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Nausea with gastritis

 
, medical expert
Last reviewed: 04.07.2025
 
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Nausea with gastritis is one of the leading symptoms of the pathology, and indicates the development of an inflammatory process in the stomach wall, a high content and activity of microorganisms of the genus Helicobacter, which are the causative agents of gastritis. Of course, there are targeted means to eliminate nausea. But this is not a way out, and not a solution to the problem. You need to cure the underlying disease, in this case gastritis, and then the nausea will go away on its own, without any extraneous actions.

Superficial gastritis refers to an acute inflammatory process in the upper, mucous layer of the stomach. Often, the submucous layers located directly under the mucous membrane are also involved in this process. Superficial gastritis can occur due to improper nutrition, chemical burns and mechanical damage. As a rule, the inflammation focus directly in the epigastric region is quite well visualized when viewed on ultrasound or using radiographs, contrast. It is also worth noting that when palpating, a slightly compacted area is felt in the center of the epigastrium, pain is noted, which significantly increases with movement.

Superficial gastritis is accompanied by the development of scarring foci, inflammatory tissue degeneration. Peristalsis, secretion and outflow of bile are significantly impaired. Often, superficial inflammation or dyskinesia of the biliary tract is a concomitant pathology. It is worth noting that patients in this condition complain of frequent bouts of nausea that attack a person up to 10 times a day. As a rule, they appear suddenly, are acute, accompanied by severe pain and spasm in the stomach area. Sometimes a false urge to defecate or urinate. But after about 5-10 minutes it becomes much easier. The condition is easily eliminated with the help of no-shpa and other antispasmodics.

Causes nausea with gastritis

There can be many reasons for the development of gastritis, and all of them are primarily related to a certain lifestyle. In most cases, the cause is poor nutrition. This is the main reason. People eat harmful, improperly cooked foods, heavy foods, a large amount of spices, marinades, oils, fat. The products contain preservatives, seasonings, flavorings, substitutes, flavor enhancers, and all this directly affects the mucous membrane of our digestive tract. This is where the inflammatory process develops.

Many drinks also have a negative effect: low-quality alcohol, cheap alcohol, large quantities of alcohol. It is worth noting that high-quality elite alcohol in moderate quantities can act as a medicine, which, on the contrary, stimulates the renewal of the mucous membranes of the digestive tract, stimulates the production of immunoglobulin by the mucous membrane of the stomach and intestines. Gastritis is caused by low-quality alcoholic drinks, as well as their abuse. In addition, many carbonated drinks, juices with dyes, fillers, sweets, chips, crackers, smoked meats also irritate the mucous membrane of the stomach, resulting in the development of an inflammatory process.

Gastritis can be caused by the use of certain medications, especially long-term treatment. Gastritis is caused by treatment with antitumor, antituberculosis, antiretroviral drugs, and antibiotic therapy. Chemotherapy and radiation therapy lead to acute gastritis, and sometimes even cancer or precancerous conditions. Gastritis is a consequence of treatment in many cancer patients.

Gastritis can develop in small children, and even in children of the first year of life due to the fact that complementary feeding is introduced incorrectly, due to the abrupt, excessive, or incorrect introduction of complementary feeding. Gastritis often develops in children who have been fed artificial mixtures since birth, or are on mixed feeding.

Gastritis can be a consequence of poisoning, especially if the poison has entered the body through the gastrointestinal tract. Gastritis often occurs as a concomitant pathology during the treatment of other diseases, especially diseases of internal organs.

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How long can nausea last with gastritis?

One of the common complaints of patients suffering from gastritis is nausea. It can be spontaneous, and it is almost never possible to say exactly how long nausea can last with gastritis. There are days when you feel sick in the morning, but this condition does not last long at all - not even five minutes pass, as the nausea goes away on its own. But there are also days when nausea bothers you for a fairly long period of time. Often you have to take special pills for nausea. But in most cases, they do not help.

