Task 6 of 9
Often this symptom provokes vomiting, which emptys the stomach of its contents.
Etiology of the manifested clinic
One-time and mild nausea after eating is a single feeling of different etiology that disappears on its own.
If regular and recurring nausea occurs, the patient has problems with the functionality of the digestive system:
- ulcer;
- cholecystitis;
- pancreatitis;
- infectious process;
- heart attack;
- migraine.
The somatic cause of nausea that occurs during or after eating requires urgent treatment. Before prescribing a treatment regimen, the gastroenterologist establishes the exact etiology of the development of this symptom.
Somatic reasons for feeling nauseated after eating include stomach dysfunction. With this diagnosis, additional symptoms appear:
- heartburn;
- pain in the epigastric region;
- belching.
The feeling of discomfort in question may appear immediately while eating. This indicates an inflammatory process occurring in the liver and gall bladder.
With this diagnosis, there is additionally severe pain on the right side of the abdomen, a feeling of bitterness in the mouth, and a distension in the stomach. Flatulence is another symptom that appears after eating.
If the appendix is inflamed, the patient may feel sick after any meal. Additionally, vomiting appears. With this diagnosis, abdominal pain is not often localized to the right.
It may be of an uncertain nature. But after some time, against the background of high temperature, the pain moves to the right epigastrium.
The causes of nausea after eating may be associated with pancreatitis. In this case, a typical pain appears that encircles the entire body.
If the pathology constantly manifests itself in a chronic form, there is no vomiting. With this diagnosis, the patient may complain of bloating.
If the reasons why you feel sick after every meal are associated with infection, the clinical picture in question begins to appear an hour after eating. The symptoms may intensify and vomiting may occur.
If the infection has penetrated the digestive tract, the patient experiences diarrhea, fever, and pain in the navel.
If you feel sick for an hour or the whole day, your doctor may diagnose myocardial infarction. In this case, urgent treatment is required.
Other reasons why you feel sick after eating are associated with various forms of kidney failure.
At an early stage of the disease, nausea appears suddenly, all the time, regardless of food intake. Kidney pathology additionally provokes shooting and aching pain in the lower back, chills.
The causes of nausea that occurs after eating are associated with various forms of hypertension. More often, the symptom in question bothers the patient in the morning. At the same time, the whole body swells, and dizziness is felt.
Hypothyroidism is a periodic feeling of nausea during and after eating, which makes the patient weaker. He refuses food, but his body weight does not decrease.
Patients with this diagnosis often experience significant weight gain. Additionally, lethargy, drowsiness and chills appear.
Gastroenterologists identify physiological causes in a separate group, against the background of which one feels sick from any food:
- abuse of fatty and fried foods;
- binge eating;
- consumption of low-quality products;
- impaired functioning of the vestibular apparatus is not a pathology, but a syndrome. With such disorders, you always feel sick after eating. Additionally, nystagmus develops;
- activity after eating;
- taking medications;
- psychogenic causes - anxiety with fear;
- pregnancy;
- worms.
Etiology of fat
Separately, gastroenterologists consider the reasons why fatty foods make you sick. Fat is an important nutrient, a source of energy and “good” cholesterol.
Fat is also a catalyst for metabolic processes occurring in the body. The nutritional value of food is the presence of fat in it. Without them, it is impossible to absorb fat-soluble vitamins, including A, D, E and K.
Nausea and vomiting after eating a lot of fatty foods develops due to pancreatic insufficiency. If such symptoms occur all the time and after every meal of fatty foods, the risk of developing pancreatitis increases.
Due to a deficiency of pancreatic juice, the process of fat absorption is disrupted. This is due to the fact that the intestines are only able to digest 20% of all fats.
As the patient ages, the endocrine function of the pancreas decreases, which helps to reduce its secretion.
With dyskinesia, the process of bile secretion is disrupted. This can lead to cholelithiasis.
If the patient continues to eat fatty foods, the flow of bile will be disrupted and the body will not be able to digest fats. Patients with this diagnosis are indicated for treatment with enzyme agents.
Nausea and vomiting that appear after eating fatty foods can be caused by inorganic factors weakening secretory activity.
