Morning nausea, ending with vomiting ... Doctors often come across a similar complaint from patients. What causes vomiting in the morning? This question cannot be answered immediately. Indeed, judging by the reviews of experts, the origins of this symptom are quite diverse. That is why it is possible to understand each individual case only after obtaining the results of certain analyzes. Consider the causes of vomiting in the morning, their definition and elimination.
Mechanism of nausea
The human body is a rather complex system, the slightest violation in which is manifested by a wide variety of symptoms. Among them are nausea and vomiting in the morning. Regardless of the causes of the pathology, these symptoms cause the patient discomfort and worsen his health.
Vomiting in the morning can indicate the development of various diseases. Moreover, the frequency of this reflex is directly dependent on the factors that cause it, the age and gender of the patient, as well as the individual characteristics of his body.
Most often, vomiting in the morning is observed in children. A little less often - in women. In men, a similar symptom is very rare.
However, vomiting is not a pathology at all. It is a complex defense mechanism that unconsciously works in humans at a reflex level. Externally, this process is nothing more than an uncontrolled release of the contents of the stomach in most cases through the oral cavity, and sometimes through the nasal passages. The formation of the gag reflex occurs due to the action of peripheral or central stimuli on a special center called the gag. It is located in the brain. It is from here that the muscle tissues of organs receive impulse commands. Their performers are the diaphragm of the stomach and the abdominal press. As a result, muscle contraction occurs. This process contributes to the expansion of the esophagus and the opening of the entrance to the stomach. The contents of this organ are expelled, which is why the vomiting occurs.
Symptoms
Before the start of vomiting, certain factors influence the human body. Because of this, symptoms arise that directly or indirectly indicate approaching nausea. Among them:
- salivation;
- increased sweating;
- increased heart rate and respiration;
- darkening in the eyes;
- weakness;
- blanching of the skin;
- coldness of limbs.
Possible reasons
Why does morning vomiting bother a person? Those who have encountered such a malaise only once should not worry. A serious symptom is only regular morning sickness and vomiting. Often, such a reflex indicates the development of the disease. That is why you should not run to the pharmacy for pills for nausea. Such a measure will be far from complete. It is possible to get rid of an unpleasant symptom by eliminating the very cause of the ailment. And only a doctor can advise how to do this.
There are several reasons why this physiological state arises. All of them are united in groups that relate to:
- physical changes;
- hormonal imbalance;
- the development (presence) of diseases.
So, vomiting spasms are often observed in pregnant women. Moreover, they can disturb the future mom not only at a certain period of gestation, but also throughout all three trimesters.
Identification of causes based on characteristic features
Constant malaise and vomiting in the morning need a detailed study. This will make it possible to find out the reasons for this condition.
It is worth noting that nausea and vomiting are the main symptoms that are considered by specialists in the process of diagnosing pathology. The following factors create the conditions for such a physiological state:
- Failures in the functioning of the central nervous system. The reason for this condition can be complications that arose after the patient suffered some infectious diseases (encephalitis, meningitis) or injuries (burns, concussion). Many people are also familiar with a condition such as migraine. This pathology, in which unbearable headaches occur, is usually accompanied by morning sickness. She does not pass even after vomiting. To cope with a similar problem, the patient will help sleep and pain medications. Another formidable disease in this group is a brain stroke. It develops precisely in the early morning and is accompanied by nausea and vomiting. In addition to these signs of such a formidable disease, the patient complains of dizziness and he can observe changes in blood pressure. In addition, there are a number of other specific symptoms that depend on the localization of ischemic lesions. So, a person's asymmetry is detected, the tongue deviates to the side, the strength in the arm decreases or he cannot lift one of the legs. The emergence of a field clinic requires urgent medical attention. Malfunctions in the functioning of the central nervous system also occur after traumatic brain injuries, which provoke the occurrence of microdamage to the structure of the substance of the brain. This causes changes in the functioning of the vestibular apparatus, which is expressed in the unsteadiness of the gait, as well as the occurrence of nausea and vomiting, which does not bring relief. Such changes begin in the morning hours the day after the injury. A correct diagnosis is possible after examination by a traumatologist and neurosurgeon.
- Toxic effect. Nausea and vomiting in the morning occur due to existing renal or hepatic insufficiency, poisoning with drugs or food products, aggressive exposure to chemical poisons, as well as benign or malignant neoplasms. The most common oncological diseases that are accompanied by such symptoms are stomach cancer (in this case, in addition to nausea, there is also an aversion to meat products, as well as a significant reduction in patient weight), liver and gall bladder cancer (with this pathology, dull pain in the area right hypochondrium), pancreatic acenocarcinoma (characterized by the rapid development of exhaustion), dimphoma and leukemia. Vomiting in the morning often occurs in connection with intoxication of the body with products formed due to tumor growth. Very often, this symptom is a complication of chemotherapy. An oncologist is involved in diagnosing and prescribing a course of treatment for malignant tumors.
