Hyperemesis involves severe nausea and vomiting that significantly affects nutrition, hydration, and daily life. It is far more intense than typical morning sickness. Many describe being unable to eat or drink normally, with strong smells triggering vomiting and rapid dehydration.

It can cause weight loss, fatigue, dizziness, headaches, and difficulty managing work or daily tasks. Some require medical care, IV fluids, or medication to stabilise their condition.

The exact cause is unclear, but hormonal changes — particularly high hCG levels — are believed to play a major role. Symptoms often peak between weeks 7–12 but may last longer for some.

Treatment focuses on restoring fluids, anti-nausea medication, and strategies for tolerating small, frequent meals. Sick leave is often necessary.

You are not doing anything wrong. Hyperemesis is a medical condition, not a sign of weakness.

Alma’s tips

• Sip fluids in small amounts — ice chips or popsicles may be easier.

• Avoid strong smells; cold foods smell less.

• Seek care if you show signs of dehydration.

• Ask for help — you should not manage this alone.