Sudden Nausea and Vomiting: Causes and Solutions - Family Medicine

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Sudden onset of nausea and the urge to vomit?


At first, I would feel the urge to vomit after brushing my teeth at night (but not in the morning).
After a week, I sometimes suddenly feel nauseous; if I vomit, I feel fine, but if I don't, I feel uncomfortable.
Most of the time, I just vomit water, and after vomiting, my throat feels sore.

Chan Chuo, 20~29 year old female. Ask Date: 2017/04/27

Dr. Chen Taicheng reply Family Medicine


● There are many causes of nausea.
Considering your age, gastrointestinal issues such as gastroesophageal reflux disease (GERD), dyspepsia, and peptic ulcers should be the primary focus.
A smaller portion may be caused by medications, or conditions like irritable bowel syndrome (IBS), cholecystitis, and pancreatitis.
Other factors such as dizziness, inner ear imbalance, thyroid disorders, high or low blood sugar levels, and emotional issues (such as anxiety and depression) can also lead to nausea.
● Based on your symptoms, gastroesophageal reflux disease may be the main concern.
However, women of childbearing age should first rule out the possibility of pregnancy.
● It is recommended to seek further evaluation and treatment from a family medicine or gastroenterology specialist.
● Wishing you good health, Dr.
Chen Tai-Cheng from Taoyuan Hospital Family Medicine Department cares about you~

Reply Date: 2017/04/27

More Info


Sudden nausea and vomiting can be distressing and disruptive to daily life. Understanding the underlying causes and potential solutions is crucial for managing these symptoms effectively.
Nausea and vomiting can arise from a variety of causes, ranging from benign to more serious conditions. In your case, the onset of nausea after brushing your teeth at night could be linked to several factors. One possibility is a strong gag reflex, which can be triggered by the toothbrush or toothpaste. If you are brushing too vigorously or using a toothpaste with a strong flavor, it may induce nausea. Additionally, if you have any dental issues, such as gum disease or tooth sensitivity, these could also contribute to feelings of nausea.

Another potential cause could be related to gastrointestinal issues. Conditions such as gastroesophageal reflux disease (GERD) can lead to nausea, especially if you are lying down shortly after eating or brushing your teeth. The acid from the stomach can irritate the esophagus, leading to discomfort and nausea.
Moreover, anxiety and stress can also manifest physically, leading to symptoms like nausea and vomiting. If you have been experiencing increased stress or anxiety, this could be a contributing factor.
In terms of solutions, it is essential to first identify the underlying cause of your symptoms. Here are some steps you can take:
1. Modify Your Oral Hygiene Routine: Try changing your toothpaste to a milder flavor or using a softer toothbrush. Additionally, consider brushing your teeth earlier in the evening, allowing some time before lying down.

2. Stay Hydrated: If you experience vomiting, it is crucial to stay hydrated. Drink clear fluids, such as water or electrolyte solutions, to replenish lost fluids.

3. Dietary Adjustments: Pay attention to your diet. Avoid heavy, greasy, or spicy foods, especially in the evening. Eating smaller, more frequent meals can also help reduce nausea.

4. Relaxation Techniques: If anxiety is a factor, consider practicing relaxation techniques such as deep breathing, meditation, or yoga. These can help alleviate stress and reduce nausea.

5. Consult a Healthcare Professional: If your symptoms persist or worsen, it is essential to seek medical advice. A healthcare provider can perform a thorough evaluation, which may include blood tests, imaging studies, or referrals to specialists if necessary. They can help determine if there is an underlying condition that needs to be addressed.

6. Medications: In some cases, over-the-counter medications such as antihistamines (e.g., meclizine) or anti-nausea medications (e.g., ondansetron) may be helpful. However, it is best to consult with a healthcare provider before starting any new medication.

In conclusion, sudden nausea and vomiting can be caused by various factors, including oral hygiene practices, gastrointestinal issues, and psychological factors. Identifying the root cause is essential for effective management. If your symptoms continue or significantly impact your quality of life, do not hesitate to seek professional medical advice for a comprehensive evaluation and tailored treatment plan.

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