Second trimester vomiting in pregnancy

Nausea During Pregnancy

23.03.2016 Andrew Johns 1 Popular

Nausea in Pregnancy

In most cases, the woman bearing a baby doesn’t pay attention to any discomfort. However, some women suffer from nausea throughout 9 months of pregnancy. Pregnancy nausea may appear several times, or may not appear at all.

The experts cannot say exactly when you will have nausea during pregnancy, and whether it will appear at all. It all depends on the woman’s body peculiarities.

Nausea in the First Trimester

Morning sickness is identified as the first sign of pregnancy. It usually starts on the 5th week of pregnancy. Nausea in pregnancy subsides between 13-14 weeks, and if you are bearing twins, nausea may last up to 15-16 weeks.

Nausea in Early Pregnancy: Causes

The fact of experiencing nausea in the early pregnancy has a very simple explanation. The body perceives your future baby as a foreign object that will harm your health, and tries to get rid of it cleansing with vomiting. That means that after the embryo implantation your body tries to expulse it. Your body attempts to get rid of the fetus, but it resists.

Nausea in the early pregnancy can be caused by food, smell of the husband's perfume, shaving foam, the taste of the toothpaste. This is explained by the heightened senses in the pregnant. The nausea cannot be treated, only tolerated.

Norm or Abnormality?

Nausea in the first weeks of pregnancy can occur only in the morning when the stomach is empty, the woman may feel sick throughout the day, but won’t vomit, the nausea may even start the next day. It’s normal to vomit up to five times a day. However, this shouldn’t be accompanied by weakness, dizziness, weight loss. If you have nausea, try to drink many fluids, as it dehydrates your body.

It’s abnormal to have nausea more than 10 times a day, in this case it’s necessary to see the doctor. These are signs of a toxemia. In this case, the vomiting is accompanied by weakness, fatigue, weight loss, fever, high blood pressure. The toxemia is treated in hospital under the doctor’s supervision.

Severe toxemia (severe nausea during pregnancy) is vomiting up to 20 times a day. In this case, the body is very dehydrated, and the woman loses up to 3 kg (6.6 pounds) per week. Severe toxemia is treated strictly under medical supervision.

Second Trimester: Causes of Nausea

Sometimes in the beginning of the 4th month of pregnancy the women may still have nausea. It’s not frightening or dangerous, if the baby is developing normally, the nausea is quite rare and you lack other symptoms. In most cases, during the second trimester nausea may persist, but vomiting has already terminated, because the body "has made up" with the baby. The hormonal peak starts to subside and everything is normalized up to the birth time.

Large amounts of acetone in the blood that the body has accumulated to combat the embryo may cause the persisting nausea. Special medications will help to remove the excess acetone. If the toxemia during the second trimester persists, and still causes you discomfort, be sure to inform your doctor. The doctor may assign you drips that will provide you relief.

Third Trimester: Causes of Nausea

Sometimes nausea subsides in the second trimester and comes back in the third. In this trimester, the pressure that the baby puts on the internal organs causes it. The liver is an especially tender organ, if it’s touched, it causes nausea, heartburn and sometimes pain in the stomach.

At this term, nausea may be the sign of gestosis. This is another name of the late toxemia accompanied by the oxygen deficiency. However, this disease has other symptoms too.

The gestiosis is also characterized by the presence of protein in urine. That is why in the last weeks of pregnancy tests are made every week. Nausea at the 40th week of pregnancy can be a normal manifestation of the late toxemia, as well as testify of the uterine dilatation and the beginning of contractions.

When to See A Doctor?

In any case, you should tell the doctor about your nausea during the routine check-up. He should assess your state and decide whether you need to go to hospital. It is not necessary to contact your doctor separately to report having nausea and vomiting, if your general condition is normal, and vomiting happens no more than 5 times a day.

Pregnant: Nausea and Vomiting During Pregnancy

If the vomiting is observed more than 10 times a day and is accompanied by weakness, dizziness, diarrhea, fever, apathy, you should immediately contact your doctor. In this case, you could even call an ambulance, if it happens on a holiday or a weekend, for example.

Nausea and fever, diarrhea, weakness in the pregnant may be caused by the intoxication during the food poisoning. This can gravely affect the baby’s development. The poisoning requires immediate cleansing with the help of doctors. Only a specialist can determine how to clean your body without causing harm to the baby.

