I am pregnant and vomit yellow water when brushing my teeth in the morning

Vomiting yellow water when brushing your teeth in the morning during early pregnancy is a reaction to early pregnancy. Early pregnancy symptoms usually occur in the first three months of pregnancy. Generally speaking, these symptoms will be relieved as long as the early pregnancy period is over, and no special treatment is required. However, for some pregnant women whose early pregnancy reactions are severe and have seriously affected the health of the mother, reasonable treatment methods need to be adopted to alleviate the early pregnancy symptoms!

1. Overview

Early pregnancy reaction refers to a series of reactions in the early stages of pregnancy (about six weeks after menstruation), which include an increase in human chorionic gonadotropin (HCG) in the pregnant woman's body, a decrease in gastric acid secretion and a prolonged gastric emptying time, leading to dizziness, fatigue, loss of appetite, preference for sour food or aversion to greasy food, nausea, and vomiting in the morning. These symptoms generally do not require special treatment. After 12 weeks of pregnancy, as the HCG level in the body decreases, the symptoms will disappear naturally and appetite will return to normal.

2. Causes

The cause of hyperemesis gravidarum is still unknown, but it may be mainly related to the imbalance of hormone action mechanism and mental state in the body. The effect of hormones refers to the highest HCG level in the body during early pregnancy when vomiting is most severe; the HCG concentration in the blood of patients with twin pregnancy or vesicular fetal masses is significantly increased, and the incidence of severe vomiting is also significantly increased, indicating that this disease is closely related to HCG. In addition, if the adrenal cortex function is low, the secretion of cortical hormones will be insufficient, causing disorders in the body's water and sugar metabolism, and gastrointestinal symptoms such as nausea and vomiting. Moreover, the symptoms can be significantly improved when treated with adrenocorticotropic hormone (ACTH) or corticosteroids. Therefore, it is believed that decreased adrenal cortex function is also related to hyperemesis gravidarum. Some people believe that vitamin B6 deficiency may also be one of the causes of the disease. In any case, psychological factors have a great relationship with the occurrence of hyperemesis gravidarum, especially if the pregnant woman has a fear of pregnancy itself or is bored, which can cause vomiting to worsen. Those with a history of severe dysmenorrhea will experience more severe vomiting during pregnancy.

Treatment

1. Mild vomiting during pregnancy

Generally, no special treatment is required, but it is necessary to understand whether the patient has any concerns about pregnancy, pay attention to her mental state, and give her more spiritual encouragement. Easily digestible food should be given according to the patient's preferences and eaten in divided portions, avoiding high-fat foods. Vitamins B1, B6, C and small doses of sedatives have certain effects on general symptoms.

2. Severe vomiting or accompanied by dehydration and ketonuria

Hospitalization is required and the patient should fast within 24 hours of hospitalization. 5% to 10% glucose solution and Ringer's solution should be given intravenously, but the amount of glucose and Ringer's solution should be increased or decreased according to the patient's weight. In addition, the dosage of electrolyte supplementation should be determined according to the blood potassium and blood sodium levels measured by laboratory tests. Those with severe anemia or poor nutrition can also receive blood transfusions or intravenous infusions of essential amino acids to replenish energy. During the treatment, serum electrolytes and CO2-CP must be tested regularly to facilitate observation of the treatment effect. Generally, after 24 to 48 hours of treatment, urine volume increases and symptoms are relieved. At the same time, you should gradually start taking small amounts of liquid food multiple times, and then gradually stop intravenous fluid replacement. In a few cases where conservative treatment is ineffective, adrenal corticosteroids and hydrocortisone can be added, followed by slow intravenous drip of 5% glucose, which often produces good results.

3. Those who still fail to respond to active treatment

If the following circumstances occur, therapeutic abortion should be given. ① Persistent jaundice; ② Persistent proteinuria; ③ Multiple neuritis and neurological signs; ④ Body temperature remains above 38°C and heart rate is above 110 while lying in bed; ⑤ Accompanied by mental symptoms.