What is the reason for constantly coughing up phlegm during nausea in the early stages of pregnancy?

Patient's question:

Hello Doctor! My last menstrual period started on October 12th, and now the symptoms of nausea and vomiting have lasted for two weeks. Especially in the morning, I feel nauseous and then cough up phlegm, followed by vomiting acid water. Sometimes, even when I eat, I vomit everything out, but only occasionally. Could you please tell me if this situation is normal? Is there any way to prevent nausea and vomiting? Thank you for your help!

Doctor's answer:

Nausea and vomiting in the early stages of pregnancy are relatively severe, coughing up phlegm, and excessive saliva are all normal pregnancy symptoms and do not require treatment.
Recommendations:
- Maintain a positive mood and pay attention to a balanced diet.
- To correct severe morning sickness, you can take the following measures:
1. Food choices should prioritize easy digestion and lightness. Avoid overly greasy or nourishing foods at this time to prevent further irritation to the gastrointestinal tract. Foods rich in carbohydrates, protein, and vitamins should be preferred, such as congee, soy milk, milk, lotus root powder, fresh vegetables, and fruits. Eat small meals frequently but on a regular schedule.
2. Ensure adequate rest by getting 8 hours of sleep per day and avoid excessive fatigue. However, there is no need to stay in bed all the time—light exercise during the day is recommended. Keep the bedroom windows and doors open for ventilation and maintain fresh air.
3. Avoid all negative emotional stimuli. Do not watch overly sad TV shows, movies, or books. Instead, listen to soothing music to keep your mood cheerful.
4. Take appropriate vitamin supplements three times a day until symptoms significantly improve. For those who cannot take oral supplements, intramuscular injections can be used instead.
5. For severe vomiting, consult a doctor to take antiemetic medications under guidance, such as phenobarbital or promethazine.
6. Consult a traditional Chinese medicine practitioner for syndrome differentiation and herbal treatments, which have shown relatively effective results.

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