What to do with nausea?
Last reviewed: 20.11.2021
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It is useful to know what to do with nausea, because, firstly, this nauseating sensation in the esophagus and in the epigastric region (under the xiphoid process of the sternum) is familiar to everyone. And secondly, there are a lot of serious causes that cause an increased irritation of the receptors of the mucous membrane of the upper gastrointestinal tract, which transmit the signal to the chemoreceptor trigger zone and the vomiting center of the brain. Nausea, like the first phase of an emetic act, can be a consequence of food error, intestinal infection, a number of gastrointestinal diseases and CNS pathologies, as well as serious metabolic disorders, vitamin deficiencies, medications, etc. So information about what to do with nausea, will not be superfluous.
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What to do with nausea during pregnancy?
In the sense of etiology, this is perhaps the simplest case, since during pregnancy, most women face this problem. But most often nausea in gestation has nothing to do with gastroenterological diseases. Nausea and other unpleasant gastric "surprises" are a consequence of changes in the hormonal sphere of pregnant women. On the one hand, the levels of estrogen, progesterone and cortisone, which reduce the intensity of contraction of the muscular tissues of the abdominal cavity, increase. On the other hand, there is a temporary reduction in the production of the gastric mucosa and pancreas of the digestive hormone gastrin, and closer to the middle of pregnancy and regulating the motility of the gastrointestinal tract of the polypeptide hormone motilin.
In any case, do not resort to medication. In the period of gestation, even ordinary mint tablets, used to relieve nausea and prevent vomiting, can be harmful. Soothing stomach peppermint contains β-sitosterol - plant sterol, which reduces absorption of cholesterol in the intestines and removes it from the body. A decrease in cholesterol in a pregnant woman threatens not only the birth of a premature baby, but also adversely affects the development of his brain. In addition, mint tablets from nausea are contraindicated to use with low blood pressure.
Therefore, to combat nausea during pregnancy need safe ways: in small sips to drink in the morning (on an empty stomach) 150-200 ml of ordinary water; after waking up - lying in bed - eating a rye crumb; drink green tea with ginger and cranberry juice; Keep a slice of lemon in your mouth or gnaw pumpkin seeds.
By the way, almost the same advice is given to those women who are interested in what to do with nausea with menstruation.
What to do with nausea in a child?
Parents should know what to do with nausea in a child, and at the same time remember that the sensitivity of the receptors of the vestibular apparatus in children is extremely high and will gradually decrease and stabilize only by 12-13 years. That's why children are often "rocked" in transport. Half an hour before the commencement of the trip, give the child a drug (50 mg tablets) against nausea with sea and air Dramin disease (also called Ciel), which, after 25 minutes after taking the medication, begin to function, and their effect lasts an average of 4-4, 5 hours. Children 2-6 years give a quarter or half of the pill, children 7-12 years - half or a whole pill.
Children often vomit in the presence of worms - helminthiasis. In severe cases, in addition to nausea, vomiting, abdominal pain and constipation, dizziness, headache and even nervous tics may occur. To diagnose and cure a child, you need to contact a doctor who will prescribe a test for the analysis of feces, and, according to his results, appropriate antihelminthic drugs.
What to do with temperature and nausea?
Nausea and high body temperature require special attention, for these are typical symptoms of an intestinal infection - salmonellosis, dysentery or rotavirus gastroenteritis. What should I do to get nausea in a child with rotavirus gastroenteritis? As doctors say, nausea is not the biggest problem in this disease, although it is nausea and vomiting that are the first symptoms of the introduction of rotavirus into the body. The main thing to do with diarrhea and nausea is not to allow life-threatening dehydration of the body, which can lead to frequent vomiting and severe diarrhea. To do this, you need to give the child solutions of special powders containing salts of potassium and sodium - Regidron, Trigidron, Glucosolan, etc.
Nausea with vomiting and headache is an excuse for calling an ambulance, as it can be meningitis. And what to do with constant nausea, which is accompanied by a headache, but the temperature is normal? Refer to a doctor without delay, as there is every reason to assume that the child has increased intracranial pressure, which is often associated with such pathologies as hydrocephalus (hydrocephalus) and cerebral tumors (astrocytoma, medulloblastoma, craniopharyngioma).
