Nausea: Causes, Dietary Adjustments, and When to Seek Help

Nausea?

Hello doctor, I often experience feelings of nausea.
Sometimes it's purely due to acid reflux, other times it might be triggered by eating sweet or cold foods, and sometimes I feel nauseous even when I haven't eaten anything.
I often only vomit liquid.
I'm not quite sure under what circumstances I feel nauseous; it happens frequently, and I often don't want to eat.
Lying down seems to alleviate my discomfort somewhat.
When I feel nauseous, I notice an increase in saliva, and it feels like there's something stuck in my throat.
I didn't have these symptoms in elementary school, but they've persisted since middle school until now.
Can dietary adjustments help, or do I need to see a doctor for an endoscopy?

Niming, 20~29 year old female. Ask Date: 2021/12/03

Dr. Zhang Kebin reply Gastroenterology and Hepatology

Hello, Mr.
Anonymous! It is recommended that you visit a gastroenterology and hepatology specialist for examination and treatment.
Thank you.

Reply Date: 2021/12/03

More Info

Nausea is a common symptom that can arise from various causes, and understanding its underlying mechanisms is crucial for effective management. Based on your description, it seems that your nausea may be linked to several factors, including gastroesophageal reflux disease (GERD), dietary choices, and possibly even anxiety or stress. Let's break down the potential causes, dietary adjustments, and when to seek medical help.

Causes of Nausea
1. Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid flows back into the esophagus, leading to symptoms such as heartburn and nausea. The sensation of liquid in your throat and increased salivation you mentioned could be indicative of acid reflux.

2. Dietary Triggers: Certain foods and beverages can provoke nausea. Sweet or cold items, as you noted, might not sit well with your stomach. Additionally, overeating or consuming fatty, spicy, or acidic foods can exacerbate nausea.

3. Anxiety and Stress: Emotional factors can also play a significant role in gastrointestinal symptoms. Stress and anxiety can lead to increased stomach acid production and altered gut motility, contributing to feelings of nausea.

4. Other Medical Conditions: Conditions such as gastritis, peptic ulcers, or even infections can lead to nausea. If your symptoms persist or worsen, it may be necessary to rule out these possibilities.

Dietary Adjustments
Making certain dietary changes can help alleviate nausea. Here are some recommendations:
1. Eat Smaller, More Frequent Meals: Instead of three large meals, try eating smaller portions throughout the day. This can help reduce the burden on your digestive system.

2. Avoid Trigger Foods: Keep a food diary to identify any specific foods that trigger your nausea. Common culprits include spicy foods, caffeine, alcohol, and high-fat meals.

3. Stay Hydrated: Dehydration can worsen nausea. Sip on clear fluids, such as water, herbal teas, or clear broths, especially if you are experiencing vomiting.

4. Ginger and Peppermint: Both ginger and peppermint have been shown to help alleviate nausea. Ginger tea or peppermint tea can be soothing.

5. Avoid Lying Down Immediately After Eating: Try to remain upright for at least 30 minutes after meals to prevent acid reflux.

When to Seek Help
While dietary adjustments can be beneficial, there are times when you should seek medical attention:
1. Persistent Symptoms: If your nausea persists for an extended period or is accompanied by severe abdominal pain, weight loss, or changes in bowel habits, it is essential to consult a healthcare provider.

2. Severe Vomiting: If you are unable to keep any food or fluids down, or if you experience vomiting that lasts more than 24 hours, seek medical attention to prevent dehydration.

3. Signs of Dehydration: Symptoms such as dry mouth, dizziness, or decreased urination warrant a visit to a healthcare professional.

4. Need for Diagnostic Testing: If your doctor suspects an underlying condition, they may recommend diagnostic tests such as an endoscopy to examine your esophagus and stomach.

In conclusion, while dietary adjustments can help manage nausea, it is crucial to monitor your symptoms closely. If they persist or worsen, seeking medical advice is essential to rule out any serious underlying conditions. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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