The latter phenomenon develops against the background of abuse of high-calorie foods and tannins, and a sedentary lifestyle.
Patients with such disorders are prescribed a diet. The oil used for frying greatly increases the calorie content of food.
The body is not able to digest the fats that enter the body. The digestive system has limited motor capabilities to remove the necessary secretions.
Overeating as a factor in the development of vomiting
Against the background of abundant fried and fatty foods, the gastrointestinal tract is overloaded. After eating such food, the digestive system begins to work with increased load.
Against the backdrop of large volumes of food, a shortage of necessary enzymes is provoked, without which normal processing of food and timely emptying of the stomach is impossible.
Intestinal absorption is impaired. When fatty foods are retained in the duodenum, stagnation in the intestines is provoked. At the same time, gases accumulate and pressure in the peritoneum increases.
Stagnation is dangerous because it leads to self-poisoning of the body. In this case, nausea is the main symptom, against which periodic vomiting develops. Its nature of manifestation may be different.
With prolonged stagnation of food, foul-smelling belching and heaviness in the stomach are disturbing. At the same time, fecal stones and constipation form. After such a process, the patient may develop hemorrhoids.
If nausea after eating bothers a patient who has an ulcer or gastritis, gentle nutrition is indicated. The course of these pathologies should be constantly monitored by a gastroenterologist.
If after diet therapy and drug treatment the disease worsens, the patient begins to suffer more from nausea, a re-examination is carried out.
The doctor may prescribe gastroscopy, laboratory blood tests, and ultrasound of the peritoneal organs. Treatment of ulcers with timely diagnosis leads to a favorable prognosis.
The patient is prescribed medication for nausea. The treatment regimen also includes drugs that promote healing of ulcers.
After nausea caused by an ulcer, taking enzyme agents over a long period is indicated.
If a patient vomits after eating due to gallbladder pathology, what should be done? With this diagnosis, it is recommended to eat fractionally. To make an accurate diagnosis, an ultrasound is prescribed.
If the examination reveals stones, symptomatic treatment aimed at eliminating nausea, vomiting, and pain is supplemented by surgery.
If the patient feels nauseous after eating food, and the abdomen tightens with widespread, circular pain, the doctor may suspect pancreatitis.
What should patients with this diagnosis do? Treatment of pancreatitis is carried out on an outpatient or inpatient basis.
The main goal of therapy is the fermentation and breakdown of food. Nausea and other signs of pancreatitis are eliminated with anti-inflammatory drugs. Treatment includes following a strict diet.
If you experience nausea during pancreatitis after eating certain foods, you should inform your doctor. Perhaps he will prescribe a new, more effective treatment.
With this pathology, you cannot drink folk remedies on your own. Herbal medicine is carried out under the strict supervision of a gastroenterologist. The main principles of therapy for pancreatitis are cold, rest and hunger.
If a patient feels nauseous and refuses to eat, complaining of constant vomiting, what to do? A similar clinical picture occurs with appendicitis. His treatment consists of unscheduled surgery.
More often, nausea with appendicitis is constant, and the patient is bothered by the stomach on the right.
If the pain is mild, then until the doctor arrives, it is recommended not to drink the painkiller, limiting the patient’s food and drink.
Otherwise, the clinical manifestation of appendicitis will be disrupted and upon arrival of the ambulance, the patient may only be left with nausea and vomiting.
After examining the patient, the doctor makes a decision on subsequent treatment.
To prevent its rupture, unscheduled surgical treatment is indicated. In the postoperative period, nausea and other symptoms of appendicitis disappear.
If the symptoms in question are caused by intestinal intoxication, it is recommended to induce vomiting to eliminate it. For this purpose, drinking plenty of fluids is recommended.
If the vestibular apparatus is malfunctioning, the patient begins to suffer from nausea and dizziness. Treatment is carried out by a neurologist using symptomatic drugs (Betaserc, Metoclopramide).
Hypertension, which causes nausea, is treated individually by a therapist. Antihypertensive drugs are taken continuously, and often for life, to reduce the risk of stroke.
