So I go back to the doctor and say that my anti sickness tablets dont seem to be working after I was sick 14 times over the weekend. Dr Arthur prescribes me some other anti sickness tablets and signs me off work for a week with hypermesis.
Taken from
www.bloomingawful.co.uk:
Around 1% of pregnant women experience severe nausea and vomiting known as hyperemesis gravidarum (HG). The exact figure varies depending on the study you read but is quoted between 0.3% and 3%.
A woman with HG generally has no respite from severe nausea, vomits many times each day and finds that eating or drinking makes her feel worse, leading to weight loss rather than gain. If this continues without treatment, she becomes dehydrated and malnourished.
What causes it?
There is no research confirming the cause at present. Theories include high levels of the pregnancy hormone Human Chorionic Gonadotrophin (hCG), some make links to thyroid levels, some blame Helicobacter Pylori which causes stomach ulcers, and occasionally HG is confused with hydatidiform mole (molar pregnancy). There is certainly an element of genetics to it too - if there is HG in your family, you're more likely to suffer it yourself. There is some new anecdotal evidence to suggest that liver function may also play a part. It is likely that a variety of factors cause HG, which might account for the difficulty in finding effective treatment in some cases.
It is important that a woman who appears to have HG is tested to rule out thyroid problems, H. Pylori and molar pregnancy. Thyroid and H. Pylori cases can be treated and there is quick relief from nausea and vomiting. Molar pregnancies also need urgent attention.
Treatment
NHS treatment varies widely in the UK at the moment but usually includes one or more of the following:
GP-prescribed drugs to reduce the vomiting
Hospitalisation for intravenous (IV) fluids
Hospitalisation for injected/IV drugs to reduce vomiting
Hospitalisation for artificial feeding (rare)
Duration
Unlike morning sickness, which usually starts at week 8-9 and reduces around week 12-14, HG frequently begins by week 6 and continues until around week 20
(OH GOOD!) , but may continue throughout pregnancy in some cases. Some women report that the nausea disappears as soon as they give birth, while for others it takes several days.
Outcome
The developing baby is rarely affected by the mother's illness, although in severe and prolonged cases the baby is more likely to have a low birth weight.