Hyperemesis gravidarum is a serious pregnancy complication that goes far beyond typical morning sickness. It can be physically and emotionally exhausting, and, in some cases, dangerous without proper support. Whether you are newly diagnosed, already in treatment, or navigating recovery, recognizing when to seek additional help is essential. Here are five key signs that it may be time to check in with your care team and advocate for yourself.
1. You can’t keep food or fluids down
If you’re unable to retain food or fluids for more than 24 hours, that’s a clear warning sign. Dehydration, malnutrition, and electrolyte imbalances can develop quickly with hyperemesis gravidarum. At this point, you may need IV fluids or other medical interventions. Reach out to your provider.
For more information on managing HG during pregnancy, visit the HER Foundation’s “Understand My HG” resource.
2. Your treatment isn’t working
If you’ve been diagnosed with HG and your symptoms remain severe despite prescribed treatments, your care plan may need to be adjusted. Everyone responds differently, and finding the right combination of medications and support takes time. If you’re still constantly vomiting or losing weight, speak with your provider about revisiting your treatment options.
Explore the HER Foundation’s Patient Treatment Guide for step-by-step instructions and medication options.
3. You’re losing weight fast
Losing more than 1 to 2 pounds per week is a strong signal that your treatment isn’t effective. Some weight loss is expected in early pregnancy with HG, but continued or rapid weight loss puts you and your baby at risk. Nutritional support and possibly more aggressive treatment may be necessary to stabilize your condition.
Visit the HER Foundation’s weight loss calculator for additional information.
4. Your mental health is suffering
HG isn’t just a physical condition; it can severely affect your mental health. If you’re experiencing ongoing anxiety, depression, hopelessness, or emotional exhaustion for more than two weeks, don’t dismiss it. Therapy, peer support, or medication may help. You are not weak. This is a medical condition that affects every part of your well-being.
Access mental health support and resources through the HER Foundation’s Peer Support Network.
5. You have severe symptoms like vomiting blood or intense pain
Vomiting blood or experiencing severe abdominal pain are medical emergencies. These symptoms could point to serious complications like a tear in the esophagus or other gastrointestinal issues. If you’re experiencing either, do not wait to contact your provider.
For more information on recognizing and responding to severe symptoms, visit the HER Foundation’s “Understand My HG” resource.
You deserve help
Too often, people with HG are told to “tough it out” or “wait and see.” But if you’re experiencing any of these signs, it’s time to advocate for yourself and get more support. Early and appropriate care can prevent complications and improve outcomes for both you and your baby.
For additional support and resources, visit the HER Foundation’s Get Help Now page.
