Morning Nausea and Abdominal Pain: When to Seek Help - Obstetrics and Gynecology

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Could you please clarify what symptoms you are referring to? For the past couple of days, the symptoms of nausea and abdominal pain upon waking have mostly resolved and seem to be occasional.
If the doctor also believes that pregnancy is unlikely, the recent increased sleepiness is not particularly excessive and does not significantly impact daily life.
I understand that there have been some stressful situations recently, which might be the cause.
Is it possible to choose to ignore these symptoms?

Dong Dong, 20~29 year old female. Ask Date: 2019/08/08

Dr. Huang Jianzhong reply Obstetrics and Gynecology


In the past couple of days, the symptoms of nausea and abdominal pain upon waking have mostly resolved and seem to be occasional.
If the doctor also believes that pregnancy is unlikely, the increased sleepiness I've been experiencing isn't too extreme and doesn't significantly affect my daily life.
I know he has been busy with some matters and has been under more stress lately; could this be the reason for these symptoms? Is it possible to simply ignore these symptoms? Answer: These symptoms should not be ignored; continue to monitor them.

Reply Date: 2019/08/08

More Info


Morning nausea and abdominal pain can be concerning symptoms, especially when they occur regularly. While you mentioned that these symptoms have subsided over the past couple of days and are now infrequent, it is essential to understand the potential underlying causes and when to seek medical help.

Firstly, morning nausea and abdominal pain can be attributed to various factors. Stress, as you indicated, can significantly impact gastrointestinal function. The body’s response to stress often includes increased production of stomach acid and changes in gut motility, which can lead to symptoms like nausea and abdominal discomfort. Additionally, lifestyle factors such as diet, sleep patterns, and hydration levels can also contribute to these symptoms. For instance, consuming heavy or spicy foods, irregular eating habits, or dehydration can exacerbate gastrointestinal issues.

In your case, since the symptoms have not severely impacted your daily life and have become less frequent, it may be tempting to ignore them. However, it is crucial to monitor your condition closely. If the symptoms return or worsen, or if you experience additional symptoms such as persistent vomiting, significant weight loss, changes in bowel habits, or severe abdominal pain, it would be prudent to seek medical attention. These could be signs of underlying conditions that require evaluation, such as gastritis, peptic ulcers, or gastrointestinal infections.

Moreover, if you notice any alarming symptoms, such as blood in your stool, severe headaches, or changes in your vision, you should seek immediate medical care. These symptoms could indicate more serious health issues that need prompt attention.

In terms of managing stress, which you mentioned as a possible contributing factor, consider incorporating stress-reduction techniques into your routine. Practices such as mindfulness meditation, yoga, regular physical activity, and adequate sleep can help mitigate stress and its effects on your body. Additionally, maintaining a balanced diet and staying hydrated are essential for overall health and can help alleviate gastrointestinal discomfort.

If you find that your symptoms persist or if you are concerned about them, it may be beneficial to consult with a healthcare professional. A primary care physician or a gastroenterologist can provide a thorough evaluation, which may include a physical examination, blood tests, or imaging studies, to rule out any underlying conditions. They can also offer tailored advice on lifestyle modifications and potential treatments to help manage your symptoms effectively.

In summary, while occasional morning nausea and abdominal pain may not warrant immediate concern, it is essential to remain vigilant about your health. Monitoring your symptoms, managing stress, and seeking medical advice when necessary are crucial steps in ensuring your well-being. Ignoring symptoms may lead to missed opportunities for early intervention, so it is always better to err on the side of caution when it comes to your health.

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