Many people note that medicinal (herbal) compositions, decoctions for nausea, and some homeopathic remedies help much better. This is not surprising, since drugs are harsh chemical compounds that further increase the symptoms and increase the feeling of nausea. Unfortunately, there are days when no remedy helps, and then the patient may feel sick all day, and sometimes even for several days in a row.

Risk factors

The main risk factors are poor nutrition, failure to follow a diet, frequent snacks "on the go", eating sandwiches. Alcohol abuse, drinking poor quality food and drinks (this applies not only to alcohol, but also to other drinks). The risk group includes people who have been taking any medications for more than 3 weeks. This also includes people with dysbacteriosis, people who have recently undergone a course of antibiotic therapy, antiviral therapy, chemotherapy, or radiation therapy. A certain role is played by the genetic factor - if close relatives have a history of gastritis or another pathology of the digestive system, a person automatically falls into the risk group.

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Pathogenesis

The pathogenesis is based primarily on the development of an inflammatory process in the wall of the esophagus and stomach. As a rule, at the initial stages, only the mucous layers are involved in the inflammatory process, then the submucous layers. The rest can become inflamed almost when the two previous layers are already inflamed. Inflammation entails a change in the composition, as well as quantitative and qualitative characteristics of the microflora, mucociliary matrix. All this causes irritation of receptors, death of the epithelium, cilia. If the microflora changes, this is a negative factor that indicates the progression of the pathology.

It is worth noting separately the features of the inflammatory process that develops against the background of poisoning (if the poison has penetrated through the esophagus). It is worth noting the ability of the poison to cause erosions and gastric bleeding. The mucous membrane does not heal for a long period of time, bleeds, gradually turns first into erosive gastritis, then into ulcerative gastritis, and then into an ulcer itself.

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Symptoms nausea with gastritis

The main symptom is an extremely unpleasant sensation, which is based on discomfort, reverse peristalsis. A person feels sick, there is a feeling that the food is not perceived by the stomach, but lies in it undigested, and then will come out. Tremors, cold sweat, sudden dizziness, numbness of the limbs, pain in the abdomen, stomach, spasm may appear. Vomiting is often observed.

The first and main sign of nausea development in gastritis is profuse salivation, often hiccups, heartburn. There is a feeling of spasm in the stomach. It seems that the food in it has started to move in the opposite order, and is about to come out. The person is thrown into a fever, then into a cold sweat, trembling, and severe weakness.

Severe and persistent nausea with gastritis

If you are concerned about severe and relatively constant nausea with gastritis, then you should not wait, you need to see a doctor as soon as possible. It is best to contact an experienced gastroenterologist who will conduct an examination and immediately draw up a survey plan.

First, the doctor conducts an examination using standard research methods. Palpation is also used, with the help of which the doctor feels the entire gastrointestinal tract and identifies lesions, painful areas. Spasms, adhesions and scars, etc. If necessary, additional studies will be prescribed - laboratory, instrumental methods.

The main methods of examination are instrumental. Most often, X-ray examination of the gastrointestinal tract, ultrasound of the abdominal cavity, pelvic organs, colonoscopy, probing, gastroscopy, gastroduodenoscopy, fibrogastroscopy are used. If a more serious pathology is detected, indicating damage to the muscle layer, the spread of the inflammatory process, a comprehensive examination of the entire digestive tract may be required - from the oral cavity to the anus, which will allow conclusions to be drawn about the presence of pathology. This approach allows a comprehensive assessment of the condition and conclusions about the cause, pathogenesis and, in fact, allows a diagnosis to be made. In this case, in addition to the above methods, the doctor may need:

  • conduct a physical examination (pulse, blood pressure, presence of concomitant diseases) in order to identify the presence of possible adverse events and adverse reactions.
  • examine the patient
  • perform a digital rectal examination
  • conduct a bimanual examination
  • perform anoscopy
  • perform a rectoscopy
  • perform a complete blood count
  • perform a general blood, urine, and stool analysis, and possibly evaluate the intestinal microflora.

