What is the best medicine for vomiting

Nausea (vomiting): causes and 5 tips for treatment

Nausea and vomiting are unspecific symptoms. This means that they can be traced back to various causes. Usually the causes of nausea and vomiting are acute diseases of the gastrointestinal tract, the metabolism or the brain. But the use of medication, previous anesthesia (OP), extreme alcohol consumption or, traditionally, pregnancy can, among other causes, trigger nausea and vomiting. We reveal the causes and treatment options for the annoying symptoms.

the essentials in brief

Nausea and vomiting can be traced back to numerous harmless causes, but also diseases.

Often nausea and vomiting also occur during pregnancy.

Home remedies such as herbal tea, light foods and lemon balm leaves are recommended.

Probiotics can restore the balance in the intestines and thus counteract nausea.

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How is nausea noticeable?

Nausea, also known medically as nausea, is perceived as an uncomfortable feeling in the upper abdomen. Often there is a loss of appetite at the same time. A feeling of pressure in the stomach or cramps can also be added.
These are often limited to the so-called hypopharynx, the lower part of the throat. With pronounced nausea, those affected notice an increased flow of saliva. In the further course the nausea sets in. If this is very pronounced, then vomiting occurs. Doctors call this vomitus or emesis.
Depending on the underlying cause, there may be additional symptoms.

The following combinations are particularly common:

  • Dizziness and nausea
  • Back pain and nausea
  • Chest pain and nausea
  • Neck pain and nausea

Good to know!
Nausea can be linked to many other symptoms. For example, diarrhea and vomiting can accompany nausea. But there is also nausea without vomiting. The fact is that symptoms can tell medical professionals a lot about the underlying cause.

Cheers to the vomiting center in the brain

Vomiting and diarrhea make sense for the body, because most of them want to get rid of harmful substances with them. Of course, he can do this with watery diarrhea without nausea. Even so, nausea and sudden gusts of vomiting is still the best and fastest recipe for getting unwanted things out of the stomach quickly before they get into the intestines or bloodstream.

Nausea and vomiting are controlled and coordinated in the vomiting center, a functional center in the brain that is located in the brain stem. People affected by nausea will certainly not cheer at this point. But the vomiting center in the brain has a fascinating function.1 In the vomiting center, any breaking signals are received, coordinated and, if necessary, implemented. The exciting question is who is sending the signals for nausea. The gastrointestinal tract plays an important role here. Pressure in the stomach or intestines, invading pathogens (e.g. norovirus), toxins (poisonous substances) or inflammation can trigger sudden, gushing, unpleasant vomiting.1 Often the symptoms are blamed solely on the gastrointestinal tract. But there are also other body systems that can trigger an alarm in the vomiting center, more on that later.

Good to know!
Abdominal pain and nausea often occur when the vomiting center is gently stimulated. Stronger stimulation then leads to vomiting.

Nausea: causes

The causes of nausea are often a mystery. Sometimes the triggers are obvious. For example, nausea after alcohol is one of them. Anyone who has upset their stomach with alcohol can often expect dizziness and nausea. Doctors often have to dig much deeper with a view to constant nausea, e.g. to track down symptoms such as headaches and nausea that occur together.
We look at the classics and less common phenomena that can cause dizziness, nausea and the like.2

1. Cause of nausea: gastrointestinal tract

Admittedly, nausea and vomiting usually make you think of the digestive system, especially when you have stomach pain and nausea. Nausea after eating also indicates a problem in the stomach or intestines. However, there are also many possible causes in the digestive tract, some of which must be clarified by the doctor:

