Cause of nausea

Know some cause of nausea, and what to do ?

Nausea usually begins during or immediately after eating. Along with this, unpleasant symptoms such as a feeling of fullness, heaviness in the stomach, sour belching, heartburn, burning and pain in the epigastrium (under the xiphoid process of the sternum) appear. Depending on the location of the ulcer, “hunger”, night or late pains may occur, that is, those that you begin to feel several hours after eating. Vomiting may occur, after which it will become easier for a while.

WHAT TO DO?

Visit a gastroenterologist, have a gastroscopy, ultrasound of the abdominal organs, take a general and biochemical blood test, take a test for antibodies to the Helicobacter pylori bacteria, which causes stomach and duodenal ulcers. After the tests, you will be prescribed treatment and will definitely be advised to review your diet – you will have to forget about spicy, salty, fatty and fried foods.

The cause of nausea is gallbladder disease

Nausea begins during meals. Often this is accompanied by a bitter or metallic taste in the mouth or even vomiting, which does not bring relief. After eating, the symptoms are joined by a dull pain in the right hypochondrium or on the right side, and a feeling of fullness in the stomach and flatulence.

WHAT TO DO?

See a gastroenterologist, have an ultrasound of the abdominal organs. The diagnosis may be biliary dyskinesia, cholecystitis, or cholelithiasis. Treatment will depend on the severity and form of the disease: from diet and drug therapy to cholecystectomy (removal of the gallbladder).

The cause of nausea is pancreatic disease

Nausea, bloating, dull aching pain in the right hypochondrium, bitterness in the mouth – all these unpleasant sensations usually appear after eating, especially if the food was spicy or fatty. Intestinal upset, weight loss, thirst and constant fatigue are also possible. In acute pancreatitis, nausea will inevitably end in vomiting, which does not bring relief, and will be accompanied by severe pain in the epigastric region, radiating to the back.

WHAT TO DO?

In acute pancreatitis, urgent hospitalization is necessary. In other cases, you need to consult a gastroenterologist, take a blood test for sugar and enzymes (primarily amylase), a urine test for amylase levels, and do an ultrasound examination of the pancreas.

The cause of nausea is appendicitis

Nausea is not related to food. Pain first around the navel, then in the right iliac region (where the appendix is ​​located). It may intensify with movement or coughing. The abdomen becomes hard, the temperature rises to 37.5–38°C, the pulse quickens.

WHAT TO DO?

Call an ambulance immediately – delay may result in peritonitis. You must remain completely at rest until the doctor arrives. Do not take painkillers or laxatives (this may complicate diagnosis) or apply a heating pad to the sore spot. Appendectomy (surgery to remove the inflamed appendix) is performed within the first 24 hours after the attack.

The cause of nausea is intestinal infection, food poisoning

Nausea occurs some time after eating and almost always ends with vomiting. These symptoms are accompanied by pain in the upper abdomen, a rise in temperature to 37.5–39°C, weakness, and upset stomach. In severe poisoning, convulsions and loss of consciousness are possible.

WHAT TO DO?

Rinse the stomach: drink 3-4 glasses of water in small sips and induce vomiting. However, this only makes sense if if you suspect that you have been poisoned by food, and no more than two hours have passed since the first symptoms appeared. If vomiting does not stop even after rinsing, and there is bile in the vomit, and if these symptoms are accompanied by signs of dehydration (rare urination, dry mouth), you should call an ambulance – this could be salmonellosis or another serious infection.

The cause of nausea is a disorder of the vestibular apparatus

Nausea, severe dizziness, tinnitus, vomiting, nystagmus (involuntary oscillatory eye movements) appear suddenly when changing the position of the body or head. For example, when you turn over in bed, stand up abruptly, or bend over.

WHAT TO DO?

Visit an otolaryngologist and a neurologist. Possible diseases of the inner ear, vestibular apparatus disorders, for example, vestibulopathy, Meniere’s disease, labyrinthitis.

