I am 8 Weeks Pregnant and Have Severe Nausea and Vomiting of Pregnancy- What Can I Do?

Having small frequent meals can help with nausea/vomiting because large meals are detrimental due to the delayed gastric emptying time of the pregnant stomach.

Small interventions like using acupressure wrist bands (often used for motion sickness with airplane travel), having dill or ginger can help. If that is not efficacious, then using Diclegis is the first line medication for nausea and vomiting in pregnancy. It is completely safe in pregnancy and is a combination of vitamin B6 and an antihistamine called doxylamine.

Two tablets are taken at night prior to bedtime and if that doesn't work after a few days another tablet is added in the morning and if that does not work, a fourth tablet can be added at lunch time.

Other medications that are second line include reglan and zofran. There are smaller studies that show a possible association of zofran with a slight increase in birth defects. It is not contraindicated and still serves a role in those patients with severe nausea and vomiting in pregnancy who fail first line therapy. Some patients also try acupuncture with success.


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