Is It More Than Morning Sickness?

Twelve questions to help you see your experience clearly and describe it accurately to your healthcare team.

For: Women & familiesTime: About 10 minutesFormat: Letter · print or complete on screen

Please read first

This is an educational guide, not a diagnostic tool. Only a healthcare professional can diagnose Hyperemesis Gravidarum. Use your answers to start a conversation with your provider — bring this sheet to your appointment.

Check every statement that is true for you

My nausea is constant or nearly constant — it does not come and go with mornings.

I vomit several times a day, most days.

I struggle to keep food down.

I struggle to keep liquids down, even in small sips.

I have lost weight since becoming pregnant.

My urine is dark, or I am urinating much less than usual.

I feel dizzy or lightheaded when I stand, or I have fainted.

My heart sometimes races or pounds.

I am too sick to work, or working takes everything I have.

I cannot care for myself or my family the way I normally would.

Smells, motion, or the sight of food trigger vomiting.

My symptoms are getting worse, not better.

What your answers may mean

0–2 checkedYour symptoms may be consistent with typical nausea and vomiting of pregnancy. Keep monitoring, and mention any concerns at your next visit.

3 or moreYour symptoms include warning signs that may be associated with Hyperemesis Gravidarum or another condition needing evaluation. Contact your obstetric provider today and bring this sheet.

Fluids, dizziness, or faintingThese can signal dehydration. If you cannot keep fluids down for 12 or more hours, seek care now — do not wait for an appointment.

Emergency warning signs

Go to the emergency department or call 911 for: no fluids kept down for 12–24 hours · no urination for 8+ hours · fainting · racing heart · blood in vomit · severe abdominal pain · vaginal bleeding · fever · confusion.

Part of the THON Companion Series™ · Evidence-informed · Last reviewed July 2026 · Next review January 2027
This resource is educational and does not replace the advice, diagnosis, or treatment of your physician or another qualified healthcare professional. If you cannot keep fluids down, feel faint, or believe you are experiencing an emergency, contact your provider or seek emergency care. © 2026 The House of Nirvana · thehouseofnirvana.org · info@thehouseofnirvana.org · You are not alone.