  • Gastrointestinal infection:
    Bacteria and viruses can cause gastrointestinal flu without vomiting and with vomiting. Watery diarrhea without vomiting is also possible. In most cases, however, the main focus is on nausea.
  • Food intolerance: Here too, nausea and vomiting can occur. Nausea after eating indicates that certain foods are intolerable. A fructose or lactose intolerance is possible. Those affected can also react to gluten or cow's milk with nausea after eating. In particular, constant nausea after consuming selected foods should make patients sit up and take notice.
  • Overworked stomach:
    Nausea without vomiting can occur after eating too much or too quickly. A feeling of fullness and vomiting can also be associated with this.
  • Inflammation of the gastric mucosa: Gastritis can lead to severe abdominal pain and nausea. This is especially true if something has been eaten beforehand. A feeling of pressure and frequent belching also indicate inflammation of the stomach lining.
  • Stomach cancer:
    Nausea, along with symptoms such as bloating and belching, can indicate gastric cancer.
  • Ulcers:
    For gastric and duodenal ulcers, the focus is on nausea / vomiting, loss of appetite, pain and belching. Bloody ulcers can also lead to vomiting of blood and black stools.
  • Appendicitis:
    The focus here is on nausea, vomiting and severe pain.
  • Irritable stomach or bowel syndrome:
    An irritable stomach or bowel syndrome can trigger numerous symptoms. This also includes nausea and vomiting. Sometimes they are mistaken for gastrointestinal flu without vomiting.

Good to know!
In the abdomen, a pinched hernia, an intestinal obstruction and peritonitis can also lead to unpleasant nausea symptoms.

2. Cause of nausea: liver, gallbladder and pancreas

Numerous internal organs are responsible for the vital functions of the body. The liver, gall bladder and pancreas play an important role in the metabolism. If something is wrong here, vomiting and pronounced diarrhea and sometimes back pain (including nausea) can occur.

The liver converts alcohol to acetaldehyde. This is a toxic waste product, a cell poison, which is converted into acetic acid in the further breakdown process.
Too much acetic acid can make you feel sick after drinking alcohol.

Liver inflammation:
Nausea without excessive vomiting, loss of appetite, fatigue, and an aversion to fat can all indicate a virus-induced liver inflammation.
Acute liver failure can result.

Biliary colic:
Nausea and vomiting as well as very pronounced pain in the right upper abdomen are an indication of biliary colic.
Medical help is required here quickly.

Inflammation of the pancreas:
Upper abdominal pain as well as nausea and vomiting can accompany an inflammation of the pancreas. The disease can be acute or chronic. Sometimes back pain (including nausea) also occurs. The symptoms can also occur with tumorous changes in the organ.

Red alert: when the metabolism causes nausea
People with diabetes may notice a metabolic imbalance. The focus is on nausea, vomiting and epigastric pain. In addition, it can lead to a clouding of consciousness. Attention! The metabolic derailment is dangerous, so the emergency doctor should be called immediately.

Acetonemic vomiting:
is particularly typical for small children and school children and manifests itself in violent attacks of vomiting without any recognizable cause. Frequently occurs Acetonemic vomiting in children who eat badly. You then come to the "starvation metabolism". The lack of carbohydrates causes excessive ketone bodies to be formed in the liver and accumulated in the blood, causing severe vomiting.

3. Cause of nausea: cardiovascular system

Who would have thought that, even those who have problems with the cardiovascular system can suffer from nausea and vomiting. Dizziness and nausea as well as headaches and nausea are not uncommon.

Heart failure (heart failure):
When the heart stops pumping properly, you may experience weakness, nausea, shortness of breath, and palpitations. Then the emergency doctor should definitely be alerted. Heart failure can also be chronic. Symptoms such as nausea persist for months to years.

Heart attack:
There is a problem with blood circulation, which can lead to tightness in the chest, shortness of breath, nausea, vomiting and pronounced pain. A temporary reduced blood supply to the heart muscle is known as angina pectoris. In both cases, an emergency doctor should be called immediately.

An aortic aneurysm is a sac-shaped extension of the main artery. If such an aortic aneurysm ruptures (usually in the abdominal cavity), suddenly unbearable abdominal pain occurs, which radiates into the back and causes nausea and nausea.

4. Cause of nausea: brain

The brain can also play a role in nausea and vomiting. This is not surprising, after all, everything in the organism is linked. If the cause is in the brain, pronounced nausea and dizziness come to the fore. This can be due to harmless triggers such as vertigo or travel sickness. Nausea without severe vomiting, but with dizziness, can also be attributed to conditions that have to be taken very seriously. Therefore, persistent complaints should always be clarified with a doctor.

Migraine: Patients with migraines know only too well that nausea can go hand in hand with severe headaches.

Cerebral hemorrhage: If a vessel in the head ruptures, for example due to high blood pressure or arteriosclerosis, it can lead to unbearable headaches, nervous deficits and impaired consciousness. Nausea and vomiting are also possible. An emergency doctor must be alerted immediately.

