Horrible night, need some support :(

Discussion in 'Pregnancy - First Trimester' started by stellargaze, Nov 17, 2011.

  1. stellargaze

    stellargaze Well-Known Member

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    So finally in my 13th week, and the morning sickness is as bad as ever-- so bad that I began vomiting blood last night. Needless to say this has totally freaked me out. I suffer from a congenital digestive disorder, and I've had a small esophageal tear in the past (July, following food poisoning), but this was a lot more blood than then, and did not not come up after the other stuff, but right along with it-- which I know is a bad sign.

    I spoke to my obgyn's office this morning and it was suggested that I go onto ranitidine 150mg to suppress the acid. I've already taken this a few times and it doesn't really help. I'm on my way to my gp for a referral back to my gastroenterologist. I don't understand why they don't give me something for all the vomiting... Wouldn't that help more?

    Really upset, as having been on stomach meds for so long I know that taking the zantac will prevent me from absorbing as many nutrients, and I'm already having a tough time with food... I had gastritis all august, and my reserves are really depleted as it is. The meds that I took prepregnancy are so much stronger than zantac though, that I also know it probably won't help me much.

    Just thought it would be better by now and I don't understand why this is so hard!
     
  2. NickyNack

    NickyNack Mum of 3 girls, soon 4!!

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    Aw I'm sorry you are having such a tough time. Hopefully the GP/specialist can sort you out soon :hugs:
     
  3. 2011Excited

    2011Excited Well-Known Member

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    Oh sorry hun! that sounds horrible!! I sure hope your GP can get it all sorted today! You need to be a healthy mommy!! Xx
     
  4. stellargaze

    stellargaze Well-Known Member

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    Thanks-- I'm at least glad that the lo is okay. I just feel like I'm barely hanging on most days. I really need a break from feeling/being sick! Anyway else have this kind of bleeding?

    update: I saw the gp and spoke to my obgyn. I seriously prefer the nhs gp to the private obgyn. The gyno is telling me to just take ranitidine. The gp is telling me to take Promethazine hydrochloride tablets when the nausea gets really bad to try to prevent the vomiting. Why can't these doctors agree?

    Confusion. But I think I will take the anti-nausea meds...
     
  5. Nadialew

    Nadialew Well-Known Member

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    Hi there, you are not alone. I vomited a big patch of blood in 11weeks. And it gave me the shock of my life. You may have already known it was from mucosal damage (maybe from oesophageal lining or throat), and there is nothing to worry about. because it will heal by itself. And also, you only need to worry if the blood is coffee-stained color, or dark. If the blood looks fresh and bright red, it is usually not a major concern.
    I have a history of gastroesophageal reflux disease. I totally understand what you are going through now. I've been through a tough time myself in first trimester. In fact, i am way into second trimester and i still have some bad days.
    I started ranitidine 150mg up to three times a day from 9weeks till 12weeks, when it wasn't helping me much, Dr changed it to nexium (esomeprazole) 20mg once a day now. I am on it till now and it is a lot of helps.
    I also took metoclopramide and Vitamin B6 for nausea and vomiting. you may check it out with your dr. Of coz, promethazine is another drug of option too.
    Hang in there!!! Best of luck for us! =)

    p/s: To uplift your spirit, my scan showed that my bb is growing strong despite all the stress my body is going through. So do not worry too much!
     
  6. stellargaze

    stellargaze Well-Known Member

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    Omg, thank you so much. I also have a bad history of reflux and hiatel hernia. I have one doctor who gave me an initial prescription for metaclopramide, but then didn't want me to use it. That's my obgyn-- he also wants me to only take 150mg of ranitidine, which is like a drop in the bucket compared to my usual medications .

    My gp said to go on the omeprazole and take the promethazine. My obgyn doesn't want me to.

    In my nonpregnant life I live on omeprazole-- 10mg when I'm well, and up to 40mg when I'm not. I supplement that with ranitidine, and have even been put on spasmonal and mebeverine in the past.

    So I'm really confused! The last time I had a tear there wasn't nearly so much blood, so this has really unsettled me!

