The Hyperemesis Gravidarum Diet: How to Eat When You Can’t Eat

Is it even possible to eat while suffering from hyperemesis gravidarum?

The answer is… SORT OF.  With the right hyperemesis gravidarum diet, you may be able to maintain enough nutrition to get you through those 9 long months. Persistent nausea and vomiting makes eating the last (but also the only) thing on a pregnant woman’s mind.  She wants to eat, she wants to eat SO badly!  But she also doesn’t want to eat because eating would mean vomiting and she really… REALLY… doesn’t want to vomit anymore.

Here are 4 extreme tips for how to eat when you can’t eat due to hyperemesis gravidarum. 
The Hyperemesis Gravidarum Diet
*This post contains affiliate links which means that if you click on one of these links and buy a product, I may earn a small commission at no additional cost to you. Rest assured that I only recommend products that I love from companies that I trust.  Furthermore, I am not a medical professional and nothing in this post should be taken as medical advice. I am simply a mother who has been there and lived to tell the tale.
The Hyperemesis Gravidarum Diet How to Stay Nourished with Hyperemesis Gravidarum

The following tips may sound very extreme, but that’s what hyperemesis gravidarum is.  It’s not just a bit of nausea – it’s an actual inability to eat food without vomiting it back up again… for months on end.  Eating sounds impossible, but with a few strategic tips – it’s entirely possible to avoid being fed through a tube.

Tip #1: Accept thy curse

The first trick in the hyperemesis gravidarum diet is to accept the fact that nothing you eat will stay down.  However, you will need to find ways to get nutrients into your body in order for you and your baby to survive, and reduce the need to be hospitalized and fed through a tube.  The sooner you can accept the fact that you’re in this for the entire pregnancy, the less chance you have of risking a hospital stay.

    • Accept that you will feel like crap every single day of your pregnancy until the day that baby pops out of you and not one second before.
    • Don’t expect to feel better after vomiting as if you just ate some bad shrimp.
    • Accept that no home remedy for morning sickness will help you, despite numerous people telling you otherwise.
    • Don’t count down the days until the end of the first trimester expecting it to go away.
    • Accept that you are strong enough to do this and that the benefits will greatly outweigh the struggle in the end.
    • Don’t tell others that you are fine when you are clearly suffering.  Tell them how to help you.
How to help a woman with Hyperemesis Gravidarum
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Tip #2: Every Second Counts

Don’t avoid eating altogether, just because you know that it’s going to come back up again.  The process of digestion begins as soon as we put food into our mouths.  From there, nutrients are absorbed through the esophagus, stomach and intestines. Therefore, if you can keep something down for just a few minutes, then it’s better than nothing at all.

When choosing foods for your hyperemesis gravidarum diet, there are a few important characteristics to look for.
Fast Absorption

Liquids absorb faster than solids.  Electrolyte drinks can help battle dehydration or you can try making your own if you find them too sugary.  Fresh made juices, smoothies or clear broth are another good option.  Try to avoid drinking plain water (see Tip #3).

Highly Nutritious

Try to go as healthy as possible.  Meal replacement drinks, fresh made juices or vegetable soup have all the good stuff without the junk, because you don’t have any time to waste.  There are several specific vitamins and minerals worth focusing on. 

Smooth Texture

If it goes down easy – it will come up easy.  It may seem disturbing to have to choose a food based on what it will be like coming back up, but that is exactly what you will need to do to survive HG.  Contrary to popular belief, things like sweet, juicy fruit like apples, berries and melons may not be the best option.  The natural fruit juices get absorbed very quickly leaving the pulp behind which is extremely unpleasant coming back up.  If you absolutely must have fruit, then blend it into a juice or smoothie first.

Curdle Factor

Yet another disturbing characteristic, consider which foods will curdle in your stomach before they make a re-appearance.  I craved milk (and cereal) during my pregnancies and it was extremely unpleasant coming back up in chunks.  Most dairy-based items will be the same and can cause even more disturbances on an upset stomach.  Clear fluids are the better option.

side effects of HG
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Tip #3: Avoid Water

Whaaaaaa….????

I know this sounds counter-productive for someone who is battling dehydration.  But plain, old-fashioned water is one of the hardest things to drink with hyperemesis gravidarum.  Water can actually induce vomiting when you have an extra sensitive stomach, especially after eating. Hydration is an important part of the hyperemesis gravidarum diet, so you need to find other ways to stay hydrated.

Some plain water alternatives to try:

Natural mineral water. The bubbles can either help or make it worse but there’s only way to find out.  Try a flavored water (like citrus) to see if it appeals to you.

