Hyperemesis Gravidarum Isn’t Just “Bad Morning Sickness”

Hyperemesis is not a sign of weakness or low pain tolerance. It’s a medical condition that can cause physical, emotional and psychological distress.

ALSO READ: What is morning sickness and how can I treat it?

The Emotional Toll of HG

The physical symptoms of HG are obvious, but the emotional impact is often overlooked. Imagine waking up every day feeling violently ill, unable to eat, smell food or stand for long periods. The constant nausea makes you dread each hour.

Many women describe the condition as isolating and frightening. Every day tasks become impossible, relationships are strained, and guilt creeps in because you’re not enjoying pregnancy the way others seem to. You may even feel resentful, trapped or disconnected from the experience of becoming a mother.

It’s common to experience anxiety or depression as a result of HG. The unpredictability and intensity of the illness can wear down even the strongest person. That’s why emotional support is just as important as medical treatment.

TAKE A LOOK AT: Anxiety during pregnancy & after birth

When to See a Doctor

If nausea and vomiting are interfering with your ability to eat, drink or function, you should speak to your healthcare provider immediately.

Seek medical help if you:

• Can’t keep fluids or food down for more than 24 hours
• Notice dark urine or urinate less than three times a day
• Feel dizzy, faint, or extremely weak
• Experience rapid weight loss
• Have a racing heartbeat or constant dehydration symptoms

Doctors can diagnose HG through physical exams, urine tests (to check for ketones) and blood tests for electrolyte levels.

In South Africa, both public and private hospitals can treat Hyperemesis Gravidarum, and you should never feel guilty for seeking care. Admission for IV fluids, anti-nausea medication and monitoring is standard when dehydration becomes dangerous.

Treatment Options for Hyperemesis Gravidarum

Treatment depends on the severity of your symptoms, but it often includes a combination of medical, nutritional and emotional support.

1. Rehydration

If you’re dehydrated, you’ll likely receive IV fluids in the hospital to restore balance. Electrolytes such as sodium and potassium are also replaced to stabilise your body.

2. Medication

Safe anti-nausea and acid-reducing medications can help. These may include:

• Metoclopramide or ondansetron for nausea
• Vitamin B6 supplements
• Corticosteroids for severe cases
  Although these are considered safe, your doctor will choose the safest options based on your pregnancy stage and health profile.

3. Nutritional Support

If you can’t eat or drink enough, you may need nutritional therapy through a feeding tube or IV nutrition. It’s not common, but it can be lifesaving when weight loss becomes dangerous.

4. Rest and Stress Management

HG often worsens with exhaustion and stress. Bed rest, gentle movement when possible, and emotional support can make a huge difference.

5. Emotional and Psychological Care

Therapy or counselling can help you cope with feelings of guilt, fear or isolation. Support groups like the Hyperemesis Gravidarum Foundation of South Africa or international online communities can connect you with others who understand what you’re going through.

What Not to Say to Someone With HG

People often mean well but say things that make the experience harder. If you’re supporting someone with HG, avoid comments like:

• “At least it means your baby is healthy.”
• “Just try eating crackers or ginger.”
• “I had morning sickness too; it’ll pass.”
• “You should be grateful you’re pregnant.”

These statements minimise what the person is going through. Instead, offer practical help like bringing fluids, doing a grocery run or simply listening without judgement.

The Long-Term Outlook

For most women, symptoms ease by the second trimester, though some continue to experience nausea until delivery. After birth, recovery is usually swift once hormone levels stabilise.

However, it’s common to feel anxious about future pregnancies, especially if you’ve had HG before. Talk to your healthcare provider early next time; preventative treatment can start before symptoms worsen.

If you experienced trauma or depression due to HG, therapy can help you process those emotions and rebuild confidence in your body.

Final Thoughts

Hyperemesis Gravidarum is not “bad morning sickness”, it’s a serious condition that deserves medical attention, compassion and support. No one should have to suffer in silence or feel dismissed by outdated myths about pregnancy.

If you’re experiencing HG, know that you are doing an extraordinary job under impossible circumstances. You’re not weak, you’re not overreacting, and you’re certainly not alone.

Seek help, rest when you can, and accept support from those around you. You are already showing immense strength, and that strength is what motherhood is truly built on.