Neuroborreliosis: Ticks can transmit pathogens that also endanger the nervous system. If neuroborreliosis occurs, this can also be noticeable in the form of nausea and vomiting.

Head injuries: Accidents can lead to bruises and traumatic brain injuries. Both can cause side effects such as nausea and vomiting.

Stroke: Sudden headache, along with nausea and vomiting, and paralysis, can indicate a stroke. Now, help is needed quickly in order to avoid long-term effects.

Sunstroke: Anyone who has spent too much time in the blazing sun can suffer sunstroke. Then headaches, nausea and vomiting become noticeable.

Inflammation of the brain or meninges: Clouding of consciousness, nausea, vomiting and headaches are alarm signals. After all, it can be caused by inflammation in the brain. A stiff, painful neck is also often described. Quick help is also advisable here.

Brain tumor: Nausea, preferably in the morning, as well as vomiting with persistent headaches or failure symptoms can be indicators of a brain tumor.

5. Cause of nausea: kidneys

Nausea can also indicate a kidney problem. In fact, the organs are very sensitive to internal and external influences.

Renal colic: In the event of nausea, vomiting and very severe pain that radiates into the back, the doctor should be informed immediately.

Renal pelvic inflammation: Nausea can occur if there is an acute inflammation of the kidney pelvis. In addition, there are fever, chills and problems urinating.

Addison's disease: If the adrenal cortex is dysfunctional, it can indicate Addison's disease. The fact that little or no hormones are produced by the adrenal cortex can lead to nausea, weight loss and general weakness, among other things.

6. Cause of nausea: genital organs

Genital organs rarely come to mind when it comes to diarrhea and vomiting or nausea. In fact, some things can go wrong in the area of ​​the sexual organs in men and women, which then causes the symptoms.

Ovarian cyst (twisted): Hormonal changes can cause ovarian cysts. This is usually nothing to worry about as they often go away on their own. In rare cases, the ovarian cyst can turn around its stem and cause unpleasant symptoms such as nausea and the like.

Testicular twist: Unusual rotation can also occur in the testicle area. If the testicle rotates on its own axis, not only do you experience severe pain, but often nausea as well.

7. Cause of nausea: eyes and ears

With regard to the eyes and ears, nausea is mainly associated with boat trips. Sensitive people even react to bus and car journeys. But there is more that can disturb inner peace.

Glaucoma attack: Glaucoma, also known as glaucoma, is not uncommon. If there is an acute attack of glaucoma, pain in the forehead and eyes becomes noticeable. Blurred vision and nausea are also typical. If you have a glaucoma attack, you should see a doctor as soon as possible.

Meniere's disease: This is a disease affecting the inner ear. Those affected are tormented by dizzy spells that can be accompanied by nausea. Noises in the ears or reduced hearing performance are also possible.

8. Nausea: Pregnancy as a common trigger

Nausea and pregnancy are anything but a rare combination. In fact, pregnancy nausea occurs in 50 to 80% of women. Many pregnant women struggle with nausea, especially in the morning and early in pregnancy.1 A sudden strong aversion to selected foods is also possible. Even if the quality of life is impaired, nausea and vomiting during pregnancy are not pathological. Usually the unpleasant symptoms go away when the early pregnancy is over.
In rare cases (0.3 to 3% of all pregnant women) there is severe vomiting and nausea in early pregnancy (> 10x / day), which doctors refer to as "hyperemesis gravidarum". Those affected have to vomit several times a day and night, even on an empty stomach, and as a result can lose weight and develop electrolyte disorders. Affected women who are powerless and have lost significant weight should not hesitate to contact their doctor.3
The good news is that nausea and vomiting almost always go away as the pregnancy progresses. Nausea during pregnancy is usually no longer an issue from the 14th week of pregnancy.

Good to know!
Anyone who is accompanied by nausea during pregnancy should ensure that they consume sufficient food. A piece of bread on the bedside table can dispel the morning discomfort.

