Q: My 34 years old wife is three months pregnant. She is feeling exhaustion and tiredness. She also feels like vomiting. How to manage it? We have one child of 8 years old and my wife has had two miscarriages. What precautions should be taken? She is a working woman and suffering from thyroid.

A:Correct the thyroid problem - continue the medication with three monthly testing. Improve the diet with more proteins, milk, juices and vitamins and start treatment with iron also. Anemia can occur in cases with thyroid disorder or even otherwise in pregnancy. If all these are corrected and still your wife is tired, cardiac function needs to be assessed. Longstanding thyroid disease can affect heart as well. If all is fine, then perhaps need assessment for anxiety and depression - in view of previous history of losses. Counselling, family support and happy activities will help.