Understanding Nausea and Its Causes
Nausea is an unpleasant sensation of stomach discomfort that often precedes vomiting. It can stem from a wide array of causes, including stomach viruses (gastroenteritis), motion sickness, indigestion, pregnancy, and side effects from medication. Identifying the likely cause is the first step toward choosing the most effective remedy.
Over-the-Counter (OTC) Medications for Nausea
When home remedies aren't enough, several OTC medications can provide relief, targeting different causes of nausea. Always consult a healthcare provider or pharmacist, especially if you have other health conditions or are on other medications.
Bismuth Subsalicylate
Commonly known by brand names like Pepto-Bismol and Kaopectate, bismuth subsalicylate is effective for nausea caused by gastroenteritis or indigestion. It works by coating the stomach lining, protecting it from irritants and reducing inflammation. A harmless temporary side effect can be a black tongue or stool. It should not be given to children 12 or under.
Antihistamines for Motion Sickness
For nausea related to motion sickness, antihistamines are a primary option. They work by blocking signals in the inner ear that can trigger feelings of motion sickness. Popular options include:
- Dimenhydrinate (Dramamine): Available in various forms, including chewable tablets for adults and children as young as two. The main side effect is drowsiness.
- Meclizine (Bonine, Dramamine Less Drowsy): Generally taken once daily and often associated with less drowsiness than dimenhydrinate. This is intended for those 12 and older.
Phosphorated Carbohydrate Solution
Available under the brand name Emetrol, this non-drowsy, over-the-counter medicine helps calm an upset stomach by relaxing the stomach muscles. It is a good choice for nausea caused by stomach upset, though it contains sugar and should be used with caution by those with diabetes.
Natural and Home Remedies
For mild to moderate nausea, many people find relief through simple, natural methods. These can often be used alongside medication, but it's wise to check with a doctor first.
Ginger
Ginger has been a trusted remedy for centuries, with studies supporting its effectiveness for nausea caused by pregnancy and chemotherapy. It can be consumed in various forms:
- Ginger tea: Made by steeping fresh ginger slices in hot water.
- Ginger candy or chews: A convenient option for quick relief.
- Ginger ale: Best if flat and non-carbonated to avoid bloating.
Peppermint
Similar to ginger, peppermint can help soothe a queasy stomach. It can be used as a tea or inhaled as an essential oil through a diffuser. Some people find relief by simply sucking on a peppermint candy.
The BRAT Diet and Bland Foods
When you feel ready to eat, bland foods are your best bet. The BRAT diet (Bananas, Rice, Applesauce, Toast) is a classic for a reason, as these foods are easy to digest and gentle on the stomach. Other options include crackers, clear broth, plain potatoes, or oatmeal.
Acupressure
Applying pressure to the P-6 (Nei Guan) point on the inner wrist is a long-standing practice for relieving nausea. This can be done with fingers or with specialized acupressure wristbands. The point is located between the two large tendons, about two finger-widths below the wrist crease.
Controlled Breathing
Deep, controlled breathing can help reduce anxiety and calm the nervous system, which in turn can lessen feelings of nausea. Sit or lie comfortably and focus on slow, deep inhales through your nose and exhales through your mouth for several minutes.
The Critical Role of Hydration
Dehydration can worsen nausea and lead to complications, especially if vomiting occurs. It's vital to stay hydrated, but doing so incorrectly can aggravate symptoms.
- Sip, don't gulp: Take small, frequent sips of clear fluids instead of large amounts at once.
- Electrolyte solutions: For cases involving vomiting or diarrhea, oral rehydration solutions (ORS) like Pedialyte are ideal for replacing lost fluids and minerals. Sports drinks can be used, but dilute them with water.
- Ice chips and popsicles: These can be great for slowly reintroducing fluids.
When to See a Doctor
While most cases of nausea resolve on their own, certain symptoms require medical attention. You should see a doctor if you experience:
- Nausea and vomiting lasting more than 24-48 hours.
- Signs of severe dehydration (infrequent urination, dizziness, extreme thirst).
- Vomit that contains blood or resembles coffee grounds.
- Severe headache, neck stiffness, or confusion alongside nausea.
- Chest pain or severe abdominal pain.
- Nausea and vomiting accompanied by a high fever.
Comparison of Over-the-Counter Nausea Relief
Medication | Best For | Key Ingredient | Potential Side Effects | Drowsiness? |
---|---|---|---|---|
Pepto-Bismol | Stomach upset, indigestion, stomach flu | Bismuth Subsalicylate | Black tongue, black stools (temporary), stomach pain | No |
Dramamine | Motion sickness | Dimenhydrinate | Drowsiness, dry mouth, blurred vision | Yes |
Bonine | Motion sickness | Meclizine | Less drowsy than Dramamine, dry mouth | Usually less |
Emetrol | Upset stomach, viral illness | Phosphorated Carbohydrate Solution | No major side effects, contains sugar | No |
Conclusion
Finding the right approach for what to get when you feel like throwing up? depends on the root cause. For motion sickness, antihistamines like Dramamine or Bonine are effective. For stomach viruses and indigestion, Pepto-Bismol or Emetrol might be the answer. For milder cases, natural remedies like ginger, peppermint, or the BRAT diet can provide relief. Prioritizing slow, frequent sips of clear fluids or oral rehydration solutions is paramount to prevent dehydration, which can worsen symptoms. While most episodes are temporary, it’s crucial to know the warning signs that warrant professional medical care to address more serious underlying issues.
Best Practices and Lifestyle Adjustments
In addition to remedies and medications, certain habits can help prevent or ease nausea:
- Eat small, frequent meals: Avoid an empty stomach or feeling overly full, as both can trigger nausea.
- Avoid trigger foods: Stay away from spicy, greasy, or high-fiber foods that can be harder to digest.
- Limit strong smells: Cooking odors and certain perfumes can worsen nausea. Eating cold or room-temperature foods can help minimize smells.
- Don't lie down after eating: Stay upright for at least 30-60 minutes after meals to aid digestion and prevent acid reflux.
For more information on managing nausea, especially during specific treatments, refer to reliable health resources such as the American Cancer Society's guidance on managing nausea and vomiting during cancer care.