Cardiac diseases, which are accompanied by nausea, shortness of breath, pain on the left, a feeling of squeezing, are treated by a cardiologist after making an accurate diagnosis.
To eliminate nausea caused by endocrine pathologies, taking medications that regulate hormonal balance is indicated.
Renal pathologies, during the development of which the patient suffers from nausea, pain, and high fever, are treated by a urologist.
If stones or sand are detected in the patient, anti-inflammatory drugs, physiotherapy are indicated, and the menu is adjusted.
If the patient is worried about a migraine, which is accompanied by attacks of nausea, taking medications of the triptan group - Metoclopramide and Sumatriptan - is indicated.
Products with tyramine are also excluded from the menu.
During pregnancy, nausea is a normal reaction of the body to conception. More often, the body’s condition returns to normal by the 2nd trimester.
In more severe cases, the symptom is treated with medication or the pregnant woman is hospitalized.
Prevention of the development of attacks of nausea is aimed at eliminating the cause of its occurrence. To prevent the appearance of the clinic in question, it is recommended to lead a healthy lifestyle:
- eat in small portions – once every 4 hours;
- drink liquid in the amount necessary for the normal functioning of the gastrointestinal tract;
- drink clean water;
- providing constant exercise that stabilizes metabolism;
- avoiding irritating foods;
- reduction of flour products.
Before taking any medication, it is recommended to consult with your doctor and read the instructions for use.
Pregnant women need to minimize stress factors, fatigue, and stress. If you are allergic to certain foods, you should avoid them if possible.
If, against the background of prescribed therapy, the manifestation of the gag reflex has increased, or general health has worsened, it is recommended to inform the doctor about this.
Useful video
Many people are familiar with the problem of frequent nausea that occurs “just like that,” for no apparent reason. Of course, when we, for example, catch a cold or are poisoned, we are not surprised by prolonged nausea and even more unpleasant phenomena. But why can we feel sick if, at first glance, we feel fine otherwise? In fact, there can be many causes of nausea, and often the unpleasant symptom itself is associated with serious, dangerous diseases. In order to recognize a dangerous disease in time, it is important to understand why you feel sick every day, frequent nausea is a sign of what it could be, and immediately begin searching for the true cause. To do this, we will talk about the most common causes of nausea.
Nausea “for no reason”
Regardless of the type of nausea and its duration, when we talk about nausea during the day for no reason, we mean the absence of a clear reason: poisoning, overeating, etc. Many diseases that occur latently may indicate dangerous changes occurring in various human organs and systems. Nausea does not occur without any reason, so it is extremely important to determine why you may feel nauseous.
Nausea can be different - mild, severe, long-lasting, frequent, almost continuous. In itself, this condition is extremely unpleasant for a person, but when attacks of nausea occur frequently, interfere with normal activity and create fear for one’s own health, the cause must be found as quickly as possible. Frequent nausea that you experience for several days in a row, or even for a longer period, should not go unnoticed by a specialist.
Diseases - signs of nausea
![](https://i0.wp.com/sportobzor.ru/uploads/images/474(52).jpg)
An unpleasant sensation that occurs in the epigastric region and pharynx often occurs due to problems with the gastrointestinal tract. Moreover, this is by no means always connected in any way with poisoning. There are many gastrointestinal diseases that cause frequent nausea. Moreover, this often occurs.
Gastritis, stomach ulcers, pancreatitis, appendicitis, cholecystitis, duodenitis can sometimes be the answer to the question of why you sometimes feel sick for no reason.
Pancreatitis is an inflammation of the pancreas, often accompanied by the unpleasant symptom we describe, along with severe bloating. The necessary enzymes do not enter the stomach cavity, and food is not completely digested.
Stomach ulcer is one of the most common answers to the question “why do I often feel sick.” This may also include a burning sensation and frequent heartburn. The lining of the stomach is damaged, which leads to acid entering the tissue of the esophagus. The body requires an empty stomach to complete the digestion process. It is important not to delay and consult a doctor.