    I'm sorry you had to go through all of this-- but thank you for sharing. It helps me to know I'm not alone.
     
  7. angelbabyz

    angelbabyz Well-Known Member

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    So sorry you had such a horrible night!

    I, too, suffer from a hiatial herina, HORRIBLE gerd/acid reflux, LPR to be exact (it is so bad that it goes up into my nose, ears, etc, and gastroparesis (stomach doesn't empty properly).

    I'm 7 1/2 weeks pregnant and actually met with my GI dr on Tuesday of this week. He wants me taking 20 mg omeprazole in the morning and 2 zantac 150 tablets (300 mg total) at night before bed. He said for the Zantac, it loses effect so I am to do 2 weeks on and one week off so my body doesn't get used to it and it quit working.

    Before pregnancy, he had me on 40 mg omeprazole in the morning and 40 at night. It was an insanely high dose and I was being monitored (blood work) but my OB said as soon as I got a BFP, to only take 20 mg omeprazole per day as they don't have any studies showing whether or not more than 20 mg, especially 80 mg per day, is harmful. My OB hasn't approved whether or not I can take both but I will ask her on Monday. She's approved the Zantac and the omeprazole seperately but I haven't asked about taking them both.

    I have the head of our bed (mattress) elevated about 10-12 inches (it's annoying and hard to get used to but it helps a LOT at night). I feel like I'm sleeping in a hospital bed (and bless my poor husband's heart, he doesn't mind it one bit). Both my GI and my OB say I'll pretty much just have to suffer though it as there's not a whole lot they can do. My GI normally sees me once every 2 months but he told me Tuesday to just come and see him after I deliver since there isn't much he can do since I am pregnant.

    Throwing up blood sounds horrible and I hope the anti-nausea medication will help that!

    I just thought I'd share my story so you know you are not alone and to hear what someone else's GI and OB tell them as far as medication goes.

    I hope your condition gets better!!!
     
  8. stellargaze

    stellargaze Well-Known Member

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    Thanks! I haven't elevated the bed, but I prop myself up on several pillows. I'm scared to take the anti-nausea meds as my obgyn never approved it. Might take a dose anyway, but it lists all of these horrible side-effects and is a class 'C' drug in the USA. THe 150mg of zantac hasn't stopped the acid, so I think I'm going to take another 75 mg before bed.

    I'm hoping to hear back from the obgyn tmw about the omeprazole. I'm kind of annoyed that he never speaks to me directly and hasn't gotten back to me about the anti-nausea.

    I'm scared and feeling rough-- I just hope this gets better soon.

    Thanks again!
     
  9. angelbabyz

    angelbabyz Well-Known Member

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    My GI dr made sure I was elevating my body, not just my head with pillows. He said that is very important.

    Both my GI and my OB say I can take omeprazole but I only take the Zantac 150 twice daily. Maybe when I am out of the first trimester, I will take it. I read an article where they said omeprazole can cause heart defects in the fetus but my drs say this isn't true. My OB says she prescribes it all the time but after reading that, I didn't feel comfortable taking it. Once the heart if fully formed, I might take it. My OB tried to assure me it was safe but after I read that article, it scared me. Plus, I need to stay off Google. I google everything and you can find some bad and wrong stuff out there!

    Once my GI problems got out of control, I did a MAJOR diet change. I don't eat any fried food, only low fat stuff, no soda at all, no alcohol (obviously not while pregnant!!!), no chocolate, no mint, etc and this has helped WAY more than any medication. Both my drs seem to think i'll just be miserable during pregnancy no matter what but my GI stressed to keep up with the diet changes. It's hard to do a huge diet change like that but once I did, I saw some results. I used to just throw up hot burning liquid when I would bend over, etc (not pregnant). It was HORRIBLE. With my diet change, it's still bad, but has improved.

    Anyway, hope some of that info helps and I hope you get some relief soon! Oh, and hope that dr calls you back quick!!
     
  10. angelbabyz

    angelbabyz Well-Known Member

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    When my sister in law was pregnant, she was sick a lot and they gave her Phenergan, an anti nausea medication. However, it looks like it's a class C drug too.
     
