Inclusion Criteria:  Pregnant women in the first trimester (0-14 weeks gestation) Presenting to the emergency room at Women & Infants Hospital in Rhode Island with a chief complaint of nausea and vomiting English or Spanish speaking Have not taken an anti-emetic such as Reglan or Zofran within the 6 hours prior to presentation  Exclusion Criteria:  Allergy to Reglan, capsaicin or Zofran Another identifiable source for nausea and vomiting (i.e. gastritis, COVID, diabetic ketoacidosis) Molar pregnancies, Patients with a history of gastroparesis Patients with a history of preexisting diabetes mellitus