How to Relieve

Nausea during pregnancy usually occurs when the stomach is empty. To avoid this, do not let the body starve, eat small and often. Going to bed take a glass of water and an apple or a cracker with you. Eat them in the morning before you get up, and you won’t have nausea.

Vomiting in the evening during the pregnancy can start, if you have worked a lot, experienced a stress, or, again, have had nothing to eat. So try to be less sensitive to troubles at work, relax during lunch break and have snacks.

Long walks, mineral sparkling water, lemon tea, herbal peppermint, valerian, chamomile, vervain tea can reduce nausea during the pregnancy. To make nausea less frequent, aerate the room where you work and sleep, you need a lot of fresh air.

Your doctor can prescribe you medications from nausea if you have a medium and a high degree of toxemia. You can overcome nausea in the morning having breakfast of products rich in protein (eggs, dairy products, cheese) and in carbohydrates (fruit).

A good remedy for nausea during pregnancy is to avoid oily, hot and spicy food, which provokes vomiting. You also need to avoid everything that makes you feel sick (unpleasant odors, food).

Video: Nausea and Vomiting in Pregnancy – 10 Tips to Feel Better

2018 ICD-10-CM Diagnosis Code O21.9

Vomiting of pregnancy, unspecified

    2016 2017 2018 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
  • O21.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2018 edition of ICD-10-CM O21.9 became effective on October 1, 2017.
  • This is the American ICD-10-CM version of O21.9 – other international versions of ICD-10 O21.9 may differ.

ICD-10-CM Coding Rules

  • O21.9 is applicable to maternity patients aged 12 – 55 years inclusive.
  • O21.9 is applicable to female patients.

Pregnancy, childbirth and the puerperium

Other maternal disorders predominantly related to pregnancy

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change

Nosebleeds in pregnancy: causes, second, and third trimester

What to do bleeding nose during pregnancy?

If you have a bloody nose while waiting for a baby, you need to think about the condition. Causes of nosebleed in pregnant women is always different, but most often it occurs because of damage to blood vessels in the nasal cavity. Due to the proximity of the location of vessels in colonosopy sinus, nosebleeds can appear at any time, but its intensity and duration depends on the individual characteristics of the organism of the expectant mother.

Due to certain factors, the pregnant woman’s body during pregnancy is weakened. Therefore, any, even slight changes in the environment or the development of the fetus, may affect the condition of the expectant mother. During the development of the embryo, the course of events when bleeding always different, so it is important to establish why she’s bleeding and try to stop it as soon as possible.

Causes of epistaxis

During the development of the fetus, regardless of trimester, in the body of the expectant mother undergoes various changes. In some women, the pregnancy takes place without much difficulty, but in most cases, the expectant mother feels certain processes that affect its health.

Frequent companion of pregnancy becomes bleeding from the nasal cavity. Moms-to-be a factor frightening. In this case, it is not necessary to panic, and try to determine causes of process and to take the necessary measures.

Hormonal changes

You need to understand that the blood can go the ordinary person and his condition usually didn’t.

In most cases such a process is short term and passes quickly.

In the case of pregnancy, this factor is formed more often. This is due to hormonal imbalance, which is common to pregnant women.

The increase of progesterone in blood has a radical effect on the mucous area.

By increasing the activity of these elements, the shell nose could change considerably. Often, this process takes place with strong swelling and increased secretion of mucous secret. Frequent blowing the nose, and irritation of the nasal cavity causes a violation of the integrity of capillaries, leading to severe damage. When thinning of the mucosa and dysfunction of blood vessels in a pregnant woman is formed bleeding.

The main reason for the formation of vaginal bleeding – hormonal changes.

Another common cause of bleeding from the nose in the third trimester – excessive drying.

Such a process leads to dysfunction of the mucosa of the nasal cavity and, consequently, to bleeding.

When severe dryness of the air there is damage to the capillaries. Over time, they burst and bleed much.

By and large, this process is not dangerous and happens quite often. But another reason for the violation of the integrity of the capillaries is considered the frequent use of vasoconstrictor drops.

Medicines of this kind cause severe damage and excessive dryness in the nasal cavity. Often in this case, the pregnant woman is suffering from elevated body temperature and other signs of intoxication.

Blood pressure

Nosebleeds during pregnancy in the second trimester may occur due to pressure changes.

While waiting for baby is very important weekly to measure blood pressure. With a strong change in the pregnant woman often bleeding from the nose. Prior to this process, the pregnant woman is accompanied by strong pain in the head and temples, shooting sensations in head tilt, and the generation of unusual sounds in the ears.