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Nausea after eating with gastritis

In some cases, nausea may appear immediately after eating with gastritis. First, you need to make sure that the food you ate was of good quality. Nausea may be a sign of poisoning. But if the picture is repeated systematically, for at least 3 days, you need to see a doctor to make a diagnosis and start treatment, since this cannot be a positive sign in any case. In this case, differential diagnostics is important. Since nausea can appear with pancreatitis, cholecystitis, gastritis, intestinal disorders, liver disease, kidney disease, gallstone disease, poisoning. Alcohol intoxication, botulism, food poisoning, food poisoning, and even common infectious diseases, including intestinal infections, can have similar symptoms.

Nausea in atrophic gastritis

The appearance of nausea with atrophic gastritis is an unfavorable sign that indicates the progression of the inflammatory process and the gradual death, failure of individual cells, tissues of the gastrointestinal tract. At the same time. A similar picture is often observed against the background of malignant neoplasms. Unfortunately, the progression of atrophic gastritis ends in paralysis and complete atrophy of the muscles of the intestine and stomach, the development of metastases and death. But in any case, you need to see a doctor, because there is always a chance for salvation. And perhaps nausea is not associated with atrophy. This may be, for example, a sign of dyspeptic disorders or intoxication. Without examination and diagnosis, it is impossible to say for sure.

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Nausea during exacerbation of gastritis

One of the symptoms of gastritis and its exacerbation is nausea. It develops against the background of an inflammatory process in the gastric mucosa. Sometimes the pathological process also affects the esophagus. If nausea is accompanied by profuse salivation, this may be a sign of a more extensive gastrointestinal tract lesion, exacerbation of gastritis, enteritis. It may indicate the development of an infectious disease. Similar symptoms can be observed in case of poisoning, and even a cold, while taking antibiotics, during hormonal therapy.

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Vomiting with gastritis

Vomiting is one of the symptoms of gastritis. As a rule, it indicates a disruption of the digestion process, a strong inflammatory process in the walls of the digestive tract, and above all, the stomach. If vomiting occurs, it is better not to delay, but to consult a doctor as soon as possible, who will conduct an examination and make a diagnosis, based on the results of which the correct treatment will be selected. If vomiting continues for more than 2 days, hospitalization may be required.

Complications and consequences

Nausea, vomiting, and other unpleasant symptoms of gastritis can lead to serious consequences and complications. The most dangerous condition is when it is discovered that nausea and vomiting were an oncological process, which happens quite often. If you do not pay attention to this condition in a timely manner, the consequences can be serious, even fatal. Often, nausea with gastritis leads to a violation of the structural and functional state of the gastrointestinal tract, which can subsequently develop into severe forms of gastritis, ulcers, cause gastric bleeding, anorexia, exhaustion, autointoxication.

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Diagnostics nausea with gastritis

In order to confirm the diagnosis of gastritis, you need to see a gastroenterologist. Most often, he conducts a survey (collection of anamnesis), examination. The current anamnesis is also very important, so you should describe to the doctor in as much detail as possible not only your subjective feelings, but also try to remember how long ago, under what circumstances nausea first appeared, under what circumstances it occurs, intensifies, stops. This can have an important diagnostic value.

Then the doctor conducts an examination using standard research methods. The clinical picture of the pathology can tell a lot to an experienced doctor. Palpation is also used, with the help of which the doctor feels the gastrointestinal tract and identifies lesions, painful areas, etc.

If necessary, additional studies will be prescribed - laboratory, instrumental methods. The main ones are instrumental research methods.

