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Warning-sign checks

Hyperemesis gravidarum: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services or go to an emergency department if you faint, become confused, have difficulty walking, vomit a significant amount of blood, have severe chest pain, or develop sudden shortness of breath.

    Get immediate help if you have thoughts of harming yourself or do not feel able to stay safe.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your pregnancy care team promptly if vomiting is getting worse, you are losing weight, or you cannot keep down enough food, fluid, or prescribed medicine.

    Passing much less urine, having dark urine, or feeling dizzy when standing can indicate dehydration.

    Seek urgent same-day care if you:

    • Cannot keep fluids down
    • Have not passed urine for many hours
    • Feel very weak, drowsy, or close to fainting
    • Have abdominal pain, fever, or painful urination
    • See blood in your vomit
    • Develop a painful, swollen leg
  3. 3

    Does any of this apply?

    Book an appointment

    These are not routine HG symptoms.

    Routine follow-up is appropriate when symptoms are stable and you can keep down enough fluid and medicine.

    You should still report ongoing weight loss, medicine side effects, worsening mood, or a change in your usual symptoms.

Every sign above is quoted from the sofidex article on Hyperemesis gravidarum. If you are not sure, err upward — it is always reasonable to be checked.