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BRCA testing, hormone and menopause, calcium supplements, morning sickness

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Every so often we share with you recent medical updates that may be of great interest, just in case you missed them.  The following is our latest such summary:

  • BRCA testing: “The majority of women who are sent by their physicians to undergo Breast Cancer susceptibility gene (BRCA) testing do not meet with a counselor before the testing.  Such counseling is important prior to undergoing genetic testing for mutations of BRCA…” the study authors said.” The researchers found that “patients who received genetic counseling beforehand displayed better knowledge of the process and possible results.” Additionally, “they reported more comfort heading into the test.”  You can read the article here.
  • Hormone therapy & menopause: women who begin “hormone therapy toward the beginning of menopause may have a lower risk of developing heart disease.”  This may raise questions as to the safety of oral estrogen, a topic of debate in recent years; this article reviewed the thinking, and the current findings.  You can read the article here.
  • Calcium supplements: In light of a new meta-analysis that “finds taking daily calcium supplements does little to strengthen bones” in women over 50, ABC World News  reported on concerns from viewers about what they can do to ensure they are getting adequate calcium. ABC Chief Medical Editor Dr. Richard Besser explained, “You want to eat a diet that’s rich in calcium and just as importantly, you need to do exercises that build strong bones. So, lifting weights and then anything that gets you up on your feet. So walking, jogging, running, dancing. All of these can help.”
  • Combat morning sickness: According to the American College of Obstetricians and Gynecologists (ACOG) recently released updated recommendations, “studies have shown that taking a combination of vitamin B6 and the antihistamine doxylamine is effective for symptoms like vomiting or nausea – and safe for women and their unborn babies.” Additionally, “taking prenatal vitamins three months prior to conception may also help curb morning sickness.”  The following is the entire article:

What is morning sickness?

Nausea and vomiting that happen during pregnancy, especially during the first part of pregnancy, often are called “morning sickness.” Despite its name, morning sickness can occur at any time of the day.

What causes morning sickness?

Although no one is certain what causes morning sickness, increasing levels of hormones during pregnancy may play a role.

How long should I expect morning sickness to last?

In most women, symptoms of nausea and vomiting are mild and go away after the middle of pregnancy.

What are the effects of morning sickness on pregnancy?

Most mild cases of nausea and vomiting do not harm your health or your baby’s health. Morning sickness does not mean your baby is sick.

When is morning sickness considered severe?

Morning sickness is considered severe if you cannot keep any food or fluids down and begin to lose weight. This condition is called hyperemesis gravidarum.

Is there a cure for morning sickness?

There is no cure for morning sickness. Some research suggests that women who are taking a multivitamin supplement regularly at the time they become pregnant are less likely to have severe cases of morning sickness.

What can I do to ease my symptoms of morning sickness?

If you experience morning sickness, there are several things you can do that might help you feel better. You may need to try more than one of these remedies:

  • Get plenty of rest.
  • Avoid smells that bother you.
  • Eat five or six small meals each day instead of three large meals.
  • Eat a few crackers before you get out of bed in the morning to help settle your stomach.
  • Eat small snacks high in protein (such as a glass of milk or a cup of yogurt) throughout the day.
  • Avoid spicy foods and fatty foods.

Are there any herbal supplements that can help?

Ginger may be helpful for some women. Taking three 250-milligram capsules of ginger a day plus another capsule right before bed may help relieve nausea. Remember to talk with your health care provider before taking any herbal medication or supplement or trying any treatment. You also can try ginger ale or ginger tea made with real ginger.

How are severe symptoms of morning sickness treated?

Your health care provider will first find out whether your nausea and vomiting are due to morning sickness or if there is another medical cause. If other causes are ruled out, certain medications can be given. Vitamin B6 may be suggested first. Doxylamine, a medication found in over-the-counter sleep aids, may be added if vitamin B6 alone does not relieve symptoms. Drugs that combat nausea and vomiting may be prescribed. If you are dehydrated from loss of fluids, you may need to receive fluids through an intravenous (IV) line.

Glossary

Hormones: Substances produced by the body to control the functions of various organs.

Hyperemesis Gravidarum: Severe nausea and vomiting during pregnancy that can lead to loss of weight and body fluids.

If you have further questions, contact your obstetrician–gynecologist.

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