Easily anxious and feeling nauseous?
Since the severe gastroenteritis at the beginning of the year, I seem to have developed a psychological barrier that makes me very anxious.
Just the thought of going out to eat causes my appetite to decrease, and even when I'm very hungry, I find it hard to eat.
I often feel like I want to vomit.
Sometimes, dining out makes me so nervous that my scalp tingles, and my appetite completely disappears along with feelings of nausea.
I can also clearly feel my stomach contracting.
This situation seems to be getting worse, and I'm very afraid that I might end up developing anorexia, which is very distressing for me.
123, 10~19 year old female. Ask Date: 2012/09/10
Dr. Qiu Junda reply Psychiatry
Hello: From your letter, it appears that your symptoms have persisted for over six months, which is beyond the normal range and likely causing you considerable distress.
I wonder if you have sought medical attention during this time.
The description in your letter does suggest the possibility of psychological factors.
I recommend that you visit a nearby hospital's psychosomatic medicine clinic for evaluation and treatment, in hopes of achieving a swift recovery.
Thank you for your letter.
Reply Date: 2012/09/10
More Info
Overcoming anxiety-induced nausea, especially after experiencing gastroenteritis, can be a challenging journey. It’s important to understand that the symptoms you are experiencing—loss of appetite, nausea, and heightened anxiety—are not uncommon following a significant gastrointestinal event. Gastroenteritis can lead to a heightened sensitivity to food and eating, which can trigger anxiety and nausea even long after the initial illness has resolved.
Understanding the Connection Between Anxiety and Gastrointestinal Symptoms
The gut-brain connection is a well-documented phenomenon in medical literature. The gastrointestinal system is highly sensitive to emotional states, and anxiety can manifest physically in the form of nausea, stomach cramps, and changes in appetite. When you experienced gastroenteritis, your body may have developed a conditioned response to food and eating, associating it with discomfort and illness. This can lead to anticipatory anxiety, where the thought of eating triggers nausea and a loss of appetite.
Strategies for Managing Anxiety-Induced Nausea
1. Gradual Exposure: Start by gradually reintroducing foods that you enjoy and that are easy on the stomach. This could include bland foods like toast, rice, or bananas. The goal is to create positive associations with eating again.
2. Mindfulness and Relaxation Techniques: Incorporate mindfulness practices such as deep breathing, meditation, or yoga into your daily routine. These techniques can help reduce anxiety levels and promote a sense of calm, making it easier to approach meals without fear.
3. Small, Frequent Meals: Instead of large meals, try eating smaller portions more frequently throughout the day. This can help prevent overwhelming feelings of fullness and reduce the likelihood of nausea.
4. Stay Hydrated: Dehydration can exacerbate feelings of nausea. Ensure you are drinking enough fluids, especially water or herbal teas, which can be soothing.
5. Seek Professional Help: If your anxiety and nausea persist, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) has been shown to be effective in treating anxiety disorders and can help you develop coping strategies to manage your symptoms.
6. Medication: In some cases, medication may be necessary to help manage anxiety symptoms. Discuss with your healthcare provider the possibility of using anti-anxiety medications or medications specifically designed to alleviate nausea.
7. Avoid Triggers: Identify and avoid specific triggers that exacerbate your anxiety. This could include certain foods, environments, or situations that remind you of your previous illness.
8. Support System: Engage with friends or family members who can provide support during meals. Having someone to talk to can help ease anxiety and make the experience of eating more enjoyable.
Monitoring Your Symptoms
Keep a journal of your eating habits, symptoms, and anxiety levels. This can help you identify patterns and triggers, and provide valuable information to your healthcare provider if you seek further treatment.
Conclusion
It’s crucial to remember that recovery from anxiety-induced nausea is a process that takes time. Be patient with yourself and acknowledge the progress you make, no matter how small. If you find that your symptoms are worsening or significantly impacting your quality of life, do not hesitate to reach out to a healthcare professional for guidance and support. With the right strategies and support, you can overcome the anxiety that has developed after your gastroenteritis and regain a healthy relationship with food.
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