Hyperemesis gravidarum, protracted vomiting during pregnancy
November 25 2015 by
Ray Sahelian, M.D.

Hyperemesis gravidarum is uncontrollable vomiting during pregnancy that results in dehydration and ketosis. It is a combination of nausea, vomiting, dehydration, weight loss or hospitalization for nausea and/or vomiting in pregnancy, in the absence of any other obvious cause for these complaints.

Vomiting during pregnancy is a physiological symptom of the first trimester and is a frequent reason for consultation as well as hospitalization in the severe forms (hyperemesis gravidarum), which complicate 1 to 4% of pregnancies and represent the first cause of hospitalization in the first trimester. Hyperemesis gravidarum may be responsible for a loss of weight with dehydration and/or hypokalemia, or low blood potassium levels.

Diagnosis of Hyperemesis gravidarum
Diagnosis is clinical and by measurement of urine ketones, serum electrolytes, and renal function.

Treatment of hyperemesis gravidarum
Treatment is with IV fluids, antiemetics, and temporary suspension of oral intake.

Questions
Q. Could you comment on a condition that pregnant women may have. It seem there are more cases of this and it is on the rise. Hyperemesis gravadarum. I have researched it and come to the conclusion it may be that their progesterone levels may be low. It seems that alot of the Hyperemesis gravadarum symptoms go down to some extent after the first three months or so. this is when the progesterone levels naturally rise to as much as 10 times. which is one clue as to the first three months being the roughest. Also most of these women had PMS symptoms before pregnancy. Which is another clue that the progesterone is low during the first three months. (Progesterone is low in PMS). Why is taking doctors. so long to admit that women are being helped with natural progesterone and helping these women. I know there are a lot of another factors involved and need addressed But, let's start somewhere.
   A. The causes of hyperemesis gravidarum is not an area I have studied in great detail.