In general, the first thing that you need to do with nausea in a child is to go to the doctor, because to cure a symptom, you need to know what causes it.
What to do with nausea and dizziness?
What to do with nausea and dizziness, depends on the origin of these ailments. And the reasons can be very different. Thus, nausea is accompanied by dizziness (or vice versa) in the case of labyrinthitis, endolymphatic dropsy (labyrinthine hydrocephalus of the inner ear or Ménière's disease), vertebrobasilar insufficiency syndrome, stress state, etc.
With labyrinthitis, which occurs due to infection of the inner ear and can be purulent, as well as chronic form, often in the ear there is noise and hearing decreases. For diagnosis and treatment of labyrinthitis, Meniere's disease, as well as vertebrobasilar insufficiency, it is necessary to consult an otolaryngologist who will prescribe appropriate medications. In particular, from the nausea, vomiting and dizziness most often prescribed antihistamine drug Meclosin (Bonin) (in tablets of 25 mg). The maximum daily dose for adults and children over 12 years is 100 mg. Taking this medication can give side effects: drowsiness, dry mouth, fatigue, and in children - increased excitability.
The blockers of Hi-receptors include Dimenhydrinate (other trade names - Dedalon, Adrazin, Dramil, Emedil, Permigal, Theodramin, etc.). The drug (tablets of 0.05 g) is used for nausea and vomiting of various etiologies; it is taken for 1-2 tablets (before meals) - up to 6 times a day (the doctor should clarify).
What to do with constant nausea, if it does not lead to vomiting? From constant nausea, tea with ginger helps, chewing dry green tea, as well as a small pinch of salt, put on the tongue and a glass of water.
But in the case of the syndrome of vertebrobasilar insufficiency, this will not bring relief, since it develops because of deterioration of the blood supply to the brain. This pathology is reversible, but without the intervention of a neurologist and determining the functional characteristics of the cerebral circulation, it is unlikely to get rid of it. So without a visit to a neuropathologist can not do. With vestibular dysfunction, doctors recommend the use of antihistamines Betagistin (synonyms - Betaver, Betaserk, Asniton, Vestibo, Microser): 8 mg 3-4 times a day (during meals).
In addition, for the activation of cerebral circulation are prescribed drugs such as Pyracetam (0.8 g three times per day), Cinnarizine (12.5-25 mg 3 times daily) or Nicergoline (5 mg three times a day).
What to do with nausea in stress?
To go to reception to the good psychotherapist who objectively will estimate or appreciate conditions and will give necessary references. And before you decide on this step, with a nauseating lump rolling up to the throat, you need to straighten your back, straighten your shoulders and breathe deeply and slowly for 1-2 minutes - to relieve the muscle spasm of the esophagus and stomach, and also to saturate the blood with oxygen. Usually it helps. You can also put a tablet under the tongue validol or brew tea with mint or melissa.
What to do with diarrhea and nausea?
Diarrhea and nausea (most often with vomiting) are classic signs of food poisoning. You should drink at least two glasses of ordinary water at room temperature and induce vomiting by irritating the root of the tongue. This will relieve the stomach of all unnecessary, and most importantly, toxins. If you manage to quickly cope with nausea, do not rush to take any food: it's better to drink a cup of freshly brewed strong tea with sugar in 35-40 minutes. In addition, it is necessary to take enterosorbent: activated carbon, Carbolong, Sorbex, Polysorb or Atoxyl.
To stop the diarrhea helps decoction of dried blueberries (a tablespoon of berries for 200 ml of boiling water), water infusion of pomegranate crust, oak bark, plantain leaves (in the same proportion) or walnut partitions (from 10-12 nuts per glass of water).
Effective drug, stopping diarrhea, is Desmol (Bismuth subsalicylate) - tablets and suspension. The standard dosage for adults is 30 ml of suspension or 2 tablets 6 times a day; for children 3-6 years - 5 ml of suspension or a third of the tablet, for children 6-9 years - 10 ml of suspension or two-thirds of the tablet (every 4-4.5 hours).
What to do with vomiting and nausea?