Coconut water. Try it both cold and at room temperature to see which you prefer, as this can change the flavor.

Popsicles. Anything frozen will melt slowly which is better than having lots of liquid go straight into your stomach.  Aim for fresh fruit ones instead of sugar loaded flavors.  

Ice chips. If all else fails and you’re not able to keep down any liquids at all, then sucking on ice chips is one way to stay hydrated.

It sounds extreme but it’s not at all unusual for a woman with hyperemesis gravidarum to be unable to keep down a sip of water to take her prenatal vitamins or prescription anti-emetics (I speak from experience).

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Tip #4: Tiny Portions

I’m not exaggerating when I say tiny.  Small portions are usually recommended for nausea and vomiting.  For the hyperemesis gravidarum diet, take what you think of as small and cut it in half.  Now cut it in half again, and maybe even once more.  

Try one tablespoon of food or liquid every 10-15 minutes. 

If it stays down, have another and so on.

If it doesn’t stay down, try half a tablespoon.

You should try experimenting with different ways to eat or drink.  Try drinking through a straw vs. no straw, a spoon vs. sipping, hot vs. cold.  You may have to think outside the box and even try using syringes or shot glasses to take small sips of liquid.  Keep experimenting with tiny portions in your hyperemesis gravidarum diet.  It may seem tedious and pointless but one spoonful of food that stays down is better than an entire meal that comes back up.

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I know the pain of hyperemesis gravidarum all too well having battled it with all three of my pregnancies. 

It’s easy to avoid eating all together in an effort to avoid vomiting when that’s all you’ve been doing for weeks.  But starvation, dehydration and malnutrition are far worse things to struggle with than vomiting.  Chances are, you will never be able to eat properly throughout a hyperemesis gravidarum pregnancy, instead you will spend the entire 9 months simply “trying to eat.” 

Have these hyperemesis gravidarum diet tips helped you?  Leave a comment down below!

11 Surprising Side Effects of Hyperemesis Gravidarum

Hyperemesis gravidarum, or HG for short, is a condition that affects less than 3% of pregnant women but can have dreadful side effects.

Due to the fact that it’s so uncommon and hard to pronounce and the majority of people have no idea what it is, it’s often described as “an extreme case of morning sickness.”  Unfortunately, this description tends to lead others to believe that it’s no big deal.  But hyperemesis gravidarum is NOT just an extreme case of morning sickness!

While it is characterized by nausea and vomiting in pregnancy, it is actually so much more than that.  The side effects of hyperemesis gravidarum include dehydration and malnutrition which then cause one problem after another.

If you really want to know what it’s like living with this cruel condition, here are an additional 11 side effects hyperemesis gravidarum has on a pregnant body.
11 Surprising Side Effects of Hyperemesis Gravidarum
*This post contains affiliate and/or paid links which means that if you click on one of these links and buy a product, I may earn a small commission at no additional cost to you. Rest assured that I only recommend products that I love from companies that I trust. Furthermore, I am not a medical professional and nothing in this post should be taken as medical advice. I am simply a mother who has been there and lived to tell the tale.
11 Surprising Side Effects of Hyperemesis Gravidarum

1. Fainting Spells

Actual fainting spells and feeling faint are a very common complaint for pregnant women with HG.  Dehydration, low blood pressure and low blood sugar levels are all to blame.  Standing or even sitting upright for long amounts of time can be very difficult to do.  You may want to invest in a blood pressure monitor to help you keep track.

2. Muscle Atrophy

Women suffering from hyperemesis gravidarum spend most of their days lying in bed (when they’re not hanging headfirst over the toilet bowl).  With very little energy to spare and a steady stream of sleep-inducing medications, there’s not much else they can do.  This usually results in their muscles becoming weak and stiff.  A gentle massage with some pain relieving essential oils can greatly help.

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3. Leg Cramps

I can honestly say that the pain of leg cramps while bedridden with hyperemesis gravidarum was the closest thing to labor pains I have ever experienced.  While many women experience leg cramps, HG or not, dehydration makes them 10 times more painful and harder to recover from (pretty sure I was limping to the toilet for a month).  *Take note that sometimes, a pain in the calf can signal something worse*

4. Sore Throat

This should be an obvious one to anyone who has ever thrown up before… It’s not uncommon for women with hyperemesis gravidarum to vomit up to 50 times a day.  This can result in a raw, sore throat that makes even speaking painful.  Considering that most of what comes up is bile,  the lining of the throat can be severely damaged and it’s not uncommon for women to have blood in their vomit both from tearing the throat and/or esophagus.  An anesthetic throat spray is a great alternative to sucking on lozenges.

