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Doctor insights on: Hyperemesis Gravidarum Electrolytes Abnormal

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What causes ketonuria (4+) and hypotension (BP 95/49, pulse 105) in pregnancy (22wks)? Fainting spells, palpitations, headaches, nausea/vomiting, fatigue. Not dehydrated (normal urine color).

What causes ketonuria (4+) and hypotension (BP 95/49, pulse 105) in pregnancy (22wks)? Fainting spells, palpitations, headaches, nausea/vomiting, fatigue. Not dehydrated (normal urine color).

GET CARE NOW!: These are NOT normal normal signs or symptoms of pregnancy. In fact, this is an extremely serious situation, until proven otherwise, by a medical professional. You MUST get evaluated NOW! ...Read more

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Dr. James Lin
49 doctors shared insights

Severe Vomiting (Definition)

"Severe vomiting can mean that: You vomit more than 10 times in 24 hours. For at least 24 hours, you vomit every time you try to drink something. The vomit shoots out in large amounts and with ...Read more


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Early pregnancy craving gatorade..Is this normal?

Early pregnancy craving gatorade..Is this normal?

Cravings may occur.: Early pregnancy sxs can include: no period, breast swelling ; tenderness w darkened areolas, thin, white ; milky vaginal discharge, fatigue, ^ urination frequency, constipation, bloating, heartburn, backache, cramping, headache, food cravings or aversions, ^ sense of smell, enlarged waist, feeling faint/dizzy, mood swings, ^ gas, insomnia, gagging more easily ; yawning. ...Read more

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Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?

Bronchiectasis pt. admitted thrice, was ok, now fever 100F, satO2 drops to 72, ABGs-acute metabolic alkalosis with normal pCO2, satO2 65. ?

Respiratory distress: Hello, no RR but must be raised. The resp alkalosis is compensated. He has COPD & prob chronic compensated resp alkalosis. He has ? p'monia. If he has acute METABOLIC alkalosis he is not going to be able to correct with lungs, he is prob at max resp rate and pCO2 is nl and O2 at 72% He is on edge and needs to be admitted and most likely intubated and cause of metabolic alkalosis treated.thx ...Read more

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What causes anemia during pregnancy?

What causes anemia during pregnancy?

Dilution, iron def.: As the baby grows and the uterus enlarges, more blood volume is needed. The number of red cells increases, but the plasma (liquid part of blood) increases even more, so the red cells get diluted. If there isn't enough iron in a woman's system to make the extra red cells, anemia will be more pronounced. If you are anemic to begin with before pregnancy, it will be worse while pregnant. ...Read more

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Fetal lung fluid & urine make amniotic fluid, right? So what caused oligohydramnios?

Fetal lung fluid & urine make amniotic fluid, right? So what caused oligohydramnios?

Decreased perfusion: Oligo can be either loss of fluid or decreased production. A stressed infant will shunt oxygenated blood to more vital organs, less renal perfusion, therefore less urine produced. Anything that decreases placental perfusion can cause it (abruption or placental separation, poor implantation, vascular problems, clots, uterine abnls, etc). There are too many causes to list here, ask your ob. ...Read more

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Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?

Doc suspects diabetes insipidus. Symptoms are rapidly relieved by eating salt (dehydration, headaches, twitching, urine output all decrease). Why?

Not DI?: Diabetes insipidus is characterized by large amounts of dilute urine usually accompanied by very high serum sodium levels. Hydration and replacement of DDAVP (desmopressin) are the treatment. Consuming salt wouldn't help and could worsen the problem. ...Read more

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Abdominal cramping, fast heart rate, nausea, vomiting, dierreha, high blood sugar, low iron/anemic, blood in urine, hurts eat/drink?

Abdominal cramping, fast heart rate, nausea, vomiting, dierreha, high blood sugar, low iron/anemic, blood in urine, hurts eat/drink?

See md NOW: What are you waiting for? Don't waste time getting online advice from people who can't examine you. Go now. ...Read more

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Wilson disease?? Hospitalized with hypokalemic parlaysis, alt & ast elevated, bradycardia. Now hypoglycemic, high Uric acid urine and low T3 (liothyronine).

