[25F] Pregnant with nausea, vomiting, and diarrhea

Patient Description

A 25-year-old female, currently pregnant, is experiencing nausea and vomiting, bringing up food or liquid 1-3 times daily. Despite these symptoms, she manages to keep some food and fluids down. Additionally, she has had watery and loose diarrhea for the past three days, occurring 5-7 times daily, accompanied by cramping and sharp abdominal pain. She has experienced signs of dehydration, such as dry mouth and dizziness, but is actively working on maintaining hydration. There is no fever or chills reported. The patient is taking Doxylamine/pyridoxine for nausea and a Nature Made prenatal vitamin. No recent travel or pre-existing conditions are noted.

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Arora's Assessment

What might be happening

Your symptoms of nausea, vomiting, and diarrhea could be related to a few possibilities:

  • Pregnancy-Related Nausea and Vomiting: Often referred to as morning sickness, this is common in pregnancy and can sometimes persist beyond the first trimester. Doxylamine/pyridoxine is commonly used to manage these symptoms.

  • Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection, leading to diarrhea and vomiting. It usually resolves on its own but can be uncomfortable.

  • Dehydration: Due to vomiting and diarrhea, dehydration can occur, which might cause dizziness and dry mouth.

What you can do

Nausea and Vomiting:

  • Continue taking your prescribed anti-nausea medication as directed.
  • Eat small, frequent meals and avoid spicy or fatty foods.
  • Ginger tea or ginger candies may help alleviate nausea.
  • Stay hydrated by sipping on clear fluids like water, broth, or oral rehydration solutions.

Diarrhea:

  • Avoid dairy, caffeine, and high-fiber foods until symptoms improve.
  • Consider a bland diet (e.g., bananas, rice, applesauce, toast) to ease digestion.
  • Keep track of your symptoms using MDandMe to share with your healthcare provider.

Hydration:

  • Drink plenty of fluids to prevent dehydration. Oral rehydration solutions can be helpful.
  • Monitor for signs of dehydration, such as decreased urination or dark urine.

What you should look out for

Seek medical attention if you experience:

  • Severe abdominal pain or cramping
  • Signs of severe dehydration, such as very dry mouth, extreme thirst, or little to no urination
  • Persistent vomiting or diarrhea that doesn't improve
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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3 mo ago

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People Also Ask


Is it normal to experience nausea and vomiting during pregnancy?

Yes, nausea and vomiting, often referred to as morning sickness, are common during pregnancy, especially in the first trimester. However, if symptoms are severe or persistent, it's important to consult a healthcare provider.


What are the common causes of diarrhea during pregnancy?

Diarrhea during pregnancy can be caused by dietary changes, hormonal shifts, or infections like gastroenteritis. It's important to monitor symptoms and consult a healthcare provider if they persist.


How can I prevent dehydration if I'm experiencing vomiting and diarrhea?

To prevent dehydration, drink plenty of fluids such as water, broth, or oral rehydration solutions. It's important to sip fluids regularly, even if you are experiencing nausea or vomiting.


When should I seek medical attention for my symptoms during pregnancy?

You should seek medical attention if you experience severe abdominal pain, signs of severe dehydration (such as very dry mouth or little to no urination), or if vomiting and diarrhea persist without improvement.


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