The cause of nausea is hypertension

Nausea may last throughout the day. In addition to this, there is rapid fatigue, headache and dizziness, anxiety, sweating, morning puffiness, swelling of the hands, redness of the face, “flies” before the eyes.

WHAT TO DO?

Consult a therapist, cardiologist, and possibly a nephrologist, and take control of your blood pressure. To determine the cause of its increase, you need to take urine and blood tests, do an ECG, and ultrasound of the kidneys and renal arteries.

The cause of nausea is a heart attack

Nausea and vomiting, severe pain in the epigastrium or right hypochondrium, bloating, diarrhea, tension and pain in the abdominal wall. Hiccups, shortness of breath, and pallor are possible. All of these may be symptoms of abdominal myocardial infarction.

WHAT TO DO?

Call an ambulance immediately. Especially if you are at risk for a heart attack: you are over 45–50 years old, have hypertension, smoke, are overweight. To distinguish this type of heart attack from acute abdominal diseases or food poisoning, the doctor will do an ECG, listen to the heartbeat and measure the pressure. The cause of nausea is acute pyelonephritis Nausea not associated with food can develop into vomiting and be accompanied by a rise in temperature to 38–40°C, chills and heavy sweating, as well as muscle weakness, aching dull or paroxysmal pain in the lower back, less often in the abdomen, difficulty urinating, and changes in urine – it becomes cloudy.

WHAT TO DO?

The best thing to do is to call an ambulance. General and special urine tests, general and biochemical blood tests, ultrasound of the kidneys and other organs of the urinary system are required. In the future, observation by a nephrologist, a course of drug therapy, and a diet will be required.

The cause of nausea is glaucoma

Nausea appears suddenly, accompanied by general weakness, severe pain in the eye and half of the head, and sometimes vomiting. An acute attack of glaucoma is often mistaken for migraine, meningitis, poisoning or hypertensive crisis. Therefore, it makes sense to pay attention to the presence of additional symptoms: redness of one eye, swelling of the eyelids, dilation of the pupil, clouding of the cornea, hardening of the eyeball, decreased visual acuity.

WHAT TO DO?

Call an ambulance immediately. For temporary relief, you can put a mustard plaster on the back of your head.

More possible causes of nausea:

1. Hypothyroidism.  Nausea is minor but constant, appetite is decreased, but weight gain is observed. Check your thyroid gland, take a blood test for the level of hormones TSH, T4, T3.

2. Migraine.  Nausea and often vomiting accompany an attack of severe pain in half of the head. Silence and darkness will help ease the suffering. Be sure to visit a neurologist.

3. Concussion.  If there is reason to suspect a concussion, and nausea and dizziness not only do not go away, but also get worse, call an ambulance.

4. Meningitis.  Feeling very sick, to the point of vomiting, with the temperature rising to 38–40°C, photophobia and tension in the occipital muscles appear – you must call an ambulance immediately.

5. Increased intracranial pressure.  Morning sickness, heaviness in the head, dark circles under the eyes. Deterioration of the condition is often associate with a decrease in atmospheric pressure. An MRI of the brain is necessary.

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6. Seasickness.  Nausea, dizziness, vomiting, resulting from prolonged irritation of the vestibular apparatus. Seasickness affects more than 90% of the world’s population to one degree or another. Antiemetics are prescribe for prevention.

7. Caffeine overdose.  Nausea, anxiety, tremors are the first signs of caffeine overdose. A cup of espresso contains up to 200 mg of caffeine, and 600 mg is enough to cause overdose symptoms. Emergency measures: provide access to air, wash the stomach, take absorbent and enveloping drugs.

8. Side effects of medications.  Almost any medication you are currently taking could be to blame. Read the description of the drug carefully and consult with your doctor.

9. Pregnancy:  Morning sickness usually subsides after 12 to 13 weeks. Ask your prenatal care provider how you can adjust your diet and lifestyle to help manage your morning sickness.

10. Panic states.  Nausea, difficulty breathing, rapid, profuse sweating, a feeling of fear. Sometimes a panic attack is mistaken for a heart attack. To rule it out, check your heart.

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