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Different women have different experiences with nausea and vomiting even from one pregnancy to another. Some basic rules to keep in mind:

• Even though you may not feel like eating, especially with nausea, it is crucial to keep your caloric and fluid intake up during the first trimester.
• Try eating small amounts of food on a more frequent basis.
• Avoid solid foods if nausea and vomiting persist; maintain high fluid intake (fruit juices, carbonated beverages, water, non-dairy) to guard against dehydration from vomiting.
• Avoid vitamins until nausea has passed.
• If you are unable to tolerate fluids for more than 24 hours or if you are experiencing a high fever (greater than 101 degrees Fahrenheit) and/or severe abdominal pains with nausea and vomiting, contact your doctor.

Indigestion is a common occurrence during pregnancy. Try to stay away from rich sauces, sugar, spicy, or greasy foods; cut down on coffee, carbonated beverages, alcohol, and general overeating. Sleeping with your head somewhat elevated (extra pillows) will help as well. You may use an antacid if you are in discomfort; make sure it is low sodium or sodium-free.

As for diarrhea, decrease your intake of foods that are high in roughage (whole grain products, salads, etc.). Increase the amount of rice and bananas in your diet. Stop milk products and vitamins until diarrhea has subsided for a few days. You may use over-the-counter remedies such as Kaopectate. If you are unable to maintain fluid intake because of associated vomiting or if you experience a temperature greater than 101 and/or severe abdominal pain, contact your doctor.

For constipation, add more roughage to your diet (bran cereals, fresh fruits, whole grain bread/crackers, raw vegetables, etc.). Drink 8 glasses of water daily. If these measures are not successful, Metamucil and stool softeners (Colace = 2 pills/day) can be used. If your discomfort lasts, contact your physician.

Try to avoid being constipated or having diarrhea (see above).  Over-the-counter products such as Preparation H and Annusol creams can relieve discomfort.

For both cold and flu symptoms, keep your fluid intake high and get extra rest.  Do not take aspirin products or ibuprofen.

For Colds: Tylenol, Sudafed, Cepacol, Robitussin DM can be used for symptomatic relief. Use a vaporizer for heated moisturized air. If you have a persistent sore throat, a throat culture may be necessary. If you develop a temperature greater than 101 degrees Fahrenheit, consult your doctor. 

For Flu:  Take Tylenol as directed for elevated temperatures.  If your temperature persists at greater than 101 degrees Fahrenheit, or if you cannot keep fluids down for more than 24 hours, contact your doctor.