Buy online Promethazine Codeine

Nausea and vomiting often referred to as “morning sickness” are common and extremely distressing symptoms of pregnancy. The term “morning sickness” is a misnomer as most women suffer from these symptoms throughout the day.

Women often experience some nausea in the early stages of pregnancy. In most cases the symptoms are mild transient and easily managed by dietary modifications. In some cases however, the symptoms may be severe. Relentless vomiting can last the entire pregnancy and be associated with dehydration and weight loss.

Even in the milder cases nausea and vomiting can affect the pregnant woman’s outlook on the pregnancy, Actavis lead to significant distress, and interfere with the nutritional requirements.

Some important facts about nausea and vomiting in pregnancy.

o Incidence: Nausea and vomiting of pregnancy are extremely common and occur in 50 to 80% of pregnant women.
o Time of occurrence: In most cases symptoms usually appear by the 5th week and disappear by the 13th week of pregnancy. Severity peaks between 11 and 13 weeks. However, in 20% of women, nausea and vomiting can persist throughout pregnancy.

The Causes of nausea and vomiting in pregnancy are largely unknown. However, the following associations have been noted.

1. Conditions in which pregnancy hormone levels are high (twin pregnancy, molar pregnancy) are associated with a higher incidence of nausea and vomiting. On the other hand, women whose pregnancy hormones are low (smokers) have a lower incidence of nausea and vomiting.
2. Women taking prenatal vitamins are less likely to have severe nausea and vomiting.
3. Psychological causes and transformation of a mental disorder into physical symptoms (psychosomatic conditions) have little supporting evidence as the cause of nausea and vomiting. However, nausea and vomiting especially in their severe forms can cause severe psychological distress, which in turn may worsen the condition.
4. Genetic susceptibility: A history of hyperemesis is found in other family members suggesting a genetic link.
5. History of nausea and vomiting in a previous pregnancy suggesting individual susceptibility.
6. History of migraine headaches is linked to nausea and vomiting.
7. Women on their first pregnancy are less likely to develop hyperemesis as compared to subsequent pregnancies.
8. Nausea and vomiting are more commonly found when the interval between pregnancies is short. Hyperemesis Gravidarum: An extreme form of this common symptom. In 1 to 3% nausea and vomiting are severe leading to dehydration and electrolyte imbalance and weight loss occasionally requiring hospitalization. In addition to the severe psychological impact of hyperemesis, it can also lead to serious pregnancy complications or death;

Rupture of the esophagus and bleeding from ruptured blood vessels

o Wernicke’s encephalopathy-a rare but serious brain disorder associated with Vitamin B1 deficiency and leading to memory loss, visual disturbances, and gait disturbances.
o Low birth weight as a result of malnutrition.
o Pregnancy termination due to severe psychological distress and depression. Treatment of nausea and vomiting in pregnancy:

In most cases the purpose of the treatment is to improve the pregnant woman’s quality of life. In cases of hyperemesis treatment is essential and can be lifesaving. No single specific treatment is effective in all women. A carefully tailored multidisciplinary approach which includes dietary modifications, herbal remedies and medication should be adjusted to the woman’s needs. Emotional support is extremely valuable.

o Avoid foods and odors that might trigger the symptoms
o Eat bland high protein and carbohydrate foods and snacks-avoid fatty, spicy foods, Short frequent meals help. Solid starches such as potatoes, rice, and pasta are recommended.
o Stop all iron tablets.
o Avoid dehydration (1.0 to 1.5 liter) by drinking sports drinks and bouillon which contain salt, glucose, and potassium. Ginger ale is another traditional remedy. Advance to brothy soups with noodles or rice. Avoid cream based soups because of fat content. Herbal and natural remedies
o Vitamin B6 (pyridoxine 10-25 mg taken 3 or 4 times a day) is used due to its anti-emetic properties. An antihistamine (doxylamine sold as over the counter as Unisom sleep tabs 1/2 tab) can be added to the pyridoxine as first line therapy (10 mg of each).
o Ginger tablets (250 mg given 3 or 4 times a day or powdered ginger extract 1 gram/day).
o Acupuncture, acupressure (wristbands), and hypnosis.
o Drug Therapy – In most cases the condition can be managed on an outpatient basis with close follow up by the obstetrician to ensure proper hydration and nutrition.
o Drugs that are administered on an outpatient basis fall into the following categories

