Nausea from Anxiety: When to Seek Help - Psychiatry

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Easily anxious and feeling nauseous?


Hello, doctor! I have been troubled by the issue of feeling nauseous whenever I get nervous for over five years.
I often feel anxious about trivial matters, such as the start of school, school celebrations, and traveling.
During trips, especially when staying away from home, I almost exhibit symptoms similar to gastroenteritis, but I gradually feel better once I return home.
However, I often don't even know what exactly I'm anxious about.
This situation has caused significant disruption in my daily life.
When the anxiety is mild, I just feel nauseous, but when it's more severe, I experience persistent dry heaving and even vomiting.
Do you think I need to see a doctor?

anna, 10~19 year old female. Ask Date: 2016/09/01

Dr. Qiu Junda reply Psychiatry


Hello: It seems that your tendency to be anxious is gradually affecting your daily routine and mental well-being.
If the situation worsens and the methods you've tried to manage your anxiety (there are some educational resources available online) are not effective, it would be advisable to consult a healthcare professional at a hospital for proper evaluation and treatment to facilitate improvement.

Reply Date: 2016/09/01

More Info


Experiencing nausea due to anxiety is a common issue that many individuals face, and it can significantly impact daily life. Your description of feeling nauseous in response to stressors, even minor ones, suggests that you may be dealing with anxiety-related gastrointestinal symptoms. This phenomenon is often referred to as "nervous stomach" or "anxiety-induced nausea," and it can manifest in various ways, including dry heaving or vomiting.

When anxiety triggers nausea, it is typically due to the body's fight-or-flight response. This response can cause the release of stress hormones, which can affect the digestive system. The gut is highly sensitive to stress, and many people experience gastrointestinal symptoms when they are anxious. In your case, it seems that the anticipation of events, such as school activities or travel, is enough to trigger this response, leading to physical symptoms that mimic gastrointestinal distress.

Given that this issue has persisted for over five years and is affecting your quality of life, it is advisable to seek professional help. Here are some reasons why consulting a healthcare provider could be beneficial:
1. Assessment of Symptoms: A healthcare professional can help determine whether your symptoms are primarily anxiety-related or if there are other underlying medical conditions contributing to your nausea. This assessment may involve a physical examination, a review of your medical history, and possibly some tests to rule out gastrointestinal disorders.

2. Treatment Options: If your nausea is indeed linked to anxiety, a healthcare provider can discuss various treatment options with you. These may include therapy (such as cognitive-behavioral therapy), medication (such as anti-anxiety medications or antidepressants), or a combination of both. Therapy can help you develop coping strategies to manage anxiety and reduce the physical symptoms associated with it.

3. Lifestyle Modifications: A healthcare provider can also offer advice on lifestyle changes that may help alleviate anxiety symptoms. This could include relaxation techniques, mindfulness practices, dietary adjustments, and regular physical activity, all of which can contribute to improved mental health and reduced gastrointestinal distress.

4. Support and Resources: Seeking help can connect you with support groups or resources that can provide additional assistance. Sharing your experiences with others who face similar challenges can be incredibly validating and helpful.

5. Monitoring Progress: Regular follow-ups with a healthcare provider can help monitor your progress and make necessary adjustments to your treatment plan. This ongoing support can be crucial in managing chronic anxiety and its physical manifestations.

In conclusion, while it is understandable to feel hesitant about seeking help, especially if you are unsure about the severity of your symptoms, it is essential to prioritize your well-being. The fact that your symptoms have persisted for an extended period indicates that professional guidance could be beneficial. By addressing the underlying anxiety, you may find relief from the nausea and improve your overall quality of life. Don't hesitate to reach out to a healthcare provider to discuss your symptoms and explore potential treatment options. Remember, seeking help is a sign of strength, and you deserve to feel better.

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