  11. mom2beagain

    mom2beagain mom and preggers

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    Hi. I suffer from GERD, vomit daily (multiple times) and when I am not getting sick I am usually nauseated. I found a few things that work, my OB put me on them right away. At night I take 25mg of Unisom with 100mg of B6. During the day I take Zofran 6mg OPT (its a dissolvable tablet that you put under your tongue) and I also have compazine suppositories for when I am not able to keep either one of those down. I take pepcid 40mg every morning as well. I am always suffering with such severe stomach pain its a nightmare. I don't know if you are in the US or the UK. I am in the US. Zofran and Compazine are safe while pregnant. When I first found out, my OB asked me if I was getting sick a lot, as soon as I answered yes, she immediately wrote the script for Zofran. Its something you can ask about. Hope this helps.
     
  12. Nadialew

    Nadialew Well-Known Member

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    My OB directed me to take both Zantac twice daily and Omeprazole once daily together. However, I seem to be coping ok with Omeprazole alone, so i omitted Zantac.
    I am sleeping on a recliner chair every night now. And I think I will be for the rest of the pregnancy. It definitely helps -- Elevation of upper body.
    Another way of changing dietary habit is to eat a small meal at a time, but frequently. I am eating 5-6 meals throughout the day.
    My personal experience is it will definitely get better with the frequency of vomiting greatly reduced in second trimester. And when you are able to tolerate food better. By the time, you'll have less sleepless and horrible nights. =)
    However, it may come back when baby is getting bigger. But they have to get bigger before we let them out, and I can't wait for the day to come!
     
  13. stellargaze

    stellargaze Well-Known Member

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    Thanks so much ladies. I am feeling much more hopeful today after speaking to my obgyn! Apparently he had emailed me yesterday, and I hadn't checked my email. I thought I was being ignored, and had no idea how to proceed.

    I've been given the ok for all the meds now! Starting on 300mg of ranitidine (zantac) and upping it if needed. I was also okayed for the phenergan, and was told I can swap to omeprazole if the zantac doesn't work by next week.

    He also insisted I visit the gastroenterologist for a chat. I finally feel like I'm being taken care of and that there is some chance for relief. It's almost enough to make me cry as I've just been having such a rough time of it the last 6 weeks, spending over 20 hours a day in bed and throwinging up viciously every night.

    I've talked to dh and we are going to look into raising the head of the bed. How did you do it? It's been suggested to me for years, but always went with pillows instead.

    Again, huge thanks ladies! I don't know what I'd do with out b&b!
     
  14. Nadialew

    Nadialew Well-Known Member

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    Please do update with us what your gastroenterologist has to say about your condition and what else he would suggest for you. :winkwink:
    My OB said he would refer me to a gastroenterologist (my previous one has moved away :dohh: ) too if what is he doing for me now isn't sufficient.
    I was bedbound for almost 6 weeks in first trimester, and I did cry a lot, it's okay, we are making a baby, it is a hard work!
     
  15. angelbabyz

    angelbabyz Well-Known Member

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    That's great your dr finally answered! Are you going to take 300 mg Zantac once daily or break the 300 mg up with 150 at night and 150 in the morning?

    We have our king size bed elevated with a pair of old speakers. Yes, sounds WEIRD but they are the EXACT length to fit the width of our king size bed. They are under the mattress, above the box springs at the head of the bed. Since they fit perfect, there are no gaps or anything. It has created an elevation of about 12 inches (I measured it). You can go to the hardware store and have a board cut to the exact measurememnts you need to fit your bed. I've also seen wedges online that go under the mattress, although they are kind of expensive. One other option is to raise the bed with bed risers that you can find online. They are made to raise all 4 parts of the bed but I've read that you can just put them at the head of the bed. I've read bad reviews on the cheap ones saying that the bed falls through them! AHHHH! haha!

    Your OB sounds like he has prescribed you everything my OB and GI dr have. My GI said he can't do anything else for me right now and to come back after I deliver. He is going to put me on some new medications when I am no longer pregnant. I hope the next 7 months go by quick :)
     

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