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Tests

The main ones are instrumental methods, but still, tests can also bring some clarity to the diagnosis. For example, important clinical conclusions can be made based on the results of basic clinical studies - blood, urine, feces. Important information can also be obtained based on the results of a biochemical study. Blood is taken for analysis (from a vein, or capillary, from a finger). Based on the results obtained, they judge the processes that occur in the body. For example. A decrease in the level of protein, creatine, can be a sign of gastric bleeding. The appearance of hemagglutinin and other indicators can indicate the presence of a malignant process in the stomach. The most informative diagnostic methods are feces examination. Coprogram, microscopic, biochemical examination of feces are used. Feces reflect the main processes occurring in the body, it is the contents of the intestine. If necessary, they examine rinsing water from the stomach, vomit, if any, pieces of tissue taken during a biopsy, as well as scrapings from the gastric mucosa.

A hemogram is also performed - a quantitative and qualitative analysis of the blood condition. It is important to determine the content of erythrocytes, leukocytes, platelets, hematocrit. These indicators may indicate inflammatory, infectious or viral infections, and will help determine the direction of further research.

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Instrumental diagnostics

Various methods of instrumental examination can be used. The most commonly used are X-ray examination of the gastrointestinal tract, ultrasound of the abdominal cavity and pelvic organs, colonoscopy, probing, gastroscopy, gastroduodenoscopy, fibrogastroscopy. Radioisotope examination, radiography, and radiometry may be required. Scanning, scintigraphy, computed tomography, and magnetic resonance imaging can diagnose a number of pathologies. Various endoscopic and laparoscopic examination methods, Dopplerography, and echocardiography are also used. Each method has its own advantages and disadvantages. The methods require preliminary preparation, which will be explained by the doctor or laboratory technician who will conduct the examination. Some methods may have contraindications.

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Differential diagnosis

Differential diagnostics is based on the need to differentiate the signs of one disease from the signs of another disease that has similar manifestations. For example, nausea can be a sign of gastritis, enteritis, colitis, pancreatitis, or other gastrointestinal diseases. Moreover, nausea may not be associated with stomach pathologies. It can be a consequence, for example, of an infectious disease, poisoning, or pregnancy.

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Nausea in pancreatitis

Pancreatitis is also often accompanied by nausea. But it is not difficult for an experienced doctor to recognize pancreatitis. Pancreatitis always occurs in attacks. Attacks are accompanied by painful sensations. Pain develops mainly in the epigastric region, as well as on the left under the ribs. As for gastritis, pain is always localized strictly in the epigastrium. With pancreatitis, pain is accompanied by spasm and radiates to the hypochondrium. There are often cases in which pain radiates to the back, spreads throughout the abdomen, which is not observed with gastritis. In addition, instrumental research methods will bring final clarity to the diagnosis. The picture of the pathology is very specific both on ultrasound and in X-ray, endoscopic examination.

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Who to contact?

Treatment nausea with gastritis

To get rid of nausea with gastritis, you need to treat the underlying disease, that is, gastritis itself. Only after the inflammation in the stomach area is removed, nausea will stop bothering you.

Prevention

Prevention is based primarily on timely diagnostics. It is important to diagnose gastritis at an early stage and take the necessary measures. The main means of prevention is proper nutrition. The culture of food and drink consumption should be instilled in the child from childhood. Alcoholic beverages do not necessarily have to be completely excluded. They can be consumed in small quantities as an aperitif, and they must be of high quality. It is necessary to follow the diet.

It is also necessary to monitor the normal state of the microflora, especially in the gastrointestinal tract. It is important to exercise, eat right, and follow a daily routine. You should periodically undergo preventive examinations by a gastroenterologist. Follow the recommendations. You need to consume a sufficient amount of vitamins, minerals, proteins, fats, carbohydrates. Abundant (moderate) drinking is required. Be sure to include clean water in your diet.

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Forecast

If the cause is identified in a timely manner and the necessary treatment is carried out, the prognosis will be favorable. Currently, nausea with gastritis is treatable, it can be completely eliminated. If you delay diagnosis and treatment, the prognosis can be unpredictable. Gastritis is dangerous due to its complications: ulcers, gastric bleeding, stomach cancer, exhaustion.

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