Inflammation of the intestinal appendix, or in other words, appendicitis, due to which toxins and pus accumulate in the gastrointestinal tract, often causes an attack of nausea, the causes of which lie in a sharp change in the intestinal microflora. If, in addition, severe abdominal pain, dizziness, weakness and a strong increase in temperature appear, you should not hesitate.
![](https://i1.wp.com/sportobzor.ru/uploads/images/475(56).jpg)
Diseases of the central nervous system can cause nausea during the day. The vomiting center is located in the brain, so problems with the nervous system can cause an unpleasant symptom. Skull injuries, concussions, meningitis, migraines, increased intracranial pressure, seasickness - the list goes on and on.
Hypertension often causes nausea. In addition to the symptom itself, you may experience dizziness and severe fatigue.
Osteochondrosis is sometimes what causes nausea every day. The disease often appears in office workers who are forced to spend a long time in one uncomfortable position. Sometimes dizziness is added to the main symptom.
Some medications cause nausea. Often such a side effect is written about in the annotation for the product.
Causes of nausea not related to illness
![](https://i2.wp.com/sportobzor.ru/uploads/images/476(43).jpg)
It would seem that you are healthy, but the unpleasant condition is repeated with unenviable regularity. What's the matter?
Nausea without pain can be caused by a weak vestibular system. Many people get motion sickness in transport, after prolonged movements, in this case you need to worry in advance and purchase special tablets.
Why sometimes you feel sick for no reason - the answer may be psychological problems. For example, often an unpleasant condition is explained by stress, fear, or nervous tension. As soon as you calm down and do some breathing exercises, the feeling should go away.
A person who moves from his habitat to the opposite one often experiences slight nausea. Often the symptom occurs in an area where you have never been before. A couple of days of a “cloudy” state is normal. But if such nausea lasts longer, it is better to consult a specialist.
Many of us wonder why we feel sick just like that, if everything is fine with our health, and we lead an ordinary lifestyle and do not leave our hometown. The answer may lie in this very lifestyle, or more precisely, in inactive and improper physical activity. Office workers, even those who do not suffer from osteochondrosis, can often look for the causes of severe nausea. An uncomfortable posture in front of a computer and other office equipment leads to stiff shoulders, neck, arms, and sometimes headaches.
Video
If you often experience signs of nausea, you may need to reconsider your diet. Hunger, overeating, too much love for sweets often become causes of severe nausea.
The causes of nausea can always be completely different, the main thing is to consult a specialist and not ignore the problem. You should not “prescribe” yourself medications for an unpleasant phenomenon; it is necessary to eliminate exactly the cause. Nausea, like many other symptoms, does not occur out of nowhere, but indicates some changes in the body.
Nausea is a peculiar unpleasant sensation in the epigastric region, chest, and oral cavity, which often precedes vomiting and is often accompanied by general weakness, sweating, increased salivation, cold extremities, pale skin, and decreased blood pressure.
Causes of nausea
Possible causes not related to any disease:
1. Overeating and/or regularly eating foods that are very high in fat;
2. Side effects of medications and penetration of toxic substances into the body;
3. Psychogenic reactions: fear and anxiety, hysteria;
4. Kinetosis (seasickness), accompanied by a feeling of nausea and motion sickness;
5. Pregnancy (morning sickness normally goes away by the end of the first trimester);
6. Exposure to smoke, toxic fumes and various harmful substances;
7. Sunstroke, hyperthermia.
Diseases accompanied by nausea
Diseases that cause nausea are very diverse and can be associated with the digestive, nervous, reproductive, cardiovascular and endocrine systems.
Most often, nausea develops due to pathologies of the gastrointestinal tract, including:
1. acute surgical diseases: peritonitis, appendicitis, acute pancreatitis, acute intestinal obstruction, gastrointestinal bleeding, acute cholecystitis;
2. chronic diseases: gastroesophageal reflux disease (GERD) and hiatal hernia, gastritis, peptic ulcer of the stomach and duodenum, enterocolitis, duodenitis, cholelithiasis, inflammatory bowel disease (Crohn's disease, ulcerative colitis), irritable bowel syndrome, chronic pancreatitis ;
3. malformations of the gastrointestinal tract: narrowing of the pylorus (stenosis), fusion of a section of the gastrointestinal tract (atresia), developmental defects of the pancreas;
4. gastrointestinal tract infections: viral gastroenteritis, food toxic infections, helminthiases;
5. foreign bodies of the stomach, esophagus, intestines;
6. functional disorders accompanied by impaired motor function of the stomach and intestines;
7. liver diseases (hepatitis, cirrhosis of the liver);
8. food intolerances or food allergies.
