Brief Answer: It may be time for some hospital help. Detailed Answer: I do not know the state of the underlying Crohn's disease. But if you were already somewhat undernourished prior to getting pregnant and now have had three weeks of no additional nutrition is time for hospital admission and hyperalimentation. Weight-loss dehydration lightheadedness poor skin tone are some worrisome signs. Nausea and vomiting of pregnancy usually does not improve until after about 12 weeks gestation. It sounds like you were probably beyond where medications and acupressure wristbands will help. preeclampsia is a disease of late pregnancy. You are only at about a 15% risk for recurrent. There is thinking that calcium supplementation and aspirin may help to decrease that risk further. A high-risk maternal fetal specialist should be consulted.

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Brief Answer: The ER is not going anywhere. Don't rush there. Detailed Answer: I would not go to the emergency room unless I was so severely dehydrated that I no longer was urinating and my heartbeat was very rapid and thready. The emergency room is always there. You will probably be fine going to your appointment tomorrow. Try to sip on something that you tolerate well like ginger ale or orange infused water or Popsicles. If you're staying hydrated the ER can wait. But do not be surprised if you are sent to the hospital from your appointment if things are as bad as I sensed they may be from your notes. You have had preeclampsia twice so you are at risk for a the third time. Calcium and aspirin are supplements that may mitigate your risk. You need to be closely followed by maternal fetal medicine specialist who may have some additional ideas. No one really knows what causes preeclampsia but it is not a problem now. It is a disease of late pregnancy. I hope it doesn't return the third time. Only time will tell.

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Brief Answer: You are welcome Detailed Answer: please let me know if I can assist you I the future.

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