Wilson disease?? Hospitalized with hypokalemic parlaysis, alt & ast elevated, bradycardia. Now hypoglycemic, high Uric acid urine and low T3 (liothyronine).

Too complicated: Your health issues are too complicated to be properly addressed in this forum. It is imperative that you keep in touch with your doctor who has more information about your health. ...Read more

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Serum folate (folic acid) 5.0 ng/ml hct 23% vitamin B12 78 pg/ml MCV 116 fl 1, what does this mean?

Serum folate (folic acid) 5.0 ng/ml hct 23% vitamin B12 78 pg/ml MCV 116 fl 1, what does this mean?

Low B12: And your severe anemia and very large red blood cells (high MCV) are probably the result. If you are a vegetarian, please reconsider or get with someone who can guide you about the supplements you need. If not, and you feel healthy otherwise, it's likely you have a problem absorbing vitamin B12, and will need injections frequently to fix the anemia and avoid permanent brain damage. It's serious. ...Read more

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Symptoms are high blood pressure, rapid heart rate, nausea, vomiting, right side abdominal pain, elevated liver enzymes, blood in urine, weight loss?

Symptoms are high blood pressure, rapid heart rate, nausea, vomiting, right side abdominal pain, elevated liver enzymes, blood in urine, weight loss?

Rapid heart rate: You need to get to an emergency room for an evaluation for all of your seriious complaints. Your nausea and vomiting could be related to the cause of your elevated liver enzymes. You rapid heart rate may be symptom of dehydration and given the list of complaints you have, some of which are serious, you need to head for the nearest er as soon as possible to prevent a serious event from developing. ...Read more

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Low phosphorus levels during a kidney stone episode. Is this normal w/ stones? All other bloodwork is normal? What causes this?

Low phosphorus levels during a kidney stone episode. Is this normal w/ stones? All other bloodwork is normal? What causes this?

Low phosphorus : How much below normal was your blood phosphours (p) level? A common major cause of a low serum p is hyperparathyroidism (h). The major route of p excretion in normal patients is the urine, and urinary p is increased in h patients. Other causes of low p are alcoholism, decreased dietary intake of p in protein and vit d intoxication. Ask the doctor who ordered your blood for more info about our p. ...Read more

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Is extreme thirst normal through IVF pregnancy?

Is extreme thirst normal through IVF pregnancy?

No: There is no reason to have extreme thirst. Are you eating high salt diet and that would trigger thirst. If you are pregnant and very thirst then a simple lab test and urine may be warranted. Also you may need your blood sugar tested. Suggest contact your OB. ...Read more

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45yo; preg; due 10-16; 1 prev mscrg; MTHFR compound heterozygs; thyroid Gravesish but normal TSH/FT3/FT4. Do I need heparin? Any MTHFR ob in KC, MO?

45yo; preg; due 10-16; 1 prev mscrg; MTHFR compound heterozygs; thyroid Gravesish but normal TSH/FT3/FT4. Do I need heparin? Any MTHFR ob in KC, MO?

Prob not : Of course your doctor will need to review your complete history but those who are heterozygous for MTHFR do not require Heparin. Homozygous patients with elevated fasting homocysteine do. Not sure what "gravesish" means so that should be clarified at your visit ...Read more

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What can cause low t3, (liothyronine) hypoglycemia, hypokalemic periodic paralysis, weakness, jaundice in hands, extreme fatigue, hot flashes, numbness, bradycardia ?

What can cause low t3, (liothyronine) hypoglycemia, hypokalemic periodic paralysis, weakness, jaundice in hands, extreme fatigue, hot flashes, numbness, bradycardia ?

Sounds complex: This is a perfect question for HealthTap Prime, cuz each of these Sx need follow-up questions. 1st, low T3 (liothyronine) but what's the free T4? Hypokalemic Periodic Paralysis is associated w/ hypothyroidism. Do u have diabetes? Adrenal gland being affected? U seem to have some autoimmune phenomenon including jaundice (hepatitis). Does lupus run in ur family? Very strange mix of symptoms. Talk 2 a doc for Diagn ...Read more

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Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Pregnancy 15 week,  ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more

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I have Hypokalemic period parlaysis. Taking 120-140 meq of K can this cause increased urination and thirst?

