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I am 25 yr old, and 9 wks pregnant. I am having SEVERE nausea, indigestion, and acid reflux. I am on Zofran, however, it is only helping to eliminate spontaneous vomiting , not helping with nausea, indigestion or acid reflux. I am refluxing food and liquid for up to 6 hrs after each meal, and it extremely uncomfortable. I have tried TUMS, changing my diet and habits with no avial. The only way to relieve my symptoms is to force intentional vomiting (approx 2x/day). I have history DX of both Anorexia - purging subtype, and Bulimia Nervosa, however, when I am force vomiting I am not doing it because of any compulsions towards Eating Disorder BX (such as body weight, image, etc). I am doing only because it is the only thing to provide relief of symptoms. I am retaining (not vomiting) at least 1000 calories a day, and drinking electrolyte beverages to maintain hydration. I am gaining weight on track, so I am assuming the baby is being nourished. Is the forced vomiting hurting the baby??


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replied March 12th, 2010
First Trimester of Pregnancy Answer A10626
Hi, and thanks for your medical question on eHealth forum!

Well vomiting of any type results in loss of several nutrients and in the long run can affect the baby. If you have severe acidity, reflux and a history of an eating disorder you can talk to your gynecologist regarding the possibility of trying a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. If not then maybe antacid gels 2-3 times a day should be tried. Please do not take any medication without consulting your gynecologist.

Life style changes that may help you include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Go to bed at least 2 hours after food. Maybe these tips will help you. Take care!



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