In addition to disruption of the gastrointestinal tract, nausea can be caused by diseases of other organs and systems:
1. Diseases of the central nervous system: brain tumors and injuries, brain infections (encephalitis, meningitis), increased intracranial pressure.
2. Diseases of the cardiovascular system: hypertension, heart failure, myocardial infarction.
3. Diseases of the inner ear: Meniere's disease, labyrinthitis.
4. Diseases of the endocrine system: in diabetes mellitus – ketoacidosis; thyrotoxicosis, adrenal insufficiency, phenylketonuria.
5. Kidney diseases (urolithiasis, renal failure);
Nausea is associated with cancer treatment (chemotherapy and radiation therapy), imbalance of blood electrolytes, and migraines.
Nausea can be a manifestation of such emergency conditions as poisoning, diabetic ketoacidosis, intestinal obstruction, cerebral hemorrhage, acute cardiovascular pathology, renal failure, liver failure, sepsis.
Most often, nausea does not appear independently, but in combination with other symptoms: abdominal pain, belching, diarrhea, increased gas formation, dyspepsia, vomiting, muscle pain, dizziness, severe fatigue, fever and chills, headache, yellowing of the skin and sclera.
Particular attention should be paid to the combination of nausea with the following symptoms: black stools or the presence of blood in the stool, the presence of blood in the vomit, severe abdominal pain, difficulty breathing, fainting, impaired consciousness, high body temperature (more than 38.5 ° C), rapid pulse, frequent shallow breathing, severe headache , stiff neck. The appearance of these symptoms indicates the development of a life-threatening condition, if detected, you should immediately consult a doctor. You should also definitely see a doctor if you feel sick after a head injury.
Examination of a patient with nausea.
Nausea is a nonspecific symptom of many diseases; therefore, it has diagnostic value only in conjunction with other signs of the disease (for example, with signs of peritoneal irritation in acute appendicitis).
To determine the direction of the examination, it is necessary to conduct an active interview with the patient. So, if nausea is accompanied by other dyspeptic manifestations (belching, a feeling of heaviness in the epigastric region, etc.) and a relationship is identified between the occurrence of nausea and food intake, diseases of the digestive system should be assumed (gastritis, cholecystitis, pancreatitis, stomach tumor, etc.) and conduct a gastroenterological examination; when nausea is combined with headache, sensitivity or movement disorders, a neurological examination, etc. is necessary.
Determine what medications the patient took. Drugs that often cause nausea and vomiting include analgesics, cardiovascular drugs, hormonal agents, antibiotics, drugs that primarily act on the central nervous system, and antineoplastic agents. Drug use or withdrawal may also cause nausea or vomiting. If discontinuation of a drug is accompanied by the disappearance of nausea, we can assume that this disorder is associated with taking the drug, but it is necessary to ensure that there are no symptoms for a significant period of time after discontinuation of the drug.
An objective examination reveals an “acute abdomen” and other life-threatening conditions. If the cause of nausea has not been established, a laboratory examination is performed:
1. general blood test (possible anemia, leukocytosis, accelerated ESR in case of gastric ulcer, duodenal ulcer, ulcerative colitis, etc.);
2. electrolytes, urea, creatinine (studied to diagnose kidney function and assess fluid and electrolyte disorders);
3. biochemical indicators of liver function: ALT (alanine aminotransferase), AST (aspartate aminotransferase), gamma glutamyl transpeptidase, total protein level in the blood, blood albumin, bilirubin);
4. blood glucose (normal values are 3.3-5.5 mmol/l, an increase in glucose levels indicates the likelihood of diabetes mellitus);
5. biochemical indicators of pancreatic function: alpha-amylase enzyme, lipase enzyme;
6. antibodies to Helicobacter pylori (to detect gastric ulcers associated with Helicobacter pylori infection);
7. In the analysis of stool when diagnosing diseases of the digestive system, the quantity, consistency and shape, color, smell, impurities, presence of mucus, pH are assessed; at the chemical level, the content of blood, bilirubin, stercobilin, and protein is determined;
8. The study of intestinal microflora is carried out when diagnosing intestinal dysbiosis.
The plan for further examination depends on the patient’s age and clinical manifestations. It should be especially careful if nausea and vomiting occur for a long time.