Usually moms are trying to be very careful, but nosebleeds during pregnancy can go over any damage.

Trauma often becomes the main cause of bleeding, so you need to check the integrity of the mucosal.

Cause injury to the nasal cavity can be a result of purification, when the medical examination, as well as at impact and injury.

In addition, in the case of frequent bismarkian this factor is also not excluded.

The blood may appear in the case of a serious nutrient deficiency. The blood vessels in its structure is quite fragile and in case of shortage of some components may be a violation of their integrity.

The fragility of blood vessels can be avoided with proper nutrition and vitamins. But if the bleeding quite often and intensely, you need to check the amount of calcium or vitamin C in the body.

Other reasons

If you believe in the absence of those causes is you, it is important to get a diagnosis.

Sometimes the blood out of his nose due to low svorachivanie blood, severe toxemia, infectious or viral inflammation, the presence of tumors.

If you blow your nose with blood during pregnancy every few days, it is important to check the nasal cavity and paranasal sinuses on the subject of inflammation and to see a specialist.

What to do when bleeding

What to do when the blood comes from the nose during pregnancy in the first place? The bleeding can enter into a panic and cause deterioration, therefore, it is important to know the basic techniques to stop bleeding.

In most cases bleeding from the nose during pregnancy is not dangerous. They pass quickly and do not cause serious inconvenience. But if the blood flows profusely, and often it is crucial to consult a doctor and undergo diagnosis.

Seek emergency medical help is necessary in case of prolonged bleeding. If the blood is coming more than ten minutes, call the team «Ambulance».

In any case, the expectant mother it is important to know the basic rules stop bleeding. If necessary, use them.

  • The first step is to open the window. Free neck of unnecessary things: scarf, shawl, collar, chains.
  • Attach to the nose of the ice or another cold object wrapped in a napkin or towel.
  • If by hand was not a cool object, soak any fabric in cold water and press it onto the bridge of the nose for ten minutes.
  • Throughout the bleeding must adhere to the vertical. Remember that if severe loss of blood could not lie.
  • It is best to lean forward. Thus, you will improve the flow of blood.
  • At this time you cannot vysmarkivatsya.
  • Once the blood began to flow slower, apply to each nostril turundas soaked in hydrogen peroxide.
  • After stopping the loss of blood to clear the nasal passages and moisten them.
  • Remember not to impede the blood. If excessive tamponing the blood can flow into the throat and draining the larynx. Such factors may induce vomiting and cause ill health.

    Preventive measures

    In the long-awaited moment baby it is necessary to reduce the risk of bleeding. For this it is necessary to humidify the air in the living room every day, and also to avoid exposure to air conditioning.

    Do not spend time in a smoky room and don’t come in contact with hazardous substances. These include any industrial and household fumes.

    In case of rhinitis mismarriages very gently, no sudden movements and only in case of urgent need.

    The expectant mother needs to eat right and consume large amount of foods containing calcium and vitamins. Not eat spicy, excessively hot food. In addition, it is necessary to monitor blood pressure.

    When the discharge first, find out why pregnancy bleeding from the nose and consult a doctor in case of frequent repetition of this process.

    Appetite Loss In Pregnancy (First, Second, Third Trimester)

    Appetite changes during pregnancy is often expected to lean towards an increase in appetite. However, there are many reasons why a pregnant women may experience a decrease in appetite during pregnancy. These reasons can even vary among the different trimesters. Any appetite loss in pregnancy tends to be a cause for concern as the general thinking is that expectant mothers should be ‘eating for two’. However, a reduction in appetite may not necessarily be a cause for concern in many instances.

    Why does appetite change during pregnancy?

    A change in appetite during pregnancy is normal, whether it is an increase or even a decrease. Most of the time there is an increase in appetite because the body needs more resources to sustain the fetus and for to facilitate fetal growth. In terms of the former, the fetus is dependent on the mother’s body to acquire and process nutrients, oxygen and wastes. With regards to the latter, it is mainly in the second half of pregnancy when fetal growth accelerates. During this time an approximately 10 ounce fetus at week 20 of pregnancy grows into a 7 to 8 pound baby by the time of delivery.

    Since appetite is related to the body’s needs, it is understandable that this rise in appetite will occur. However, it is not as simple when it comes to a loss of appetite. Often the reduction is a result of the hormonal changes associated with pregnancy, the digestive disturbances due to the growing uterus and sometimes it may even be psychogenic in origin. According to the American Pregnancy Association a loss of appetite affects about half of all pregnant. It tends to start around the middle of the first trimester and gradually eases around the first week or two of the second trimester.