Nausea and vomiting, in addition to the already considered case of poisoning, is a sign of gastric ulcer, stenosis of the esophagus or pylorus, gastroparesis (impaired motor activity of the stomach), for example, with gastritis, diabetes or scleroderma. And also enter the symptomatic complex of stomach stretching, the development of many acute infections, migraine attacks, a sharp decrease in blood pressure, craniocerebral trauma. Nausea accompanied by vomiting can be with myocardial infarction, with severe renal failure, etc.
What to do with vomiting and nausea associated with stretching the stomach? Doctors recommend to temporarily switch to eating food in a dry form and to minimize the intake of liquid.
Nausea and vomiting with bile gastroenterologists are associated with impaired motor activity of the bile ducts (dyskinesia), with cholelithiasis or bust of the gallbladder. And in such cases, cholagogue funds are prescribed.
To improve the tone of the gastroesophageal sphincter and improve the progress of food from the stomach cavity to the small intestine, eliminating nausea and vomiting medications Metoclopramide (Cerucal, Gastrosil, Perinorm) or Domperidone. The recommended therapeutic dose of metoclopramide for adults is 1 tablet 3-4 times a day (30 minutes before meals); for children 3-14 years - for each kilogram of body weight of 0.1 mg of the drug. This drug also quickly suppresses nausea and vomiting in migraine and head injuries, but has side effects such as dizziness, fatigue and muscle weakness, impaired concentration, and long-term use of this drug may cause extrapyramidal disorders (as in parkinsonism), gynecomastia and violation of the menstrual cycle.
Domperidone (synonyms Motilium, Nauzelin, Peridale, Cilroton) - tablets of 10 mg - are taken for a quarter of an hour before meals: adults and children after five years - on a tablet three times a day, and in case of acute nausea and vomiting - two tablets 3- 4 times a day.
What to do with nausea after eating?
The most correct answer to the question of what to do with nausea after a meal can only be given by a doctor. Most often, it's a gastroenterologist, although nausea can be with kidney failure, thyroid disease (hypothyroidism), with arterial hypertension ...
With nausea after eating, the first in the list of alleged causes experts call problems with the digestive system: gastritis, stomach ulcer and duodenal ulcer, gastroduodenitis, cholecystitis or pancreatitis.
What to do with nausea in pancreatitis?
Doctors recommend strictly adhere to the recommended diet for pancreatitis, and also take the same Cerucal (Metoclopramide). And to improve secretory maintenance of the digestive process in chronic form of pancreatitis, as well as in pathologies of the liver, gallbladder and large intestine, enzyme preparations are prescribed, for example, Pancreatin (it is also produced with other trade names - Mezim, Festal, Biosim, Pancitrat).
What to do with nausea after chemotherapy?
Most of the alkylating, cytostatic and cytotoxic drugs used in oncology cause severe nausea and vomiting in patients.
Medicines prescribed by doctors should be taken. Thus, the anti-ontone drug Ondansetron (Domegan, Zofran, Latran, Osetron, Emetron) completely blocks the gag reflex due to a temporary "shutdown" of the serotonin receptors of the central and peripheral nervous system and receptors of the trigger zone of the brain. Preparations are produced in tablet form, in the form of a solution for injections, in the form of syrups and even rectal suppositories. Intravenously, Ondansetron is administered before a chemotherapy session. Dosage is determined by the attending physician individually to each patient, and the standard dose of 5 mg is taken once a day, in the morning (one hour before breakfast). The drug has side effects in the form of headache and chest pain, lowering the pulse and blood pressure, constipation or diarrhea.
The drug Tropisetron (Tropindol, Navoban) has the same mechanism of action, taken one capsule per day (on an empty stomach, an hour before breakfast). A Granisetron (Kitril) in tablets of 0.001 g (as well as in the form of a concentrate for infusions) is prescribed 1 tablet twice a day during the chemotherapy cycle. Applied and already mentioned antiemetics Metoclopramide (Cerucal). After chemotherapy, it is administered intramuscularly or intravenously in a medical institution, and then you should take Cerucal tablets 3-4 times a day on a pill (half an hour before meals).
What to do with nausea after alcohol?