- Pathology of the digestive tract. Vomiting in the morning on an empty stomach often occurs with gastritis or a stomach ulcer. In this case, nausea is accompanied by hunger pain. It does not help improve the condition and food intake. After eating, nausea begins to worsen, and in the stomach there is a feeling of fullness. Pancreatitis also manifests itself in morning sickness. Simultaneously with this phenomenon, a person feels pain in the right side of the abdomen. Deterioration occurs after eating spicy, fried and oily foods.
To diagnose the causes of morning sickness in a patient, specialists pay attention to the format of vomiting, whether there are fragments of products, blood particles or bile in it. The question of the presence of a smell in the mouth or taste is also clarified.
Vomiting of bile
A similar phenomenon in the morning is accompanied by the release of a mass of yellow-green color with a bitter taste present. Vomiting, in which an admixture of bile is found, has a rather characteristic aftertaste. When it appears, we can talk about problems in the functioning of the pancreas, bile ducts, and liver. Vomiting with bitterness may occur due to:
- intestinal obstruction, having a different etiology;
- problems with the operation of the valve separating the stomach and intestines;
- pathologies of the genitals, urinary tract and liver;
- diseases of the digestive tract, including pancreatitis, ulcer, gastritis, etc .;
- malfunctions of the central nervous system (shock, injuries and diseases).
There is vomiting of bile and with appendicitis. In addition to this symptom, the patient feels pain in the iliac region. How to check whether appendicitis is the cause of morning sickness or not? It should be borne in mind that vomiting with this pathology is not the main symptom on the basis of which the diagnosis of the disease is possible. In addition to this unpleasant phenomenon, in the presence of inflammatory processes, severe abdominal pain appears. They arise sharply or increase gradually. As a rule, they are stitching sensations, which are rather difficult to endure. That is why a person seeks to lie so that the adopted posture reduces suffering. It is very dangerous if the pain itself disappears. This may indicate the beginning of the process of death of nerve endings.
How to check whether appendicitis is the cause of malaise or not? A confirmation of such a diagnosis can be the following signs:
- loss of appetite;
- fever and chills;
- heart rate increase to 90-100 beats per minute;
- the appearance of white plaque on the surface of the tongue.
Another sign of appendicitis is an unpleasant sensation in the navel area that occurs when you try to cough, as well as an unbearable spasm that occurs when palpation of the abdomen in its right lower part. The occurrence of such symptoms indicates acute pathology, which requires immediate medical attention for surgical care.
Provoke vomiting with bile can and toxic poisoning. A similar phenomenon can also be observed in cases where prior to this, measures were taken to cleanse organisms of toxins.
Morning vomiting accompanied by diarrhea
With the manifestation of a whole complex of symptoms, a more complex effect will be exerted on the body. This is observed with vomiting, which occurs simultaneously with diarrhea. In relatively healthy people, this phenomenon happens infrequently and can be explained quite simply. The fact is that some products are not well absorbed by the body. Especially often this happens against the background of overeating, with a combination of food with alcohol, as well as when it is taken immediately before a night's rest.
A complex combination of symptoms is observed with the development of certain diseases. And this can be not only vomiting with diarrhea, but also abdominal pain. Most often, nausea with diarrhea occurs when:
- Infectious ailments. Among them are bronchitis, pneumonia, tonsillitis, SARS. Morning nausea, vomiting, diarrhea and acute pain in the abdomen cause intestinal infections provoked by pathogenic microorganisms caught in the gastrointestinal tract with stale foods or with dirty hands. Propagating bacteria in the process of their life emit toxic substances. Urinary system pathologies can also cause morning sickness with diarrhea. So, with infectious diseases of the kidneys, intoxication develops, which causes an increase in body temperature. In addition to morning vomiting and diarrhea, diseases of the urinary system are also accompanied by swelling of the face, which can be observed after sleep. If such symptoms occur, you will need to consult a therapist. With an accurate diagnosis, antibiotics and sorbents will help get rid of the disease.
- Malfunctions of the digestive organs, namely the gall bladder, pancreas, kidneys and liver.
- Postponed chemical and food poisoning.
- CNS reactions to brain injuries, as well as stress.
- Side effects of the medication taken by the patient.
- Toxic effects.
Identification by a doctor of a specific factor that provokes morning sickness and diarrhea will reveal the cause that affects the body in a similar way.
Vomiting immediately after waking up
Fasting nausea can cause one of many pathological changes in the body.
Among them:
- Hypertension. Vomiting with pressure is accompanied by dizziness, weakness, redness of the face, headaches, fatigue and the presence of swelling. In people who have crossed their 40-year milestone, hypertension is a common cause of morning sickness. This disease is complicated by a crisis. This is an attack during which the pressure rises to 200/110 millimeters of mercury. Art.
