hyperemesis


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hyperemesis

 [hi″per-em´ĕ-sis]
excessive vomiting. adj., adj hyperemet´ic.
hyperemesis gravida´rum excessive and pernicious vomiting during pregnancy, usually in the first trimester, a more serious condition than the simple morning sickness that is common during the first trimester. The exact cause is not known; however, it is thought to be related to trophoblastic activity and production of chorionic gonadotropin and may be aggravated by psychologic factors. It is more common in association with hydatidiform mole and multiple gestation, both of which are associated with elevated levels of chorionic gonadotropin.
Symptoms. The patient complains of uncontrollable nausea, persistent retching and vomiting, inability to take any food by mouth, and exhaustion due to restlessness and lack of sleep. As the condition persists the patient becomes severely dehydrated, develops a fever, and may show signs of peripheral nerve involvement and jaundice. The urine may contain blood, bile, albumin, and ketone bodies as starvation develops. Although hyperemesis gravidarum is rarely fatal, these latter symptoms indicate a grave illness that demands prompt treatment.
Treatment. The physical symptoms of the patient are relieved by intravenous administration of fluids and nutrients and mild sedation to promote rest and relaxation. There is some controversy as to the value of psychotherapy; however, it is generally agreed that the patient will need help in overcoming emotional problems and situational tension if they contribute to the occurrence of the disorder. Dietary treatment may include limiting the intake of liquids, eating a snack of crackers or dry toast before arising, and avoiding excessive fat in the diet.
Patient Care. The hospitalized patient should be placed in a quiet, well-ventilated room that is free from odors or sights that may cause nausea. Fluid intake and output are monitored and mouth care is given frequently. Food and liquids are resumed on a prescribed schedule that gradually progresses to a regular diet. The patient should be encouraged to talk about her feelings if she indicates a desire to do so. The caregivers should be alert to signs of depression or fears of pregnancy, labor, or the responsibilities of motherhood. Recovery is much more likely if the patient is able to vocalize her fears and seek aid in solving any situational or emotional conflicts that may contribute to her illness. Those who care for her should be sympathetic, optimistic, and reassuring in discussing her condition with her.
hyperemesis lacten´tium vomiting by nursing babies.

hy·per·em·e·sis

(hī'pĕr-em'ĕ-sis),
Excessive vomiting.
[hyper- + G. emesis, vomiting]

hyperemesis

/hy·per·em·e·sis/ (-em´ĕ-sis) excessive vomiting.hyperemet´ic
hyperemesis gravida´rum  the pernicious vomiting of pregnancy.
hyperemesis lacten´tium  excessive vomiting in nursing babies.

hyperemesis

(hī′pər-ĕm′ĭ-sĭs)
n.
Excessive vomiting.

hy′per·e·met′ic (-ĭ-mĕt′ĭk) adj.

hyperemesis

[hī′per·em′ə·sis]
Etymology: Gk, hyper, excess + emesis, vomit
excessive vomiting.
Excessive vomiting

hyperemesis

Puke, puke, much, much

hy·per·em·e·sis

(hī'pĕr-em'ĕ-sis)
Excessive vomiting.
[hyper- + G. emesis, vomiting]

hyperemesis

excessive vomiting.
References in periodicals archive ?
Treatment of severe nausea and vomiting of pregnancy or hyperemesis gravidarum with methylprednisolone may be efficacious in refractory cases; however, the risk profile of methyl 'Dextrose and vitamins should be included in the therapy when prolonged vomiting is present, and thiamine should be administered before dextrose infusion.
Once she was officially diagnosed with hyperemesis gravidarum, Dr Bryan Beattie, of Innermost Healthcare, prescribed a steroid known as prednisolone which helped Hannah drink small amounts - but she was still unable to eat due to the nausea and vomiting.
Because she had hyperemesis last time, doctors were prepared and decided to treat her at home.
8220;Our goal is to eliminate Hyperemesis Gravidarum; a condition that will no longer be allowed to claim the innocent and destroy the lives of those who are left living without the babies they loved and wanted,” says Vanessa.
Cannabinoid hyperemesis: cyclical hyperemesis in association with chronic cannabis abuse.
These new, important data continue to prove that NVP is a serious medical condition, and drive awareness of safe and effective treatment options to alleviate NVP symptoms and possibly prevent extreme cases of hyperemesis gravidarum.
The Duchess is suffering from hyperemesis gravidarum, which causes severe vomiting during pregnancy and is more often experienced by women expecting twins.
But the announcement revealed the Duchess is being treated for very acute morning sickness - hyperemesis gravidarum - at a private London hospital.
They focus on physiological changes in liver function tests during normal pregnancy; liver disease not specific to pregnancy, such as viral hepatitis, gall stone and biliary disease, hepatic vein thrombosis, primary biliary cirrhosis, hepatic adenoma, Wilson disease, and portal hypertension; liver disease unique to pregnancy, including hyperemesis gravidarum, intrahepatic cholestasis, preeclampsia-induced liver disease and HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome, and the acute fatty liver; and transplantation.
The condition is called hyperemesis gravidarum and is defined as nausea and vomiting before the 22nd week of pregnancy.
We employed brief hypnotherapy to effect physical changes in patients suffering from medical disorders including allergies, rectal bleeding, systemic lupus, hyperemesis, headache, asthma, and chronic pain.