Other causes of nausea

Fear, disgust, pain, and excitement - these are all feelings that can make you feel sick. Nausea and vomiting often occur even after an operation with anesthesia, making these the most important post-operative side effects. Sometimes nausea including watery diarrhea without severe vomiting can also be attributed to medication.
Medicines such as antibiotics and high-dose iron tablets promote mild nausea and stomach problems. Many cancer patients are also affected, because nausea and vomiting are among the most common side effects of some cancer treatments (especially chemotherapy).

Luxury foods such as nicotine and caffeine can also cause annoying symptoms such as nausea, especially if too much of them is consumed.Chemical poisons, which include copper and lead, or drugs have also been linked to nausea.

Last but not least, food poisoning can cause those affected to vomit bile and feel a strong feeling of illness.

Nausea: when to see a doctor?

In the case of acute nausea, usually harmless triggers come into consideration. If it persists, however, the cause should definitely be investigated. If the nausea leads to excessive vomiting, it makes sense to consult a doctor.
This is especially true when vomiting occurs in toddlers or weak people, or when “vomiting blood” is an issue. In order not to endanger the water balance, watery diarrhea should be treated without any nausea. Otherwise the body threatens to dry out. Particular care should be taken if the vomit looks like coffee grounds. This indicates that there is bleeding in the stomach.1

If you have the following symptoms, you should definitely seek advice from a doctor:

  • persistent or recurring nausea
  • frequent, painful vomiting of bile
  • persistent vomiting in the child
  • Nausea and severe diarrhea
  • Vomiting blood
  • Concomitant symptoms such as severe pain, impaired consciousness, fever

Good to know!
Vomiting (child, debilitated patient) should always be observed. If a toddler vomits, they should be encouraged to drink regularly. This counteracts dehydration. In babies, the fontanel on the head can provide an indication of this. If it has sunk, this indicates fluid loss.4

Nausea: diagnosis by a doctor

Anyone who visits a doctor with nausea is first asked in detail. The medical history can be found out in the doctor-patient conversation (anamnesis). The exchange also provides valuable information on the possible triggers.
The doctor can ask the following questions:

  1. How long has the nausea existed?
  2. Are there any side effects such as vomiting, fever or pain?
  3. Is the nausea associated with meals?
  4. If you vomited, what did the vomit look like?
  5. Are you taking any medication?
  6. Do you have any chronic illnesses?

In order to clarify the question: "What helps against vomiting", the underlying cause must first be determined. Because there are numerous potential culprits, it is often useful to conduct various investigations. This is especially true if the nausea persists for a long time or keeps recurring.5

To do this, the doctor can initiate the following procedures:

  • Blood tests
  • Examination of urine or stool
  • X-rays
  • Ultrasound examinations
  • Measure the pressure in the eyes or in the brain
  • Reflection of the stomach or intestines
  • EKG (electrocardiogram)

Nausea: treatment

For those affected, the main question is: "Nausea, what to do". The complaints can put a heavy strain on everyday life and so patients like to take a drug against nausea and vomiting that works quickly. Doctors refer to these special tablets against nausea as anti-emetics (anti-emetic drugs).2

If the symptoms persist, they should always be clarified by a doctor. After all, the causes are not always harmless.
If, in addition to nausea, vomiting occurs, the fluid that has been lost must definitely be taken up again. It is particularly important to observe the correct composition of the body salts. Fluid deficits can be compensated for with drinking solutions that contain a mixture of electrolytes and glucose. Those who are too weak to drink need infusions in which fluids are given through the vein.

What helps against nausea?

There are many medicines for nausea. Some of them are freely available in pharmacies. These drugs can be quite useful if the nausea can be traced back to harmless causes. These include, for example, hearty feasting at the Christmas meal or travel sickness. A pharmacist can therefore help to answer the question "What helps quickly against nausea and vomiting?"2
However, a drug for nausea from the pharmacy is not always necessary. Fortunately, there are many nausea home remedies that can help with the annoying ailments as well.

Nausea: 5 home remedies that will help

Home remedies for vomiting are popular. No wonder, because this usually makes going to the pharmacy superfluous. We have dealt with the question: What helps against nausea and vomiting? Here are the answers.