- Hypotension. Vomiting occurs in the morning and at reduced pressure, which has reached its critical point (50 mmHg. Art. And less). This condition is accompanied by dizziness, darkening in the eyes, fainting, sharp bouts of weakness and a feeling of lack of air. To eliminate vomiting, you need to contact a therapist, who will identify its causes. And the treatment of low pressure by a specialist will be prescribed based on the degree of development of the disease and the individual characteristics of the patient.
- Myocardial infarction. This disease can be talked about when, during morning sickness, there are also pains in the left side of the chest, which are given to the left hand. The gastralgic form of a heart attack, in addition to nausea, is also accompanied by pain in the left and right hypochondria, as well as diarrhea. The appearance of such symptoms requires an ambulance call. Specialists arriving at the patient will conduct electrocardiography, with the help of which the state of the heart muscle is detected.
- Pregnancy. This factor is among the main causes of nausea in the morning in women carrying a child. Most concerned about the nausea of expectant mothers in the first trimester, and often it is also accompanied by heartburn.
- Pathology of the digestive tract. Such diseases are indicated by morning nausea, which occurs before ingestion of food or liquid. Along the way, pain in the abdomen joins this phenomenon.
- Alcohol, chemical or food poisoning.
Vomiting with mucus
A certain irritating factor may be present in the stomach or other organs of the digestive tract. It provokes vomiting in the morning, in which mucus is present. It is a substance that is part of the gastric juice and is involved in the processing of food entering the body. In the process of moving along the digestive tract, this fluid acquires a certain viscosity and settles on the walls of the gastrointestinal tract, helping to reduce the friction of food fragments moved due to peristalsis. But sometimes an excess of this substance is observed in the body. It stands out simultaneously with vomit. Often this happens when a person consumes low-quality products in the evening. The toxic substances contained in such food provoke an instant spasmodic reaction, due to which mucus is removed from the digestive tract with vomit. This situation may arise when drinking a large amount of alcohol and coffee for dinner.
Morning nausea with foam
The causes of vomiting in the morning of this type are usually caused by a neurological disease or infection. So, Escherichia coli can provoke a similar symptom at any time. Vomiting with foam in the morning occurs due to the almost complete absence of food in the stomach. In addition to this symptom, the patient is tormented by fever, weakness, and also profuse sweating. Such signs indicate a negative effect on the patient's organism of cholera bacteria, salmonellosis, as well as the presence of worms. Over time, the patient begins to complain of an increase in body temperature and severe headaches.
In a child, morning vomiting with foam often serves as a sign of helminthiasis. The presence of worms in the baby’s body can also be determined by their rapid weight loss.
Vomiting with fever
The presence of these symptoms indicates an increase in the amount of toxins in the patient's body. The causes of this condition are most often:
- poisoning;
- infectious diseases;
- inflammatory processes in the digestive tract.
How to determine the true cause of vomiting accompanied by fever? When a similar phenomenon occurs after a hearty dinner, we can talk about food poisoning. If the patient has chronic gastrointestinal ailments, then inflammation in the digestive tract, accompanied by temperature and vomiting, could provoke spicy dishes. When taking only high-quality products, such symptoms most likely appear against the background of infectious ailments.
In newborns
Belching and regurgitation in infants is considered a completely normal phenomenon. It is observed most often after eating. However, if vomiting in a child is observed immediately after his awakening and for no apparent reason, then it may indicate:
- head injuries;
- failures in the functioning of the central nervous system;
- the consequences of poorly received childbirth;
- a cold
- violation of hygiene standards during feeding;
- poisoning;
- change of food;
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Among women
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- the presence of foci of inflammation in the kidneys and urinary tract;
- ailments of the gallbladder;
- failures in the functioning of the cardiovascular system.
Among the causes of nausea in the morning in women is the onset of the menstrual cycle.
In men
The body of the stronger sex is considered more resilient and stronger than the female. However, vomiting is often observed in the mornings and in men. The causes of its occurrence are:
- pathology of internal organs, including the gastrointestinal tract;
- malfunctioning of the central nervous system;
- infectious ailments;
- oncology;
- frequent use of alcoholic beverages, including beer.
To conduct a diagnosis that identifies the main cause of the ailment, you will need to contact a specialist who will recommend measures to eliminate it.
Treatment of morning sickness
Any therapy can help only in the case of a correctly diagnosed doctor and the appointment of an appropriate course of treatment, which takes into account the underlying ailment and its severity.
In this case, the following groups of medications can be prescribed:
- antipsychotics, including diphenhydramine and diazolin;
- dopamine type receptor blockers (cerucal);
- antiemetic agents (motilium);
- sorbents (enterosgel, polysorb, activated carbon);
- funds that restore the water balance (rehydron).
Doing self-treatment is not worth it. A specialist should indicate the need for the use of this or that drug. For example, after identifying low blood pressure among the causes, treatment sometimes does not begin at all with the use of pharmacological agents. After all, sometimes the problem can be eliminated if the patient changes their lifestyle. And only in the absence of the proper effect are pharmaceutical preparations recommended.