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Morning Sickness

Nausea and vomiting

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About Morning Sickness

Morning sickness refers to nausea and vomiting that commonly occurs during pregnancy, particularly in the first trimester. Over half of all pregnant women experience these symptoms. Although it’s called "morning sickness," it can happen at any time of the day. It's important to note that morning sickness does not indicate any harm to your baby. The condition is most likely caused by the rapid increase in pregnancy-related hormones. For most women, the symptoms are mild and typically subside by the second trimester. In fact, some women may not experience any nausea throughout their pregnancy. However, in some cases, women may develop a more severe form of morning sickness called hyperemesis gravidarum. This condition involves extreme nausea and vomiting, which can lead to dehydration and a significant loss of body weight (more than 5% of pregnancy weight). It may also prevent the woman from getting enough nutrients, resulting in malnourishment. In such cases, hospitalization may be necessary for hydration, medication, and, in rare instances, a feeding tube.

Medical term: Hyperemesis gravidarum (HG)

Peppermint
Verified Herb
Why it works: Gut smooth-muscle relaxation (antispasmodic): Peppermint oil (and its menthol component) can block calcium channels in intestinal smooth muscle and antagonize serotonin-induced con...
Instructions: Aromatherapy (inhalation):. • In a randomized, placebo-controlled trial of pregnant patients with mild–moderate NVP, participants used direct inhalation of peppermint essential oil...
Warnings: GERD/heartburn: Peppermint can relax the lower esophageal sphincter and worsen reflux/heartburn—comm...
Studies: Randomized controlled trial (Iran, n=56): Direct inhalation...
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Lemon Balm
Verified Herb
Why it works: Calming/anxiolytic effects via GABA: Lemon balm contains rosmarinic, ursolic, and oleanolic acids that can inhibit GABA-transaminase (GABA-T) in vitro, a mechanism that increases G...
Instructions: Tea (infusion) – the most conservative approach. • Dose: 1 tea bag ≈ 1.6 g cut leaf, 1 cup 1–3×/day (adults/adolescents). This reflects EU monograph product posology. European Medi...
Warnings: Limited pregnancy data — consult your clinician first. Health Canada’s monograph explicitly says: “A...
Studies: There are no randomized trials demonstrating that lemon balm...
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Vitamin B6
Verified Vitamin
Why it works: Neurotransmitters & the “vomiting center.” The active B6 coenzyme (PLP) is required to synthesize neurotransmitters (e.g., serotonin, dopamine, GABA) that modulate nausea pathways....
Instructions: Over-the-counter pyridoxine (vitamin B6) alone. • Typical starting dose: 10–25 mg by mouth every 6–8 hours (3–4×/day). Adjust to symptoms. obgynboardpass. If symptoms persist, add...
Warnings: Upper Intake Limits (ULs):. • U.S. NIH/ODS UL for adults (including pregnancy): 100 mg/day total fro...
Studies: Randomized, double-blind, placebo-controlled RCTs (pyridoxin...
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Xiang Sha Liu Jun Zi Tang
Verified Medicine
Why it works: TCM pattern fit: XSLJZT = Liu Jun Zi Tang (tonifies Spleen/Stomach Qi; transforms Phlegm) + Mu Xiang (costus) & Sha Ren (amomum) to move Qi and settle the stomach—used when NVP pre...
Instructions: Composition (typical): Ren Shen (or Dang Shen), Bai Zhu, Fu Ling, Zhi Gan Cao, Chen Pi, Zhi Ban Xia, Mu Xiang, Sha Ren; often with fresh ginger & jujube in decoction. tcmwiki.com....
Warnings: Because XSLJZT is a compound formula, consider each herb and the whole formula:. Ban Xia (Pinellia t...
Studies: Functional dyspepsia (FD):Meta-analysis of RCTs (LJZT and XS...
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Ban Xia Xie Xin Tang
Verified Medicine
Why it works: Pattern-match in East Asian medicine: Ban Xia Xie Xin Tang is a classic formula for a Stomach–Intestine disharmony with mixed cold/heat pattern: epigastric fullness (without sharp...
Instructions: Who it’s for (pattern): epigastric “fullness,” belching/heartburn, nausea/retching, bowel sounds, loose stools/diarrhea tendency—i.e., disharmony of Stomach–Intestine with mixed co...
Warnings: Pregnancy & lactation: As above, safety in pregnancy is not established; use only if benefits > risk...
Studies: Direct, high-quality trials for Ban Xia Xie Xin Tang in morn...
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Acupressure
Verified Practice
Why it works: Targets the P6 (Neiguan) point, on the inner wrist. Stimulation of P6 appears to modulate the vagus nerve and nausea pathways; physiologic studies show increased vagal tone with P6...
Instructions: Option A — Use your fingers (self-acupressure). • Find P6: Palm up, measure three finger-breadths down from the wrist crease, in the groove between the two prominent tendons (palma...
Warnings: Skin/circulation checks: Don’t press on broken, irritated, or infected skin. If using bands, avoid e...
Studies: 2023/2024 systematic review & meta-analysis (11 RCTs, n≈...
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Ginger
Verified Herb
Why it works: Active compounds (gingerols, shogaols) appear to modulate the serotonin (5-HT₃) pathway involved in the vomiting reflex. In vitro/animal work suggests non-competitive 5-HT₃ recepto...
Instructions: Standardized capsule dosing (what many trials/guidelines used):. • 250 mg capsule, four times daily (total 1,000 mg/day of dried ginger). This “250 mg QID” dosing appears in the AC...
Warnings: General safety in pregnancy:. • Observational data and reviews have not shown increased risks of bir...
Studies: Systematic reviews/meta-analyses & guidelinesNutrition J...
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