Your Nausea: Possible Causes and Concerns for Young Adults - Gastroenterology and Hepatology

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I'm not sure what the problem is?


Hello doctor, I am 20 years old and since mid-December of last year, I have frequently experienced feelings of nausea (it feels like something is stuck in my stomach and throat, but I have managed to hold it in).
This has been happening occasionally until now.
Sometimes I feel dizzy along with the nausea, and I have been under a bit of stress lately.
I have wondered if this could be related to a possible pregnancy, but my boyfriend and I have never had sexual intercourse; I have only helped him manually, and I always wash my hands afterward.
Shortly after the first episode of nausea, my menstrual period arrived.
I am unsure what is happening, and I am very worried and scared about the possibility of being pregnant.

Hai xiu, 20~29 year old female. Ask Date: 2016/01/15

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Basically, this will not result in pregnancy.
You should pay attention to whether your symptoms are related to gastroesophageal reflux disease (GERD).
It is recommended to reduce coffee and tea consumption, eat regular and portion-controlled meals, and avoid excessive stress.
If there is no improvement, it is advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/01/15

More Info


It's understandable to feel anxious and concerned about your health, especially when experiencing symptoms like nausea and dizziness. At 20 years old, your body is still undergoing various changes, and stress can significantly impact your physical well-being. Let's break down some potential causes of your symptoms and address your concerns.


Possible Causes of Nausea and Dizziness
1. Gastrointestinal Issues: Nausea can often be linked to gastrointestinal problems. Conditions such as gastritis, acid reflux, or even food intolerances can lead to feelings of nausea. If you have been under stress, it may exacerbate these conditions, leading to discomfort.

2. Stress and Anxiety: Psychological factors can manifest physically. High levels of stress and anxiety can lead to symptoms like nausea, dizziness, and even panic attacks. It’s not uncommon for emotional distress to create physical sensations that can be quite uncomfortable.

3. Hormonal Changes: Since you mentioned that your menstrual cycle is regular, hormonal fluctuations can still cause nausea and other symptoms. However, if your cycle is consistent, it is less likely that this is the primary cause.

4. Pregnancy Concerns: You expressed worry about potential pregnancy despite not having had penetrative sexual intercourse. While it’s true that pregnancy can occur through other sexual activities, the likelihood is significantly lower. If you are still concerned, taking a home pregnancy test can provide clarity.

5. Dehydration or Nutritional Deficiencies: Sometimes, not drinking enough water or not getting adequate nutrition can lead to feelings of nausea and dizziness. Ensure you are maintaining a balanced diet and staying hydrated.


Recommendations
1. Consult a Healthcare Professional: Since your symptoms have persisted, it’s essential to consult a healthcare provider. They can perform a thorough evaluation, including a physical examination and possibly some tests, to determine the underlying cause of your nausea and dizziness.

2. Keep a Symptom Diary: Document when your symptoms occur, their duration, and any accompanying factors (like stress levels, food intake, etc.). This information can be helpful for your healthcare provider in diagnosing the issue.

3. Manage Stress: Consider incorporating stress management techniques into your routine. Practices such as mindfulness, yoga, or even talking to a counselor can help alleviate anxiety and stress, which may, in turn, reduce your physical symptoms.

4. Stay Hydrated and Eat Well: Make sure you are drinking enough fluids and eating a balanced diet. Sometimes, simple lifestyle changes can significantly impact how you feel.

5. Consider Mental Health Support: If you find that stress and anxiety are overwhelming, seeking support from a mental health professional can be beneficial. They can provide strategies to cope with anxiety and help you understand the connection between your mental and physical health.


Conclusion
Your concerns are valid, and it’s essential to address both your physical symptoms and the emotional stress you are experiencing. By consulting a healthcare professional, you can gain a clearer understanding of your symptoms and receive appropriate care. Remember, taking care of your mental health is just as important as your physical health, and seeking help is a strong and positive step forward.

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