Even those who often face this problem do not always have a clear idea of what to do when nauseating with a hangover.
In the first place, you should induce vomiting and take a sorbent (activated charcoal). However, relief may not immediately ensue, since ethanol, or rather, a toxic product for the body of its metabolism - acetaldehyde - is in the liver and continues to split up to acetic acid and moreover also removes magnesium from the liver.
To neutralize acetaldehyde, you can take a tablet of Magnesium Citrate, or dribble 25-30 drops of motherwort tincture, or eat a spoonful of dark (buckwheat) honey, or drink a cup of cocoa. Well helps with nausea after alcohol succinic acid: dissolve 250 mg in water and drink.
Due to the presence of lactic acid, kefir and brine are effective, but, in principle, any sour juice is suitable, since citric acid also helps to remove hangover syndrome.
What to do with nausea from antibiotics?
In most cases, with infectious diseases caused by pathogenic bacteria, antibiotic therapy is indispensable. At the same time, antibacterial drugs have many side effects.
Experts recommend, first, do not take these medications unnecessarily (that is, without a clear indication of the application and the appointment of a doctor).
Secondly, strictly adhere to the rules for taking a particular drug, and when nausea appears, inform the treating doctor about it. More often than others, nausea is caused by erythromycin, its derivatives and other macrolides (azithromycin, clarithromycin, sumamed, etc.), as well as antibiotics of the group of fluoroquinols (ofloxacin, lefloxacin, digitan, etc.). It should be noted that with mild nausea, the doctor can change the dosage of the drug, and at a more pronounced - replace it with a similar, but not causing unpleasant sensations. Parenteral administration of the antibiotic may also be used.
Swallow more and antiemetics (of those that were listed above) doctors do not advise. In the end, nausea from antibiotics will go away by itself after the completion of the course of treatment ...
What to do with nausea after anesthesia?
What to do with nausea after anesthesia, doctors-anaesthesiologists know, which do not hide that nausea and vomiting is caused precisely by means for anesthesia.
Anesthesia specialists use appropriate pharmacological drugs to relieve nausea after anesthesia in a hospital - Thiethylperazine (injected intramuscularly half an hour before the end of band operations), Droperidol, Scopolamine, Metacin (with abdominal laparoscopy), Promethazine (after surgery in the middle ear).
If morphine, promedol, fentanyl, sufentanil and other narcotic analgesics were used for general anesthesia, then metoclopramide is preventively introduced into the vein from subsequent nausea. An hour before surgery on the abdominal organs, anesthetists are administered to Ondansetron patients - so that after anesthesia they do not have nausea and vomiting.
It is also well known what to do to get nausea after exiting inhalation anesthesia (using Ftorotan or Enflurane). And the best solution in this case is an aqueous solution of ammonium hydroxide, which is familiar to everyone in ammonia. By inhaling its vapors, irritation occurs in the receptors of the mucous membrane of the respiratory tract and the neurons of the trigeminal nerve, innervating almost all facial muscles and mucous nasopharynx. Thus, the signal appears in the medulla oblongata and causes reflex stimulation of the respiratory, vasomotor and vomiting centers of the brain. As a result, the inhalation of ammonia extinguishes nausea and stops vomiting.
How to make a potion for nausea?
There is no one alternative for nausea, because there are a lot of reasons for this symptom. Both phytotherapists and herbal healers offer several ways how to make a potion from nausea.
The first drug is prepared from the roots of valerian officinalis (1 tablespoon), peppermint (2 tablespoons), chamomile flowers (2 tablespoons) and rhizome rootstocks (3 tablespoons). Mixing the plants in these quantities, you need to take a tablespoon of this mixture and brew 200 ml of steep boiling water and insist for 1.5-2 hours. After filtering the infusion, it should be taken three times a day before meals - 50 ml at a time.
For preparation of one more infusion it is necessary to take a tablespoon of dry root of chicory and two tablespoons of dry leaves of stinging nettle, heat them in 250 ml of boiling water, close the container tightly and insist until it cools. Use two tablespoons three times a day (20-25 minutes before meals).
Although nausea and vomiting are handled by a separate field of medicine - emetology, we tried to tell what to do with nausea in various cases.