5. Acid Reflux

So we’ve established that everywhere from the mouth to the stomach resembles a war zone.  This means,of course, that acid reflux will be the norm for the duration of the pregnancy.  This, again, is something many women without HG experience, but this time – it’s not just a common case of heartburn.  With torn tissues in the throat and esophagus – it can cause a constant burning sensation in the chest.  If you can manage liquids, there are organic teas that can help with heartburn.  If regular antacids aren’t working, then talk to your doctor about a prescription strength one.

hyperemesis gravidarum diet
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6. Diarrhea

And if you weren’t spending enough of your time in the bathroom already, then this ought to fix that.  You can expect this mess after receiving a round of IV fluids, taking a suppository anti-emetic or eating and drinking a little bit after a few days of not eating or drinking at all.   It can be especially difficult to stay hydrated while you’re losing fluids out of both ends.  Basically your entire gastrointestinal system gets messed up thanks to hyperemesis gravidarum.  You may have to wait it out, or consider using an all-natural remedy.

7. Tooth Decay

All of that acidic vomit does a real number on your tooth enamel.  And if you’re not getting the calcium and other nutrients you need for strong bones then you will notice it first in your teeth.  We tend to forget how important chewing actual food is to keep our teeth healthy and when you’re suffering from hyperemesis gravidarum there is very little chewing, biting or eating going on at all.  Let’s not forget about how even inserting a tooth brush into the mouth can induce vomiting.  Instead, choose a mouthwash that has enamel protection AND is alcohol free and rinse out your mouth after you vomit.

How to help a woman with Hyperemesis Gravidarum
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8. Hair Loss

We know about postpartum hair loss but did you know that you can also lose your hair if you’re extremely dehydrated and malnourished?  So many vitamins and minerals are important for the growth of healthy hair and when you’re not getting those, your body has to steal them from somewhere else.  So instead of boasting the luscious locks that many women claim to have during pregnancy – I was plucking handfuls of it off my pillowcase.  Switch to a shampoo with castor oil to help strengthen your hair, and continue to use it postpartum.

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9. Dry Skin

Dehydration can do some pretty crazy things to your skin.  Not only does it get really dry and itchy, but it also loses a lot of it’s elasticity.  I remember nurses doing “the pinch test” on the back of my hand each time I went into the hospital and each time it stayed up longer and longer.  If you’re battling dehydration on the inside, try to seal in moisture on the outside.  Make sure to choose an unscented moisturizer so as not to irritate your ultra-sensitive sense of smell.

Testing for Dehydration
Fix.com/blog/dehydration

10. Motion Sickness

If you’ve never experienced motion sickness before then prepare for the bumpy ride that is hyperemesis gravidarum.  The delicate state of the stomach just can’t handle being tossed and turned.  While anything and everything seemed to trigger nausea and vomiting anyway – moving around at all brought it on much faster.  I would get motion sickness if I walked too fast or moved my head too quickly or even when I turned over in bed.  Car rides were unbearable.  Even feeling the baby kick, which should be a joyous sensation, triggered the nausea and vomiting.  Sea bands became my best friend and I kept them on for the entire 9 months.

Sea-Band Adult
well.ca

11. Depression

This was perhaps the worst of the side effects of hyperemesis gravidarum for me.  The loneliness of the long days and nights I spent in bed – unable to even hold a conversation, left me feeling isolated and imprisoned.  I couldn’t care for my other children and had to depend entirely on others for help which was very difficult for a control freak like me to do.  I even needed help to shower.

The most depressing thought of all was that I had months and months of this ahead of me, unlike a bout of the stomach flu or food poisoning which tends to resolve itself in a matter of a few days.  Nothing I tried gave me any relief – no combination of prescription medications, IV fluids or hospitalization solved the problem.

I seriously regretted getting pregnant and briefly contemplated terminating the pregnancy in order for it to end.  Throughout my second pregnancy, I suffered from prenatal depression, which was made worse by the side effects of hyperemesis gravidarum.

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Hyperemesis gravidarum and morning sickness are not the same.

A woman suffering from HG is unable to care for herself and will require help and attention during her pregnancy, she may even be admitted to the hospital for intravenous fluids or tube feeding.  And while there are a lot of home remedies and even pharmaceuticals available for nausea and vomiting – the only real cure for HG is giving birth.  

For more information and resources visit the Hyperemesis Education & Research Foundation at www.helpHER.org H.E.R. Foundation