    Causes of Appetite Loss In Pregnancy

    These are some of the common causes of appetite loss during pregnancy. There may be other reasons at play as well and a loss of appetite that is persisting should be investigated by a medical professional. It is usually not serious but due to the delicate state of pregnancy, it is advisable to have it assessed. Expectant mothers need to be aware that insufficient nutrition could have an adverse effect on the baby such as low birth weight, development abnormalities, premature birth, respiratory problems and even feeding difficulties.

    Nausea and Vomiting

    Pregnancy-associated nausea, often termed ‘morning sickness‘, is one of the most common causes of appetite loss. It usually ends in the first trimester but in some women it may extend into the second trimester and beyond. The nausea is believed to be due to the rising HCG (human chorionic gonadotropin) levels, a hormone associated with pregnancy. Other hormones also rise during pregnancy and may also be contributing factors to the nausea.

    While the nausea may not always be accompanied by vomiting and will diminish with time, some women suffer with a severe form of morning sickness. This is known as hyperemesis gravidarum where there is severe nausea and repeated vomiting. Understandably there is a loss of appetite. It is also possible for nausea to continue well into the second trimester and beyond. This does pose some risk to the mother and baby’s health if there is insufficient nutrition during this time.

    Indigestion and Acid Reflux

    Two common digestive tract conditions in pregnancy are indigestion and acid reflux.

    Indigestion is a collection of digestive symptoms like nausea, bloating, abdominal discomfort and early fullness when eating. Since the symptoms correlate with eating, there is often a loss of appetite. The cause is not always known but indigestion often occurs with overeating, greasy meals, spicy foods, chocolate and even with iron supplements. Sometimes indigestion is due to other gastrointestinal conditions like gastritis, peptic ulcer disease, gallstones and constipation, among other conditions.

    Acid reflux, or gastroesophageal reflux disease (GERD), is a very common condition in pregnancy and affects most expectant mothers at some point during pregnancy. It occurs when the lower esophageal sphincter (LES) cannot stop the backward flow of stomach acid into the esophagus. One of the main symptoms of acid reflux is heartburn. However, there are times when there are no symptoms present and this is referred to as silent acid reflux. A loss of appetite may be the only symptom.

    Growing Pregnant Uterus

    The uterus is about the size of a medium-sized pear at the start of pregnancy. It grows to the size of a grapefruit by week 12 of pregnancy and by full term, it is about the size of a watermelon. The pregnant uterus is no longer able to ‘fit’ in the pelvis by the second trimester. It extends into the abdominal cavity apart from protruding outwards as the abdominal muscles stretch. Eventually the uterus may extend as high up as the bottom of the ribcage.

    There is consequences of this degree of growth of the uterus. It presses against many abdominal organs and this can cause appetite changes. The compression on the stomach for example means that the stomach cannot expand as much as it normally would with eating. There is early satiety after eating and the pressure may even contribute to acid reflux. There may not always be a loss of appetite but rather a slight reduction in appetite when most expectant mothers feel that their appetite should be increasing.

    Stress and Depression

    While motherhood is an exciting and joyous life experience, pregnancy can be stressful and may even contribute to depression in some women. It may not always be the pregnancy itself that is the cause but rather a combination of personal, social and financial factors along with the physiological impact of pregnancy. A loss of appetite is a common symptom during periods of psychological stress and with depression. It may continue after childbirth due to the stress of life with a newborn and postpartum depression.

    Eating Disorders

    Many people are surprised to find that eating disorders can occur in pregnancy. Some types of eating disorders may have started before pregnancy while the combination of physical and emotional stress of pregnancy could trigger eating disorders in people who are prone. A loss of appetite is a characteristic feature in eating disorders like anorexia nervosa. The weight gain and change in body shape associated with pregnancy can further exacerbate the behavioral symptoms seen in anorexia nervosa, such as avoiding eating and exercising excessively.

    Sources of information:

    http://infobaby.org/nausea-during-pregnancy/

    http://www.icd10data.com/ICD10CM/Codes/O00-O9A/O20-O29/O21-/O21.9

    http://medicalj-center.info/diseases/nosebleeds-in-pregnancy-causes-second-and-third-trimester.html

    Appetite Loss In Pregnancy (First, Second, Third Trimester)

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