, you can get plenty of advice but given the hot weather of the past week I would,not be surprised if you are suffering dehydration, and that is what makes the HG worse.

The general advice from me would be to try to sip a little bit each 10 minutes, although I also found I could stuff my face and drink heaps immediately after vomiting, and then that would stay down... If you literally have not kept anything down (ie vomited within ten minutes every single time you ate or drank) for the past 24 hours...then I suggest you get checked out ASAP for dehydration by a doctor...it *can* seem worse than it is...but as said, I had it much much worse in my third pregnancy so it was easy for me to say 'no, this is not 'normal' morning sickness...

And please don't worry about the embryo at this point, it'a about the size of a pea and does not need anything much at all! I promise, it's only you that will be suffering!
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Old 09.06.2015, 18:07
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Go back to your doctor or see a gynaecologist asap. It could be more severe than morning sickness.

"What is hyperemesis gravidarum?

For a minority of pregnant women (up to 2 in 100 pregnant women), the sickness and vomiting are prolonged and very severe. This causes them to become low in body fluid (dehydrated) and to lose weight. They may also develop vitamin deficiencies. Because they are not able to eat, the pregnant woman can develop signs of starvation. This is shown by looking for the presence of substances called ketones in the urine (using a simple test on a sample of urine). Ketones are produced if your body is forced to break down fat for energy if you are vomiting and are unable to keep food down.
This severe sickness and vomiting are known as hyperemesis gravidarum. These women often need to be admitted to hospital for intravenous fluids and other treatment."

The Duchess of Cambridge suffered with this with both her pregnancies. Go and get a diagnosis immediately for both you and your baby's health.
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Old 09.06.2015, 23:19
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Hello!

I understand how you are feeling. During my last pregnancy I lost 8 kg during the first three months. The good news, you do not have to worry about gaining too much weight

I suggest you, call your Gynaecologist and explain how you are feeling. Ask for an earlier appointment. I did it and they gave me another appointment.

The doctor gave me medicaments, but nothing helped me with the nausea and vomiting. At least I was sure that my baby was ok, because I was visiting the doctor almost every week during the first four months.

Hope you feel better soon, try to enjoy your pregnancy. And do not worry, as soon you have your baby in your arms you will forget this.
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Old 10.06.2015, 17:00
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Hi everyone,

Thank you for all the advice and kind words.
I made an appointment to see a doctor in the same clinic today (I explained what was happening to the receptionist and she suggested that this was the right thing to do). I left with a script for 3 days supply of Itinerol B6 which hopefully will start to help asap but the appointment itself was just horrible The doctor I saw was 40 minutes late, angry at me for coming to see her and just really condescending and agressive. She also told me I should be experiencing the nausea so that I can keep track of how my baby is doing (??)
I ended up crying and left in a bit of a mess but at least as I said I have something now that might help me. And if I wanted to look on the bright side at least I know which doctor to NOT go and see again!
If this doesn't help me or if things get any worse I will go ahead and make an appointment to see somebody at the hospital.
Also Swisspea I have a gynaecologist but since I am only around 7 weeks along I couldn't get my first appointment with her until next week. I really hope she is supportive and kind!

Thank you all again
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Old 10.06.2015, 17:08
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

The B6 can help. Sounds like that is a doctor you don't want to see again...if it doesn't improve then you can always go to the 'permanence' clinic or the hospital, but hopefully you can get to next week without it getting any worse and the gynaecologist is good!
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Old 10.06.2015, 18:38
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

I had morning sickness badly enough to be hospitalized twice and it was only keep under control by prescription anti-nausea drugs. This was the second of my three pregnancies. During all three, though, I lost about 4 kilos in the first trimester...and I'm not terribly overweight.

So, if you're losing weight, it's probably ok. The issues begin when you're unable to keep any liquids down (chicken broth, lemonade, sprite, water, anything at all). You'll know-a few sips hit your belly and come right back up. If this is your situation, then you're basically an emergency case.

On the other hand, if coffee/chocolate/bus rides make you feel ill, or if you can't seem to eat much, you're probably fine. Eat what you can stomach (for me, usually starches) and forget about the whole rounded diet thing.

Good luck, and don't panic!
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Old 10.06.2015, 20:00
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

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...at least I know which doctor to NOT go and see again!...
Absolutely. That was disgraceful behaviour. And the idea that nausea is somehow a good thing shows enormous ignorance. Sadly, you still do meet doctors who've not moved on from when they did their training.
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Old 10.06.2015, 20:22
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

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Absolutely. That was disgraceful behaviour. And the idea that nausea is somehow a good thing shows enormous ignorance. Sadly, you still do meet doctors who've not moved on from when they did their training.
Well, according to some studies, the stronger your nausea are, the less likely you are to be experience a miscarriage.

That being said, I had very bad morning sickness with my daughter that lasted for 6 months (!!!), and Itinerol B6 was about as efficient as smarties. Motilium helped me though, as well as Primperan.
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Old 09.06.2016, 23:05
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Try the sea bands that you use for travel sickness. They are elastic bands that you wear on your wrist and press on an acupuncture point. My nausea was mild but they helped.
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Old 13.06.2016, 22:06
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

I would presume the OP has had her baby.

Unless she is Nelly the elephant.

But good advice for future mums.
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Old 13.06.2016, 23:50
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

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I would presume the OP has had her baby.

Unless she is Nelly the elephant.

But good advice for future mums.
I unfortunately had a miscarriage at the beginning of my second trimester.
Apologies to anyone who had pm'd me since then as I was having a hard time and was avoiding talking about what had happened.
I did and still do appreciate the help and advice people here had offered
On a happier note i'm now 29 weeks pregnant and if all goes well due at the end of August
And yes, I experienced the same/worse nausea this time around but I switched to a much more understanding doctor who actually prescribed something to help (even though it barely made a dent) and offered to hospitalise me for treatment.
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Old 14.06.2016, 08:31
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Congrats for the pregnancy, Rachimus! Fingers crossed.
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Old 14.06.2016, 12:28
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

Oh shit, i am so sorry i made that flippant remark.
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Old 14.06.2016, 13:08
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Re: Pregnant with nausea, is it normal to see a Doctor or must I wait to see Gynecolo

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Oh shit, i am so sorry i made that flippant remark.
Don't be! I didn't take it badly Besides I am feeling a bit Elephant-like at the moment
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