Showing posts with label Morning Sickness. Show all posts
Showing posts with label Morning Sickness. Show all posts

Wednesday, October 14, 2009

Another "Cure" for Nausea?

Ah, one of the "joys" of pregnancy is nausea, (aka morning sickness - something of a misnomer). We don't know exactly why some women have this and others don't. We believe that rising levels of hCG hormones probably have something to do with it and often women are reassured that the pregnancy will probably have a good outcome because of the nausea which indicates to them that things are progressing as they should hormonally. But women without nausea also have healthy pregnancies.

Traditional measures

What we do know is that everyone is different and what works miracles for one, doesn't help another expectant mom. You'll hear lots of advice as women report their success stories and usually we try just about anything for relief. Some of the tried and true methods include:
  • eating small, frequent meals, not allowing an empty stomach
  • keeping crackers at the bedside for early morning combat
  • taking B6 (25-50 mg. 3 times daily) with or without 1/2 Unisom at bedtime
  • using accupressure through anti-nausea wrist bands (sometimes called sea bands)
  • sucking on ginger, or slowly chewing it as a candy
  • sucking on ice chips, sipping water regularly to avoid dehydration
  • taking prescription medications which sometimes have unpleasant side effects such as drowsiness

One Nontraditional method


Some women try all the usual tricks without improvement, so it might be worthwhile to look to other alternative therapies. While any medications or supplements should be cleared with your doctor, some nutritional adjustments are safe for everyone. Nutritionist, Karen Hurd, has a suggestion for nausea of pregnancy that has been shown by several women to be helpful. It certainly can't hurt since she advocates beans, an excellent source of protein, loaded with vitamins and fiber.

Karen's article can be found here. She discusses how these increasing hCG levels affect digestion as the liver responds by producing larger amounts of the digestive hormone, bile. She says this is what causes the nausea. She also cautions us not to overlook simple solutions to a complicated problem. Here is a synopsis of her theory:
"Bile is a digestive enzyme designed to break down the fatty acids that we eat. When we have no fatty acids in our duodenum (the first part of the small intestine and what most people commonly call “the stomach”), there is nothing to digest but YOU! This causes us to feel nauseous."
She cautions us not to think the solution is to eat more fatty foods.
"...when we eat foods with fats in them, it actually causes a further release of bile. Now we have the original bile making us feel queasy PLUS a new onslaught of this same nauseous-causing substance."
Here's Karen's suggestion
"... the Western high fat diet contributes to an elevated bile production. But even more significant is the lack of soluble fiber in the Western diet. If we Westerners would eat soluble fiber in ample amounts, we could eat all the fat we wanted and never suffer adverse effects. Soluble fiber is found in legumes (there are other sources but they are so minimally endowed with soluble fiber that it is not worth mentioning them for the cure of morning sickness). Legumes are pinto beans, kidney beans, garbanzo beans (also known as chick peas), black-eyed peas, lentils, black beans, red beans, navy beans, white beans, great northern beans, crowder peas (also known as field peas), yellow-eyed beans, and the list goes on. They are also termed 'soup beans'... The answer is to eat legumes. Now you must know to what extent you must eat legumes. If you are feeling nauseous, you must immediately consume your beans. You will need to eat at least 1/4 cup of cooked legumes. If you can eat more, it is even better. You will see relief in under 20 minutes."

(Read more recommendations on treating morning sickness with legumes - click here or on post title and click here for one mother's experiment with this - so far so good.)

If you have a suggestion or tip, please comment!

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Saturday, April 25, 2009

Nausea & Vomiting

One of the most common symptoms of pregnancy, nausea and vomiting plagues 80% of all pregnant women. At least you know you're not alone! The good news is that 90% of these women are feeling much better by the midway point in pregnancy; often much sooner with the first trimester being the most affected.

The AAFP (American Academy of Family Practice Physicians) website has a very thorough explanation of this condition.

Some tips to help you get through this:
  • You tend to become most nauseous when your stomach is empty. This is one reason it has been dubbed "morning sickness." You may have heard that it will help to keep some crackers at the bedside to eat before even rising out of bed. This is a tried and true technique. It can be hard to eat regularly when nothing sounds good to you. Try to find a few foods you tolerate and make sure you keep plenty on hand with "on the go" emergency snacks with you too.
  • Especially if you are vomiting, you may become dehydrated so keep some ice chips and/or water handy for sipping. If you are not keeping anything down, you may need extra help with hydration so talk to your doctor in this case. A condition called hyperemesis means "too much vomiting." There are available treatments and we don't want you to get into distress here. Your doctor may prescribe medications and sometimes IV therapy is needed, either on a one-time or ongoing basis.
  • Sea bands or nausea wrist bands are available with boating supplies because they are sometimes helpful when people get sea sickness. Some pharmacies also carry this with their antinausea treatments for motion sickness. This uses accupressure to help decrease nausea and some women find this helpful. It is totally safe, non-pharmacological and uninvasive. What do you have to lose?
  • It is always wise to discuss medication and supplements with your doctor but for years people have used ginger, either in capsule form or herbal teas to reduce nausea.
  • Many doctors are recommending a combination of Pyridoxine (Vitamin B6) and Doxylamine (Unisom). The AAFP says that 25 mg B6 taken orally every eight hours (75 mg per day) is often effective for controlling nausea and vomiting. In these doses, vitamin B6 has not been found to increase the risk of birth defects. A single 25-mg doxylamine tablet taken at night can be used alone or in combination with the B6.
  • If your nausea interferes with your life and is making you miserable your provider may recommend a prescription strength medication. There are several options available such as phenergan or Zofran (now available as a generic and very effective without making you drowsy). These also have not shown increased risk of birth defects. There are several other options also available so talk to your doctor or midwife.
  • If you seem to be spending extra time in looking into the toilet, keeping your bathroom super-clean will help you get through it. If this is tough for you and you don't have someone willing to do it for you, it might be worth it to pay someone to come in for an hour or so each week to make your environment more pleasant as opposed to something that might aggravate the condition!
I have to agree with suggestions from the March of Dimes Blog for how hubby or significant other can be a hero to the mom-to-be: Click here.

About.com's Robin Elise Weiss suggests:

Over the counter medications can be helpful for some women. None of these are approved for use with morning sickness, but with guidance from your doctor or midwife, they may be helpful:

  • Vitamin B6
  • Reflux medications (Pepcid, Zantac)
  • Emetrol
  • Unisom Nighttime Sleep Aid (not the SleepGels) combined with vitamin B6
  • Some herbal substances with the help of your practitioner

There are also prescription drugs that can be useful in helping control nausea and vomiting. These can include:

  • Zofran (expensive, not always covered by insurance)
  • Phenergan (pill and suppository form)
  • Compazine
Medications are not used for the entire pregnancy unless symptoms persist that long. You and your practitioner can talk about what the best plan is for your pregnancy.
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