I have Hypokalemic period parlaysis. Taking 120-140 meq of K can this cause increased urination and thirst?

Hypokalemia: The increased urination and thirst may be related to your glucose levels. Fluctuations in glucose can affect your K. Are you diabetic? You should be under medical care until your electrolyte and glucose levels are normal. Good luck ...Read more

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What are the treatments for hyperemesis gravidarum?

What are the treatments for hyperemesis gravidarum?

Several: Depends on how severe. If you are really dehydrated and have ketones in your urine then you may need to be admitted and receive IV hydration. Try ginger, fennel, anise, licorice, lemon juice, popsicles, broth. ...Read more

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What can I use for hyperemesis gravidarum if I don't have a doctor?

What can I use for hyperemesis gravidarum if I don't have a doctor?

Dramamine (dimenhydrinate): Over the counter motion sickness medications work well for morning sickness. You can also take vitamin b6 supplements. Small frequent meals are also beneficial. ...Read more

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How can I treat hyperemesis gravidarum?

How can I treat hyperemesis gravidarum?

Depends: The treatment is complicated and involves many things. Starting with change in diet and meals scheduling to treatments with different medication to get vomiting under controll, treatment to hydrate you and balance back your electrolytes. Dont try to treat it on your know, let you doctor manage it. ...Read more

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What is the definition or description of: Hyperemesis gravidarum?

What is the definition or description of: Hyperemesis gravidarum?

Morning sickness: Often, particularly in early pregnancy, women will vomit. Sometimes in the morning, sometimes all day or night long. Hyper (increased or large) emesis (vomiting) gravidarum (the condition of being pregnant) literally means increased vomiting of pregnancy and when vomiting exceeds the ability to take in the amount of fluid that's lost then mom needs medical attention and sometimes hospitalization. ...Read more

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How to tell if it's really bad morning sickness or hyperemesis gravidarum?

No difference: The definition of hyperemesis is not well defined. Generally if you are not able to tolerate oral intake you need to be evaluated by your doctor. ...Read more

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How to tell if I am suffering from hyperemesis gravidarum (severe morning sickness)?

How to tell if I am suffering from hyperemesis gravidarum (severe morning sickness)?

Are you pregnant?: 3 questions: Are you pregnant? Are you vomiting all day long? Have other causes of vomiting besides pregnancy been ruled out? If the answer is yes to all 3, you have hyperemesis. ...Read more

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What is hyperemesis gravidarum?

What is hyperemesis gravidarum?

Basically: It's severe morning sickness. There are a small percentage of women who have severe prolonged vomiting during pregnancy. They sometime require hospitalization. ...Read more

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What are the tests for hyperemesis gravidarum?

Hyperemisis gravidar: Besides a physical exam, checking for low blood pressure or high pulse, your doctor may want to check a blood count and test the urine for ketones. Test for liver and GI problems may be done. A pregnancy ultrasound may need to be done. ...Read more

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What are the symptoms of hyperemesis gravidarum?

What are the symptoms of hyperemesis gravidarum?

Nausea/ ptyalism.: Nausea, vomiting and excessive salivation (ptyalism) are all seen with hyperemesis. Transient hyperthyroidism is often noted by laboratory criteria and is generally self-limited. ...Read more

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Can I b induce ...im 33 wks prego...with hyperemesis gravidarum....im.stressing out with this condition...

Can I b induce ...im 33 wks prego...with hyperemesis gravidarum....im.stressing out with this condition...

Unlikely: Few physicians would induce a patient at 33 weeks for hyperemesis gravidarum. While the nausea and vomiting can certainly be a debilitating problem there are means of treatment - the ultimate solution may be delivery, 39 weeks should be the goal for the end of your pregnancy. 37 weeks would likely be the minimal gestational age to consider elective delivery depending on the status of the baby. ...Read more

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How long does belly pain associated with hyperemesis gravidarum last?