Pregnancy tests should be performed in women of childbearing age.
Sometimes a general urine test, a toxicological study, cultures, and a study of the function of the endocrine glands (TSH and thyroid hormone levels, morning fasting cortisol levels) are needed.
To exclude diseases of the gastrointestinal tract, diseases of the liver and biliary tract, a survey radiography of the abdominal cavity, examination of the stomach and intestines with barium, ultrasound of the abdominal organs, CT and endoscopic examinations are performed.
FEGDS (fibrogastroduodenoscopy) is intended primarily to exclude obstruction, gastric or duodenal ulcers or other organic pathology.
Colonoscopy is necessary to identify nonspecific ulcerative colitis, Crohn's disease, chronic non-ulcerative colitis, if a tumor process is suspected.
pH-metry is carried out to study the secretory function of the stomach if gastritis or gastric ulcer is suspected.
Rectomanoscopy is used for diseases of the rectum.
If a neurological disorder is suspected (migraine, increased intracranial pressure, pathology of the inner ear), which can cause constant or periodic nausea, a clinical neurological examination should be performed, to exclude increased intracranial pressure by examining the fundus of the eye or conducting magnetic resonance imaging of the brain.
Sometimes esophageal manometry, 24-hour esophageal pH-metry, a study of gastric motility and evacuation function, and sometimes electrogastrography and a study of small intestinal motility are required to make a diagnosis.
If psychiatric illnesses that cause constant or recurrent nausea, anxiety disorders, depression, or eating disorders are suspected, a consultation with a psychiatrist is prescribed.
Treatment of nausea
Since nausea is a symptom, its treatment method depends on the cause or underlying disease. If you suspect a disease, it is important not to self-medicate, since nausea may be associated with emergency conditions or the initial manifestation of severe pathology, which require immediate consultation with a doctor and the initiation of specific treatment under medical supervision.
If the cause is not related to the disease, it is necessary to eliminate the harmful factor (sun, smoke, excess food) as quickly as possible.
For seasickness, it is possible to use scopalamine in the form of a skin patch 5-6 hours before the start of the trip.
To eliminate nausea in such cases, it is possible to use folk remedies:
For nausea and vomiting in pregnant women, it is recommended to eat little and often. In the morning, drink only water with lemon or slightly sweetened juice, and eat crackers.
A proven remedy for nausea is green tea.
Grate ginger root and add to dishes.
Before meals, drink 0.25-0.5 tablespoons of fresh potato juice.
Pour a glass of boiling water over a tablespoon of peppermint leaf. Let it brew for two hours. Take the tincture one tablespoon three times a day.
Boil a teaspoon of dill seeds in 200 ml of water. Take in case of poisoning or stomach upsets.
Pour a glass of boiling water into 4 teaspoons of dry crushed lemon balm herb. Leave for several hours. Drink ½ cup four times a day before meals.
Pour 400 ml of cold water into two teaspoons of three-leaf watch and leave for eight hours. Use within 24 hours. Used for nausea to stimulate digestion.
Possible complications
In some cases, if left untreated, nausea can lead to complications such as dehydration (impaired water and electrolyte balance in the body) and nutritional deficiencies in the body. As a rule, this is due to the inability to retain water or food in the body, as well as a lack of appetite.
Which doctor should I contact if I have nausea?
Depending on the accompanying symptoms, you may need to consult a therapist, gastroenterologist, neurologist, psychiatrist, toxicologist, endocrinologist, or allergist.
General practitioner Kletkina Yu.V.