HELLP syndrome is a rare but serious pregnancy condition, usually appearing in the third
trimester or shortly after delivery. Related to preeclampsia but distinct from it, HELLP affects the
liver and blood cells. The name stands for:
● H: Hemolysis (breakdown of red blood cells),
● EL: Elevated Liver enzymes (indicating liver stress),
● LP: Low Platelet count (increasing bleeding risks).
Early recognition of HELLP symptoms, like upper abdominal pain, headache, blurred vision, and
swelling, is crucial, as it can lead to serious complications for both parent and baby
Main Symptoms of HELLP Syndrome
The symptoms of HELLP syndrome often overlap with those of preeclampsia, which is why it
can sometimes be difficult to diagnose. Here’s a look at some of the most common signs and
how they may affect you:
1. Abdominal Pain (Upper Right Side)
A common symptom of HELLP syndrome is pain in the upper right side of the abdomen, near
the liver, often felt under the ribs. This pain may be a sharp ache or constant pressure that does
not go away and can become more uncomfortable over time. It is often mistaken for digestive
issues, but if it feels unusually intense or persistent, it is important to let a healthcare provider
know, as it could be a sign of HELLP syndrome.
2. Headache
Frequent headaches are another common sign of HELLP syndrome, similar to preeclampsia.
These headaches may feel more intense or constant than regular headaches and often do not
go away with rest or hydration. Some people describe the pain as a pounding or throbbing
sensation that can be hard to ignore. While headaches can be common in pregnancy, one that
feels severe or lasts a long time should be checked by a healthcare provider.
3. Blurred Vision
Vision changes, like blurriness, sensitivity to light, or seeing spots or flashes, can also signal
HELLP syndrome. These changes can happen suddenly and make it hard to see clearly. Some
people may even experience brief moments of vision loss. Since blurred vision can be a sign of
many health issues, it is important to let a doctor know if you experience it, especially if it occurs
with other symptoms like headaches or abdominal pain.
4. Nausea and Vomiting
Nausea and vomiting can occur with HELLP syndrome, and they are often mistaken for typical
pregnancy symptoms. However, when combined with other symptoms of HELLP syndrome, like
pain and fatigue, they may signal something more serious. If you start feeling nauseated or
vomit frequently without a clear cause, especially if it is paired with upper abdominal pain, it is
worth discussing with your provider.
