Nausea During Pregnancy

Some folks feel amazing during pregnancy and never have to deal with “morning” sickness.  For others it can be miserable.  You’re more prone to nausea during pregnancy if you experience nausea before you're pregnant, things like motion sickness, migraines, if you ever felt queasy on birth control, etc.  It also tends to run in families so if you have a mother or sister that had a difficult time during early pregnancy, you may want to do more to prepare.  Nausea usually kicks in around 6 weeks and usually fades around the end of the first trimester, but every body is different.  Here are some general tips to help calm your stomach if you’re suffering.

  • Nausea is worse on an empty stomach, which is why it can be particularly awful first thing in the morning.  Try to make sure that your stomach is never empty.  Eat something every hour, even if it's a handful of cheerios.  Keep a bowl of something bland by your bedside so you can grab a handful right when you wake up.

  • Ginger is the main herb used to treat nausea.  You can take it as a supplement in capsule form or as a tea.  Regular tea bags are fine, but using fresh ginger root will be more potent.  Slice up some ginger root (no need to peel) and simmer it in a big pot of water for about 30min (or to taste).  Make a big batch to have on hand and drink it warm or room temperature.

  • Wrist bands that apply pressure to the acupuncture point PC6 help relieve nausea.  There are several brands, like Sea Bands or Preggie Wrist Bands.  They typically come with a picture that shows the ideal placement.

  • Sense of smell is heightened during pregnancy, and many smells can make you feel awful, but some can help you feel better.  For some folks smelling something like citrus can be soothing.  You can carry around an orange peel in a baggie in your pocket to sniff when you feel queasy, or just find an essential oil that works for you.

  • Preggie Pop Drops are sour candies that claim nausea relief, and many folks swear by them.

  • B6 supplements can also decrease the severity of nausea during pregnancy.

  • Unisom (doxylamine), is an antihistamine that's used as a sleep aid.  It's been used for nausea in pregnancy since the 50's and is considered safe during pregnancy.  It can be taken with a dose of B6 before bed.

I have not listed the dosages of supplements/medications.  It’s important to speak with your healthcare professional to ensure that something will be safe and effective for you.

Remember that having nausea during pregnancy is usually an indication that hormones are high, and is linked to a lower rate of miscarriage, so hang in there!

Strengthening Your Digestive System

HOW TO EAT

● Eat meals at regular times. Avoid both excessively large meals (eat until your stomach is ⅔ full) and constant snacking. The digestive system needs downtime when it’s not called upon to digest and absorb food.

● Chew your food thoroughly before swallowing. This both physically breaks down the food and stimulates the digestive enzymes in your saliva. It also forces you to eat more slowly. While it’s not always possible, eating in a calm environment (not watching TV, working, on the go, etc) can also help.

● Pay attention to your posture during and after eating. Sitting in a twisted or scrunched up position impairs the function of the digestive organs.

● Light exercise on a daily basis (especially stretching) helps the digestive system. Try taking a light walk after meals.

WHAT TO EAT

● Try to replace wheat products (bread, pasta) with other types of grains, such as quinoa.

● Make sure you're eating enough protein to help regulate your blood sugar. You can make your own trail mix with walnuts, almonds, and raisins, or whichever types of nuts you prefer, if you need something between meals.

● Make sure you get the dark leafy greens (spinach, kale, collard/mustard greens, broccoli etc), but light stir-fry is better than raw. Steamed, and slow-cookers are great too. And if you cook in a cast iron skillet you'll also get a bit of iron.

● If you do eat something raw like a salad, try balancing it out with some ginger tea to stimulate digestion. BUT try not to drink a lot of fluids with your meal, wait at least 30 min before and after.

● Curry spices are great at stimulating the digestive system (turmeric, cumin, coriander, ginger, cloves, nutmeg, cinnamon, cayenne, black pepper, etc), and are anti-inflammatory.

● Regarding fruits, try to focus on the red/purple juicy ones like blueberries, blackberries, raspberries, strawberries, cherries, grapes, raisins, dates. (Everything in moderation though- it's still sugar). Try to limit citrus and bananas.

● You might also consider taking a good quality probiotic for a few weeks. Most of the ones you can find at Walgreens for instance have a low potency that's OK for maintenance, but not strong enough if you're trying to give your body a good boost. You'll want one that's 100-300 billion CFU (colony-forming units, the amount of little critters in it). You can take it for two weeks and then taper off. You can find good ones at Whole Foods.

WHAT NOT TO EAT

● Sugar (including high fructose corn syrup, honey, agave nectar, and all other sweeteners), grains (including wheat, rice, and oatmeal), and starches (potatoes) impose a heavy burden on the digestive system. Eliminating sugars, grains, and starches from the diet is the most important place to focus your attention.

