Taking care of you

Alongside a good treatment plan there are various things you can do to try and minimise the effects of hyperemesis gravidarum.

Coping with Hyperemesis Gravidarum

While it’s rare to feel complete relief from symptoms, there are ways to manage aspects of Hyperemesis Gravidarum (HG) and create the best possible conditions for yourself during this incredibly challenging time.

Keeping a diary or symptom journal can be helpful. You might notice small windows of relief when you’re able to eat or drink a little more—these moments can make a big difference in helping you avoid dehydration and hospital admission. A journal can also help you spot triggers, which you may then be able to avoid.

If you’re struggling, please don’t hesitate to speak to your GP or midwife—or contact us directly for support.

Below, we’ve outlined some common issues HG sufferers face—like excessive saliva, food aversions, and managing medications—with tips that might help you feel a little more in control.

COPING EMOTIONALLY

  • Looking After Your Mental Health

    Physical and mental health go hand in hand. When you’re unwell for so long, it’s completely normal to feel low or overwhelmed—but support is available.

    • Ask your GP or midwife to refer you to your local perinatal mental health team.

    • Contact us to be matched with a peer supporter who’s experienced HG and truly understands. A simple message from someone who gets it can help you feel less alone and more able to cope day to day.

      Helpful Tips for Coping Mentally

      • Take one day at a time. Avoid thinking weeks ahead—count each day you get through as a win.

      • Ease the isolation. If you’re able, watch comfort TV, listen to radio or audiobooks, or try calming activities like adult colouring. Music can also be therapeutic.

      • Stay connected. If you can, invite a friend over or call someone for a chat—even a short call can lift your mood.

      • Know your options. Learning about treatments can help you feel more in control, rather than at the mercy of the condition.

DEHYDRATION

Staying Hydrated

With HG, even water can be hard to tolerate—but try to aim for at least 500ml a day to avoid dehydration.

Here are some tips that may help:

  • Suck ice cubes made from juice or water

  • Sip slowly through a straw

  • Try bottled water instead of tap

  • Suck on ice lollies

  • Let fizzy drinks go flat before sipping

  • Try high-water foods like watermelon, cucumber, oranges, or grapes

If you’re unable to stay hydrated and symptoms worsen, don’t delay seeking help. Hospital treatment with IV fluids and antiemetics can offer vital physical and mental relief. If your GP recommends admission, please don’t try to push through—getting support early can prevent serious complications for you and your baby.

REST

Rest is essential – not optional

When you’re living with Hyperemesis Gravidarum (HG), the most important thing you can do is rest, rest, rest.

HG often comes in waves – you might feel a bit better one day, then relapse the next. When medication starts working and you feel a little stronger, the temptation to catch up on housework or work tasks is understandable. But pushing yourself can quickly set you back.

Even a couple of hours of activity—like tidying the house or going into the office—can leave you needing bed rest again. This isn’t a sign of weakness. It’s a well-known pattern among HG sufferers.

If it’s your first pregnancy, allow yourself to simply lie on the sofa and enjoy a moment of not vomiting. That alone is a win.

If you have children, prioritise help – and drop the guilt

If you’re already a parent, getting help with childcare is vital. Reach out to family, friends, nurseries—whatever support you can arrange. You are not expected to do it all. If you were undergoing chemotherapy, no one would expect you to carry on as normal. HG deserves the same recognition.

Your house might be messy, the washing pile might grow, and your usual routines may fall apart for a while. That’s okay. If you push yourself, your symptoms are likely to worsen.

Give yourself permission to pause.
Normal service is on hold – and that’s exactly how it should be right now.

AVOIDING NAUSEA TRIGGERS

Managing Triggers

Understanding and avoiding triggers can make a real difference when dealing with nausea and vomiting in pregnancy. Sensory stimuli—like smells, lights, and sounds—can become overwhelming, so finding ways to manage your environment is key.

Here are some tips that may help:

  • Use unscented products. Opt for fragrance-free household cleaners, toiletries, and skincare.