How long does belly pain associated with hyperemesis gravidarum last?

Shouldn't have: Hyperemesis gravidarum is extensive nausea and vomiting during pregnancy, shouldn't cause an abdominal pain. If you experience abdominal pain while pregnant see your obgyn or go to er asap. ...Read more

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What is the best treatment for hyperemesis gravidarum?

What is the best treatment for hyperemesis gravidarum?

Whatever works: We usually start with oral medications. If this doesn't work we move on to rectal suppositories, or dissolving tablets, or IV meds if needed. Difficult cases usually do well with zofran (ondansetron) or end up getting admitted for IV fluids, rest, & medications. Make sure you check with your doc to find what works best for you. ...Read more

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My wife is pregnant and has severe morning sicknesses and lost 13Kg which were attributed to Hyperemesis Gravidarum. How do I best take care of her?

My wife is pregnant and has severe morning sicknesses and lost 13Kg which were attributed to Hyperemesis Gravidarum. How do I best take care of her?

Obgyn visit: You should have her speak with an Obgyn. They can prescribe various medications which can help with nausea and vomiting of pregnancy. Obgyns are equipment to manage the fairly common issue of hyoperemesis gravidarum. Multiple medications are available ...Read more

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What is the incidence of hyperemesis gravidarum in pregnancy?

Low: Many women will have nausea and vomiting during pregnancy. Hyperemesis gravidarum is unrelenting nausea and vomiting that usually requires treatment with IV fluids and IV anti- nausea medications. ...Read more

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What's the best treatment to get rid of hyperemesis gravidarum?

Whatever works: Unrelenting nausea and vomiting during pregnancy is most common around 10 to 14 weeks gestation. When necessary, it usually responds to IV hydration and antiemetic medications. Keeping yourself well hydrated will help, which can be difficult with persistent nausea and vomiting - keeping the nausea under control with oral medications is important - as dehydration worsens so does the hyperemesis. ...Read more

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How long does hyperemesis gravidarum typically last in pregnancy?

Most cases To be honest, having morning sickness even one day can be unpleasant. However, most cases only last a brief time and rarely carry over into the second trimester. If long-lasting or severe, it is best to notify an OB provider. ...Read more

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I usually get hyperemesis gravidarum in pregnancy. How can I avoid it this time?

May be possible: all the kings horses and all the kings men couldn't help the British princess. However, I just read today that women with recurrent hyperemesis gravidarum may have a mild form of a mitochondrial disorder, and giving them the B vitamins of the mitochondrial cocktail may be helpful. I'll have to search the Internet for more details, but it could be true. ...Read more

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my wife pregnant at 15 weeks complained of hyperemesis gravidarum now she decrease in weight what the appropriate treatment for her?

 my wife pregnant at 15 weeks complained of hyperemesis gravidarum now she decrease in weight what the appropriate treatment for her?

OB?: Have you talked with your OB about this? The most important thing is to keep hydrated and not lose more weight. There is a medication called Zofran (ondansetron) which is safe to use in pregnancy and can help with nausea and vomiting. She may need to see a nutritionist to get back on track with her weight as the pregnancy progresses. ...Read more

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How could i prevent hyperemesis gravidarum from happening again in my next pregnancy coz i had to lose my first baby due to difficulty of symptoms?

Not preventable: Unfortunately, you have no control over whether your get it and how severe it may be in a future pregnancy. If necessary, home care is usually possible with iv's and anti-emetic pumps until you get through the first trimester. ...Read more

Dr. Bernard Seif
1 doctor shared a insight

Electrolytes Abnormal (Definition)

After extended throwing up, or prolonged diarrhea, it is possible to develop abnormal electrolyte levels in the blood - such as potassium, ...Read more


Dr. Jennifer Niebyl
99 doctors shared insights

Hyperemesis Gravidarum (Definition)

A condition causing pregnant women to experience nausea and vomiting that is more extreme or persistent than ...Read more