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Wednesday, April 2, 2014

Eating with Hyperemesis - Go-To Goodies

Being pregnant with HG, in addition to meds, I need to always have a little nibble within arm's reach, just in case.

Here's what I am and am not eating these days.  If it helps just one person find something to eat, I'll be satisfied.

GOOD STUFF
  • Saltine/Soda crackers, with salt
  • Steamed rice, with salt
  • Plain, instant mashed potato flakes prepared with water and/or skim milk. No butter/margarine!  Season to taste.  They're not as nutritious as 'real' potatoes, but they stay down better.
  • Cream of Wheat made with water and a bit of salt. It's a good source of iron and seriously, surprisingly awesome when just resuming solids!
  • Cream of Wheat 'pudding' - Mash up a quarter to a third of a banana. Mix in with cooking liquid or just stir into prepared Cream of Wheat.  Eat warm or chilled.
  • Cooked and cooled frozen peas (salt optional)
  • String beans, boiled or steamed
  • Apple slices with cinnamon - NOT cinnamon sugar
  • Frozen grapes - Regular grapes are okay too, but I have to be careful not to eat too fast. Frozen is soothing and helps me to eat more slowly, reducing the odds of sugar overload.
  • Watermelon
  • Most lower acid fruits are okay. Oranges and grapefruits, not so much.
  • 0% Plain Greek yogurt mixed with unsweetened applesauce. Dash of cinnamon, optional.
  • Kraft singles.  I don't know why these are okay, but they are and I'll take what I can get!


RISKY STUFF
  • Nuts and seeds. They're too high in fat.
  • Cheese. Ditto.
  • Most any other crackers since they contain sugar.
  • A whole banana. It sits too heavy and sweet.
  • Citrus fruits
  • Pineapple. Very acidic and high in sucrose. I can manage maybe a bite or two amid other fruits.
  • Cookies - sugar
  • Granola bars - sugar
  • Anything with tomato sauce.
  • Anything with mayo.
  • Anything with ketchup/prepared mustard/relish, etc.
  • Anything full fat.
  • Anything garlic.
  • Anything onion.


WHEN GOOD GOES BAD
Honestly, it's nearly impossible to tell when something will switch from safe to heartburn and nausea inducing, so if I find myself hit with a little bit of heartburn, here's my trick:
  • Go get a bottle of Bragg's Apple Cider. (I don't usually care about brands, but this one smells and tastes totally different to me.)
  • Shake the bottle really well.
  • Open the bottle and waft it towards your nose.  If the smell makes you recoil, step away and try again later. BUT! If it smells good, like a very tart apple cider, put a tiny bit in a shot glass. Add a splash of cool water to help smooth it out.
  • Take a test sip.
  • If you didn't just run to make an offering to the porcelain throne, shoot 'er back!
It's counter-intuitive and I could break out more technical terminology, but the basic idea is this: sometimes, with all those lovely hormones running through you, relaxing everything, your stomach's valve doesn't always "close up" completely, so some stomach acid sloshes out and up, giving that tell-tale burn.  A hit of sharp acid - like vinegar - jolts the valve, triggering it to shut tight, ending the flow of acid, and soothing the burn. Voila! Relief! For a while anyway.

(Standard disclaimers apply. I'm not a doctor or medical professional. This has been my experience. I only provide anecdotal evidence. Your mileage may vary.)

Sure, it isn't the best diet, but it's a darn sight better than saltines and ginger tea exclusively!  I'm still trying to incorporate more protein sources.  Eggs are a coin toss item - sometimes they're fine, sometimes not.  I suspect tofu will be okay.

Also, aside from the fruit, you'll notice a lot of the items can, ahem, clog the works.  Staying hydrated while getting the necessary calories is crucial, but also a challenge. This is where 100% fruit juice can be your friend.  I like 1 part apple juice (bonus points for low-acid) to 2 parts water. 

Trying to manage a good amount of fruit without getting too much sugar and leaving food-free gaps to consume liquid are both very important!  It's a tricky balance to strike - one I'm still trying to find.

What about you?  Pregnancy, chemotherapy, anyone who has had to deal with chronic nausea and/or vomiting to some degree for whatever reason! What nibbles got you through the worst of things?  What foods do you miss the most?

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