And So It Begins…

With WZW, the nausea started at 7 weeks and peaked from 9 to 12 weeks.  When I got 9 weeks with him, I lost 5 lbs in a week because I could barely eat anything- just bites at a time.  With the pregnancy that ended in miscarriage, the nausea started at 5 1/2 weeks, and continued until I miscarried, granted it improved a little in the week before I found out the pregnancy wasn’t viable.

This time, I thought I’d try taking vitamin B6 prophylactically.  Vitamin B6 (pyridoxine) is commonly used to treat nausea/vomiting in pregnancy, and I’d read that women who take prenatal vitamins prior to conception tend to have lower rates of nausea/vomiting, thought perhaps to be due to the vitamin B6.  So I tried taking 50 mg daily with my prenatal vitamins.

Alas, this time at about 6 weeks, it started.  At first I could eat normally, but would just feel gross after.  It quickly progressed to feeling nauseous constantly.  So the vitamin B6 definitely didn’t help prevent the nausea.  So far, all I know is that the initial hCG levels were going up appropriately.  I am still waiting for the first ultrasound to find out if this pregnancy is even viable.

I know it’s a good sign that the nausea is developing and worsening.  But it’s hard to feel very happy when you feel terrible all of the time.  This time, it seems worse and constant, as opposed to before when I’d mostly feel it after eating and therefore have to eat small amounts frequently.  Once again, I made a trip to Trader Joe’s to pick up a bunch of starchy snacks and flavored sparkling water.  Definitely not Paleo snacks- at this point, I’m just doing what I can to get by.  Since I’m so early in the pregnancy, I’m dreading it getting worse and worse.

I feel so bad for my patients who have really bad symptoms of nausea and vomiting, aka hyperemesis gravidarum.  I recently saw a patient who is having her third child, and she had already started getting IV hydration before her formal prenatal intake appointment at 8 weeks.  She also said that instead of it getting better after the first trimester, it lasted 5 months with her other pregnancies.  She wants to work, but can’t due to the debilitating symptoms.  How terrible that must be for her.  I really hope my symptoms don’t get worse than they did with my previous pregnancies.  It was very uncomfortable, but I was able to handle them and still work.

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