the Causes of Nausea: When to Seek Medical Help - Internal Medicine

Share to:

There are several reasons for nausea, including gastrointestinal issues, infections, motion sickness, medication side effects, hormonal changes, and psychological factors such as anxiety or stress. It can also


Doctor: May I ask you about a recent experience? I've been feeling a bit nauseous while lying in bed at night for the past 3 to 4 days.
Today, a few hours after lunch, I started feeling this way again.
What could be the cause of this? Which specialist should I see? Thank you! (I had a hysterectomy ten years ago due to uterine fibroids.)

Ying Ying, 50~59 year old female. Ask Date: 2005/01/18

Dr. Cai Zonglong reply Internal Medicine


Hello, there are many causes for nausea.
In addition to gastrointestinal issues, problems with the kidneys or brain can also lead to feelings of nausea.
Based on what you've described, from a gastroenterological perspective, gastroesophageal reflux disease (GERD) is a more likely possibility.
This condition is easier to diagnose with an endoscopy, and it can be treated with medication.
Therefore, I recommend that you consult a gastroenterologist for further evaluation and treatment.
Sincerely, Dr.
Tsai Tsung-Long, Internal Medicine.

Reply Date: 2005/01/18

More Info


Nausea is a common symptom that can arise from a variety of causes, ranging from benign to serious. In your case, experiencing nausea at night and after meals for several consecutive days warrants a closer look. Given your medical history of having undergone a hysterectomy due to uterine fibroids, it is essential to consider both gastrointestinal and potential systemic causes for your symptoms.


Possible Causes of Nausea
1. Gastrointestinal Issues: Conditions such as gastritis, gastroesophageal reflux disease (GERD), or peptic ulcers can lead to nausea, especially after eating. If you have any history of stomach issues, these could be contributing factors.

2. Dietary Factors: Sometimes, nausea can be triggered by certain foods, overeating, or eating too quickly. Consider if there have been any recent changes in your diet or eating habits.

3. Medications: If you are taking any medications, side effects could be a potential cause of your nausea. Review any new medications or changes in dosage with your healthcare provider.

4. Hormonal Changes: Although you have had a hysterectomy, hormonal fluctuations can still occur, especially if you are undergoing hormone replacement therapy or if there are other underlying hormonal issues.

5. Psychological Factors: Stress, anxiety, or depression can manifest physically, leading to symptoms such as nausea. Reflect on any recent changes in your emotional well-being.

6. Other Medical Conditions: Conditions such as migraines, infections, or even more serious issues like pancreatitis or liver disease could also present with nausea.

When to Seek Medical Help
You should consider seeking medical attention if:
- The nausea persists for more than a few days without improvement.

- You experience additional symptoms such as severe abdominal pain, vomiting, fever, or changes in bowel habits.

- You notice any signs of dehydration, such as dry mouth, decreased urination, or dizziness.

- You have a history of gastrointestinal disorders or other chronic conditions that could complicate your symptoms.


Which Specialist to See
Given your symptoms, the most appropriate specialist to consult would be a gastroenterologist. They specialize in diagnosing and treating conditions related to the digestive system. They can perform necessary evaluations, such as endoscopy or imaging studies, to determine the underlying cause of your nausea.


Conclusion
In summary, while nausea can be a common and often benign symptom, your persistent experience over several days, especially after meals, suggests that it is worth investigating further. A gastroenterologist will be able to provide a thorough assessment and guide you toward appropriate treatment options. It is essential to listen to your body and seek help when symptoms persist or worsen, as early intervention can often lead to better outcomes.

Similar Q&A

Understanding Nausea and Loss of Appetite: When to Seek Medical Help

Hello, doctor. Last year, I experienced nausea and loss of appetite, which led to weight loss. After seeing a doctor, my condition improved slightly. However, two weeks ago, I suddenly felt nauseous while eating, accompanied by a rapid heartbeat and cold sweats. This occurs two t...


Dr. Xiao Yongxun reply Family Medicine
Dear Ms. 751: 1. Please consult the physician you saw last year for "weight loss due to nausea and loss of appetite" before making any decisions. 2. Generally, when encountering patients with nausea and loss of appetite, physicians will consider infectious diseases, ...

[Read More] Understanding Nausea and Loss of Appetite: When to Seek Medical Help


Understanding Dizziness and Nausea: When to Seek Medical Help

Hello doctor, my mother has been experiencing dizziness, headaches, nausea, and vomiting over the past couple of days. It feels somewhat like motion sickness, and she tends to feel nauseous when exposed to strong food odors. Lying down seems to help a bit, but as soon as she gets...


Dr. Liao Yaopan reply Family Medicine
It is recommended to first seek evaluation and treatment for dizziness and vomiting from the ENT and Neurology departments. Regarding the issue of shortness of breath, it is advisable to consult the Pulmonology department if necessary. Please note that online consultations do not...

[Read More] Understanding Dizziness and Nausea: When to Seek Medical Help


Understanding Fatigue and Nausea: When to Seek Medical Attention

Hello Doctor: Recently, I have suddenly felt very fatigued and have been experiencing a slight feeling of nausea, though not to the point of vomiting. I also often feel discomfort around my navel. My bowel movements are relatively normal, but I feel very unwell, and this has been...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to seek medical attention. A physician's consultation and physical examination should be conducted, along with appropriate tests; self-medication is not advised. Urine and blood tests may indicate a urinary tract infection, urinary stones, or kidney ...

[Read More] Understanding Fatigue and Nausea: When to Seek Medical Attention


Frequent Nausea: When to Seek Medical Help and Costs Involved

Hello doctor, I am a male and I have been feeling nauseous frequently lately, even when drinking water. I am not sure what is wrong, and I feel that my health is not good. I would like to ask if I should get a full body check-up and how much it might cost. Should I go to the hosp...


Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, you may visit the Gastroenterology outpatient clinic to check for any liver or gastrointestinal issues. Changhua Hospital cares about your health. Chen Shidian.

[Read More] Frequent Nausea: When to Seek Medical Help and Costs Involved


Related FAQ

Nausea

(Family Medicine)

Dizziness

(Internal Medicine)

Irritable Bowel Syndrome

(Internal Medicine)

Accidental Ingestion

(Internal Medicine)

Gastroesophageal Reflux Disease

(Internal Medicine)

Pediatric Vomiting

(Pediatrics)

Cough

(Internal Medicine)

General Discomfort

(Internal Medicine)

Vomiting

(Gastroenterology and Hepatology)

Mercury Poisoning

(Internal Medicine)