  • Try a smaller toothbrush. A child-sized brush and mild or unscented toothpaste can make brushing more manageable.

  • Avoid cooking smells. Keep windows open, use a fan, or ask someone else to prepare food when possible.

  • Soften the lighting. Bright light can be a trigger—close curtains, use soft lamps, or rest in a dark room.

  • Adjust screen settings. Dim the brightness on your phone, tablet, or laptop to reduce strain and nausea.

  • Block smells. Try a dab of essential oil on a tissue to sniff when needed—or even a swimming peg on your nose, if tolerable.

  • Prioritise rest. Fatigue can worsen nausea, so take naps when you can and aim for a full night’s sleep.

Everyone’s triggers are different, so try to notice patterns and adapt your space and routines in ways that support you.

EXCESSIVE SALIVA

Excess saliva (or hypersalivation) is a very common part of HG but isn’t often talked about.

It can be overwhelming and distressing to deal with, especially if you are dealing with unhelpful comments. There are some things we can suggest trying which may help, often people just need some coping tips as there is sadly very little medication available for this symptom.

  • Ask your GP for an antacid called Omeprazole, some people find it helpful in reducing the amount of saliva to some degree. It can also help with nausea and retching. You can also ask for this over the counter at a pharmacy.
  • Carry a spit cup or cloth around with you so that you can get rid of the saliva without swallowing
  • Sucking on strong flavoured sweets can help with the taste in your mouth that comes as part of HG

A complication of spitting out excess saliva can be dehydration. If you are experiencing any symptoms of dehydration, then please let your healthcare professional know as soon as possible.

EXCESS STOMACH ACID

It is very common in pregnancy (and when suffering with HG) to develop some excess stomach acid, which in turn may cause uncomfortable symptoms such as indigestion and acid reflux. Excess stomach acid may also contribute to your nausea. Proton Pump Inhibitors (PPI’s), such as Omeprazole, reduce the production of stomach acid and can therefore help – they can also help to protect the lining of the oesophagus from the effects of repeatedly being sick.

Omeprazole is available over the counter, or as a prescription from your GP.

HELP WITH FOOD & EATING

People with pregnancy sickness often find that the list of food and drinks that they can keep down is very small and not at all from the healthy options.

Some even find that eating vegetables and some fruits causes immediate vomiting in the peak stages, making it even more difficult to follow a healthy diet.

An empty stomach can exacerbate nausea so snacking little and often and keeping snacks nearby may help with symptoms.

It is important to follow current guidelines regarding avoiding certain foods which may contain harmful bacteria such as paté, liver, soft cheeses, and undercooked eggs, but outside of this it can just be a case of finding ‘safe’ foods that work for you.

People often find that cold, sometimes fizzy, drinks can be easier to tolerate and dry/beige foods but the list of food/drinks that work for you can be ever changing so having a variety of options to hand is helpful.

Here are some suggestions that might help with nutrition and calorie intake. 

Snacks: Try to always have snacks available in the house so that as soon as you feel able to eat something you can. Snack bars or cereal bars, crisps, crackers and so on.

Fortify Meals: If you are managing to eat small amounts at your mealtimes, then try to add calories to your meal by fortifying with hard or pasteurized cheese, butter, crème fraiche, margarine, meat and so on.

Lactose Intolerance/Dairy Allergy/ Dairy Free/Vegan: Fortify your meals, snacks and drinks using pulses, (silken) tofu, avocado and dried fruits. Already fortified cereals, bread, unsweetened soya, rice, and oat drinks can be bought from the supermarket. Seeds and nut butters can also be added to meals and snacks as well as snacking on whole nuts (please avoid if allergy present). Cook and prepare any food using olive oil, coconut oil, avocado oil, or flaxseed oil.

Please don’t feel guilty if you are struggling to eat anything nutritious. If and when you feel able please speak to your GP or Midwife to see if you can be referred to a Dietician.

“Suggesting ginger as a remedy for hyperemesis was damaging to my mental health.”

Rachel Brian | Scotland