1. Antiemetic drugs. e.g. Zofran, Tigan, Reglan,
2. Phenothiazines e.g. Promethazine,
3. Anti-histamines and
4. Steroids

o IV fluid therapy, intravenous nutrition and hospitalization may be required for those women who are severely dehydrated. In addition to proper hydration, intravenous medications are used (Reglan, Phenergan, Dramamine, and Zofran). Tigan suppositories can also be of value in women who cannot tolerate oral medications.
o Steroid therapy has been reported to be successful in some resistant cases but should be avoided if possible due to the associated risk of fetal malformation (cleft palate) when given within the first 10 weeks of pregnancy.
o Vitamin B1 therapy: All women who have been vomiting for 3 weeks and require IV hydration should be given supplemental vitamin B1 to prevent Wernicke’s encephalopathy.

In summary: Nausea and vomiting of pregnancy is extremely common and a normal part of a healthy pregnancy in most cases. In severe cases, hospitalization may be necessary along with lost time from work, and multiple visits to your obstetrician. There are multiple theories and mechanisms that can cause this problem.

Dr. Michele Brown, OBGYN, and founder of Beaute de Maman – Beaute de Maman recognizes the importance of folate supplementation during pregnancy. Often women having severe nausea and vomiting in the first trimester of pregnancy can be at greater risk of folate deficiency. In addition to providing supplementation of folate through prenatal vitamins, controlling the nausea and vomiting of pregnancy with the Beaute de Maman’s natural dietary herbal supplement can help prevent having a deficiency in this important vitamin. The Beauty Product contains ginger and Vitamin B6 as a first line natural remedy as per the American College of Obstetrics and Gynecology guidelines.

How to Buy a Diamond Online

Over the last decade, the internet has revolutionized the diamond and jewelry industry. There are literally hundreds of different websites and various companies striving to give you information and some way to buy your new diamonds and jewelry, but how do you know you can trust what you’re reading? How can you know you’re buying from a reliable source? An online diamond buying guide can be your best friend or your worst enemy when considering how to buy a diamond online, so always – always verify the qualifications and credentials of any online guide you use. diamond rings  A GIA Graduate Gemologist, for example, carries one of the highest and most prestigious certifications in the industry. These professionals are dedicated to giving you a superlative diamond buying experience.

When shopping online, the very first step for anyone is to know what you want. Sounds simple, right? Not so much, unfortunately. There are many varieties and different qualities to diamonds, and even more when it comes to the jewelry around it. So be sure to know 3 main things, and you’ll be safe to shop online:

1) Your budget – How much you’re willing to spend total (don’t forget taxes because even online now, they may apply). Tip: Give yourself a leeway spending amount in case you go over your initial budget, it may benefit you.

2) Know what you want to get, or at least an idea of the shape or style of the diamond you are researching or shopping for. Just remember your budget when comparing size to quality, a smaller, more beautiful diamond can be much more rewarding than a larger, less brilliant one.

3) A fundamental or basic knowledge of diamonds. When you know what you’re shopping for, you give yourself the advantage to get the best deal.

Of those three things, the most important is #3, though many may say it is your budget, though I argue that unless you have all the facts about what you’re looking for, you’re more easily misled in a sale, whether online or in your local jewelry store. If you want the best for your dollar, then you need to not only know the facts about diamonds, but know how those facts affect your diamond’s actual appearance and value. Having an understanding of diamond qualities and what they mean guarantees a level of confidence throughout your searches.

So now that you know what you’re looking for, you know what your budget is, and you have an idea of what kind of style at least, you’re ready to search for real diamonds, but where? If it is your first experience buying a diamond, it is highly recommended to at least visit your local jewelry store, ideally a Certified Member of the American Gem Society. However, if you are unable or unwilling to purchase from one, there are a number of worthwhile and safe online sources to buy your diamonds and jewelry. But how can you trust what you’re buying?

The majority of online retailers are not members of The American Gem Society due to the strict AGS standards, though many are equally trustworthy in their business and secure in their transactions. It is relatively easy to tell which are acceptable and which are not. When Shopping online, be sure you can view at least a certificate and/or a grading report of the diamond (GIA/AGS preferred), and as long as the company has a solid return policy, positive reviews, and responds promptly when contacted, you should have quite a rewarding outcome.

Online diamond buying really isn’t the nightmare many make it out to be. Though you may not receive the extra-mile services or guarantees an AGS jewelry store can offer, you can however, with a legitimate guide to help along the way, have all the confidence and knowledge you’ll need to get the very best value for your budget.