What does morning sickness feel like with hyperemesis gravidarum?

Unlike brief waves of nausea, symptoms may return throughout the day and can be triggered by smells, movement, or an empty stomach. Vomiting may leave your mouth dry and your throat sore. You may feel dizzy when standing, unusually tired, or unable to manage normal meals and drinks. Some people also notice reduced urination or dark urine when they are becoming dehydrated. The severity can change from day to day, and the time of day does not define the condition.

Take small, frequent sips of fluid and try bland foods in small amounts when you can tolerate them. Cold foods may be easier if cooking smells worsen nausea. Rest, avoid known triggers, and keep a record of vomiting, fluids, urine, and medicines. Contact your maternity team early; treatment may include prescribed anti-sickness medicine, fluids, or nutrition support. Do not stop prescribed medicines without advice.

Seek urgent medical help if you cannot keep fluids down, pass very little urine, feel faint or confused, have severe abdominal pain, vomit blood, or notice signs of dehydration. Assessment is also needed if vomiting prevents you from taking essential medicines or causes rapid worsening. Ask someone to accompany you if dizziness makes travel unsafe.

Ask which anti-sickness medicines are suitable in pregnancy, how much fluid to aim for, and which symptoms should send you to urgent care. Discuss whether you need urine or blood checks, fluid treatment, help with nutrition, or a plan for managing symptoms at home.