1. Tea for nausea

Well-tempered herbal tea can be the right home remedy for nausea, because some types of tea contain medicinal herbs that promote digestion and have an antispasmodic effect. Anise, caraway and fennel are particularly recommended. Chamomile and ginger tea can also counteract bothersome muscle cramps in the gastrointestinal tract. As a special plus, they contain anti-inflammatory ingredients. It is exciting that ginger tea is said to even help with chemotherapy-induced nausea.6

Caution should be exercised during pregnancy. After all, certain parts of the plant can promote labor. This is what is often said about the great tuber of ginger. To be safe, pregnant women should first ask their gynecologist.

Good to know!
Still water, enriched with a few drops of lemon juice, is also considered a home remedy for nausea. The scent of lavender, cardamom, aniseed or ginger can also reduce nausea (aromatherapy).7,8

2. Chew lemon balm leaves

Melissa is one of the medicinal plants for a reason. It could provide an important answer to the question: "What to do if you feel sick?"9 The plant contains essential oils such as citral, eugen oil glycoside and geraniol. The medicinal plant has pain relieving, antispasmodic and calming properties.
This is of particular benefit to the stomach and intestines. It is very easy to use. Fresh lemon balm leaves are carefully chewed until the typical lemon balm taste subsides. After that, of course, they are taken out of the mouth.

Good to know!
You should wait half an hour before chewing the next lemon balm leaves.

3. Light food

If the stomach is attacked, light diets are the order of the day. The home remedy for vomiting helps in that the stomach is not overwhelmed by large portions or heavy food. The digestive system needs rest, especially when there is inflammation or infection.
Rusks can help satisfy hunger pangs and are easy to digest. Vegetable broth not only provides fluid, but also necessary electrolytes. The broth should not be too hot and should only be drunk in sips.

Good to know!
The light diet should be gradually increased. Chopped potatoes with a little butter and easily digestible vegetables are also a good tip.

4. Get enough sleep

It sounds banal, but recovery is one of the most effective home remedies for nausea and vomiting. What most do not know: During sleep, the immune system runs at full speed and eliminates nasty pathogens.
The T cells play a special role in this. It is they who track down pathogens, attach to them and eliminate them. Scientists were able to find out in a study that a lack of sleep can severely impair the functioning of the little helpers.10,11

Good to know!
It is difficult to fall asleep if you feel sick. Easily digestible food and herbal tea can calm the stomach, making it easier for you to fall asleep.

5. Breathing techniques

Do you know the question: what helps against nausea? One answer is: breathing techniques. This is a real insider tip for nausea and vomiting. If the symptoms are minor, it is helpful to take a deep breath, ideally in the fresh air. Taking a short break in front of the restaurant is a good idea if too much food or alcohol takes its toll.
If the nausea is very pronounced, it is advisable to place particular emphasis on deep and slow breaths. Those who concentrate on their breathing also have the opportunity to alleviate the accompanying dizziness.

Nausea and Vomiting: How Microbiotics Help

Sometimes there is an unfavorable relationship between good and bad intestinal bacteria in the intestine. But it only becomes problematic when the balance is upset. This can lead to frequent nausea and thus vomiting. Infections with gastrointestinal flu, stress and the use of medication can endanger the intestinal flora balance. To counteract persistent nausea, it makes sense to take care of the intestinal flora.

A balanced and gentle diet, avoiding stress and infections help. There is also the option of using microbiological preparations such as the Innovall® AID dietary supplement. Ten specifically selected bacterial strains support the front of the healthy bacteria in the intestine.
A good composition of the intestinal flora has a direct effect on well-being and can counteract complaints such as nausea and vomiting.


What helps quickly against nausea and vomiting?

There are over-the-counter medications that can help relieve nausea and vomiting. If the symptoms are severe, doctors can prescribe stronger drugs. Herbal tea, lemon balm leaves and light foods have proven particularly useful in home remedies.

What helps against dizziness and nausea?

Dizziness and nausea can indicate circulatory problems. In this case, it is advisable to lie down and put your legs up. A glass of cold water can get your circulation going. If hypoglycaemia leads to dizziness and nausea, eating glucose, a banana or a piece of chocolate can help.

When does nausea start during pregnancy?

Pregnancy and nausea are classics. The unpleasant symptom occurs in early pregnancy. It can be noticeable as early as the second week of pregnancy. In the 12th week of pregnancy, the symptoms usually subside.