● Uncooked and cold foods. Think of cooking as a “pre-digestion” of your food. By cooking the majority of your food, you are significantly lightening the load on your digestive system – it does not have to work as hard to extract nutrition from your food. Please understand that this does not mean that you have to cook your food until it is gray – for instance, vegetables should be steamed or stir-fried just long enough to brighten their natural color. Although cooking may destroy some nutrients, it makes the remaining nutrients much easier to assimilate, so the net result is better nutrition. Slow-cooked foods like soups and stews are especially good in colder months.

● Iced drinks are especially harmful to the digestive system. Although it is a difficult habit to establish, learning to enjoy your beverages at room temperature is a healthful step to take. It is especially important to follow this guideline if you experience symptoms like fatigue, loose stools, cold hands and feet, dizziness when standing up, and aversion to cold.

● Sweet foods. According to East Asian Medicine, each flavor “enters” a particular organ. Sour enters the Liver, salty enters the Kidney, pungent enters the Lung, bitter enters the heart, and sweet enters the digestive system. Small amounts of a flavor serve to boost the function of the organ that it enters, but large amounts or foods that are very intensely flavorful weaken their respective organs. All grains are classified as sweet foods in Chinese medicine, as are fruits, pastries, candies, etc. As you might expect, most American diets are very heavily weighted toward the sweet flavor and are not balanced with very much of the pungent, sour, or bitter flavors. (An example of a pungent food would be horseradish, an example of a sour food would be pickles, an example of a bitter food would be kale.) This imbalance serves to weaken the digestive system. In addition, the sweet flavor is inherently dampening, meaning that it leads to the generation of excessive fluids and phlegm.

● Unhealthy fats, such as hydrogenated fats, fried foods, and most vegetable oils. These foods make the digestive system sluggish and reduce its efficiency. Dairy products can also fall in this category. Healthier fats to use for cooking or baking include grass fed butter, coconut oil, and olive oil. These are just some general tips to get you started.

If you have any questions, we can chat at your next acupuncture session!

TAMING THE SEA OF BLOOD

for people with periods

Your menstrual cycle is an elaborate balancing act of hormones in constant states of waxing and waning. Imbalances at any stage can cause disruptions in your mood, sleep, energy, skin, pain etc. For many folks, it takes roughly 3-6 months of treatment to regulate hormones. Ever wonder why your acupuncturist suggested weekly treatments during this time? The cycle has four stages, which works out to roughly one per week. See below to get an idea of what’s happening at each stage.

Stage 1: BLOOD
The first day of your period is Day 1 of your menstrual cycle. Hormones are relatively low here. Your body’s Chong Mai (“Sea of Blood”, a splendid name) opens the floodgates. The quality of this blood (color, thickness, clots, amount, and rate of flow) provides so much information on how your body is doing overall. Your practitioner will definitely ask about this. Acupuncture and herbs at this stage help move and replenish blood. Treatment here is especially good if you get any cramps or headaches during your period, or have a lot of clots.

Stage 2: YIN
Follicle Stimulating Hormone (FSH) tells an ovarian follicle to develop, maturing an egg and increasing estrogen. The estrogen then tells your body to rebuild the uterine lining. This is perhaps the most important stage if you’re trying to get pregnant- definitely don’t skip your treatment this week. Acupuncture and herbs will support yin and jing (reproductive essence). Once estrogen (yin) builds to a certain level, Luteinizing Hormone (LH) triggers ovulation (yang). This is literally yin transforming into yang.

Stage 3: YANG
After ovulation, the empty follicle that released the egg produces progesterone (literally pro-gestation) to stabilize the uterine lining, making it the perfect thickness for implantation of a fertilized egg. Yang continues to build with progesterone, so acupuncture and herbs at this stage will help support yang. The transition from yin to yang is a major hormone shift that should happen smoothly, but can be easily disrupted by things like emotional stress. Mid-cycle symptoms are just as common as PMS.

Stage 4: QI
Implantation occurs here, so this is important if you’re trying to get pregnant. If there IS a pregnancy, your practitioner will incorporate qi and yang tonifying acupuncture and herbs to help maintain your progesterone levels. If there’s no pregnancy, your hormone levels will drop back down and the cycle begins again with the Sea of Blood. Treatments will focus on moving qi to help prevent premenstrual symptoms. If you regularly experience symptoms of PMS or PMDD, this is the most important stage for treatment.

So there you have it, the menstrual cycle in a nutshell. If you have any questions about how hormonal imbalances could be affecting you, or how to incorporate that into your treatments, just ask your acupuncturist!

Photo by Nikki O’Leary

Photo by Nikki O’Leary