Nauseous in the middle of the night

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For many people who experience nausea, it’s related to morning sickness during pregnancy or reactions to chemotherapy for cancer, yet there are many other causes, and sometimes food, a stomach flu, or stress can causes nausea, particularly at night before bed.[1] Nausea at night can make falling asleep difficult, but there are a number of ways you can alleviate it so that you can sleep soundly and wake up refreshed.

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   Try acupressure. Targeting the pressure point that eases motion sickness can keep nausea away. This point is the Pericardium 6 (PC6), located on your wrist. Find it by placing three fingers at the crease of your wrist with your palm up. This area on the inside of your arm/wrist can be targeted through pressure from your fingers.[2]

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   Use motion sickness bands. These bands, designed to use acupressure to keep you from experiencing motion sickness, are often available at drugstores or travel stores. They are typically a small sweatband that goes around your wrist at the PC6 with a half of a small ball attached to keep constant pressure.[3]

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   Use aromatherapy oils. Lavender and peppermint are those most associated with calming the stomach and helping nausea. You can use them as essential oils and put them on your wrists, or on a soothing face mask. You could also try them as candle scents.

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   Avoid strong smells. Sometimes there are particular smells that can trigger nausea. These might be from food, strong perfume, or rotting or decaying smells. Keep your area well-ventilated (particularly the kitchen and eating area) to combat this.[4]

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   Attempt to eat the BRAT diet. Bananas, rice, applesauce, and toast are the foods that have been proven to help prevent diarrhea, but can also help symptoms of nausea and vomiting. The BRAT diet is not meant to be used long-term, as it does not provide necessary nutrients to your body. Once your nausea has subsided, you should start adding in fresh fruits and vegetables and then return to your normal diet.[5]

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   Try bland foods. If the BRAT diet is too restrictive, you can add bland foods into the mix. [6] Nausea can often be made worse by spicy foods. Even if food doesn’t sound good, attempt to eat some saltine crackers or bread to try and help settle your stomach.

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   Eat long before bedtime. Eating right before you lay down to sleep can increase nausea.[7] Give yourself enough time to fully digest your meal before sleep. Eating close to bedtime can also increase the possibility of heartburn.[8]

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   Choose multiple small meals a day. Even if your nausea typically occurs at night, eating more frequent, small meals can help prevent nausea. Keeping your stomach mostly full might also help prevent nausea from becoming more severe.[9]

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   Stay away from foods that are greasy, fatty, or spicy.[10] These tend to exacerbate nausea. Your body can also have more difficulty processing these foods. It’s best to aim for light and healthy foods (fresh fruits and vegetables) that can keep your body working smoothly.

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   Drink lots of water. Staying well-hydrated is one of the most important steps to take when combating nausea.[11] Try drinking an extra 16 oz of water beyond what you normally drink at night.[12]

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   Try tea. Many doctors recommend ginger or peppermint tea as a remedy for nausea. The teas and their scents can help calm your stomach. You can also try either flavor in different forms — ginger in foods is common, and peppermint candies can also help.[13]

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   See if carbonated beverages help. Many people find that the bubbles of carbonation can help an upset stomach. Choose ginger ale or citrus-flavored carbonated beverages. Use sparingly, since soda is not very healthy. A small glass can sometimes help, often coupled with some crackers or other bland food.[14]

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   Try doctor-prescribed medicine. Some nausea is only going to respond to medication.[15] Follow the treatment regimen described by your doctor. Watch for side effects — many anti-nausea medications cause drowsiness.[16]

   • Prochlorperazine is the most commonly used anti-nausea medication. It is moderately effective for nausea and other GI disorders, but not as effective for chemotherapy-induced nausea.
   • Metoclopramide and ondansetron are two other anti-nausea medications your doctor may prescribe.
   • Always follow your doctor's instructions on dosage and duration of medication.

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   Consider marijuana if it's legal. If you live in a state where medical marijuana is legal, chances are that many doctors prescribe it for the nausea that can accompany chemotherapy. Many studies have shown that it can be an effective treatment for nausea. Keep in mind that marijuana comes in many forms — a candy or other edible form might be a good choice. Talk to your medical professional about a possible prescription.[17]

   • Unfavorable side effects of include vertigo, dry mouth, low blood pressure, and depression.

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   Go to the doctor for severe recurring nausea. If you have experienced nausea for over a month and if your vomiting has lasted more than two days, you should see your doctor. Also go if you have unexplained weight loss. Your doctor will be able to help you, and might include a different diet or even medication.[18]

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   Monitor your symptoms. Extreme nausea coupled with other symptoms might mean you need to take a trip as soon as possible to your doctor or a clinic. Take prompt action if nausea is accompanied by:[19]

   • Chest pains
   • High fever
   • Cramping
   • Fecal odor in your vomit
   • Fainting
   • Confusion
   • Blurred vision
   • You can keep a vomiting diary if you have cyclic vomiting syndrome.[20]
   • Note the triggers for the vomiting episodes, such as the things you ate, drinks you took, or the activities you engaged in before the episode.[21]
   • Anxiety can also cause vomiting episodes.[22]

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   Seek immediate medical attention for some symptoms coupled with nausea. This would mean a trip to the emergency room or an immediate appointment at your doctor’s office. Watch for these symptoms, together with nausea, because they can be serious.

   • Pain or a headache (like you’ve never had before)
   • You can’t keep food or drink down for 12 hours
   • Your vomit is green, bloody, or looks like coffee grounds
   • You have symptoms of dehydration (extreme thirst, dark urine, dizziness, etc.)

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Add New Question

• Question

  Can you treat frequent nausea without medication?

  

  Peter W. Gardner, MD is a board certified physician who has practiced Gastroenterology and Hepatology for over 30 years. He specializes in diseases of the digestive system and liver. Dr. Gardner earned his Bachelor’s degree from the University of North Carolina and attended Georgetown Medical School. He completed his residency in Internal Medicine and then his fellowship in Gastroenterology at the University of Connecticut. He is a previous Chief of Gastroenterology at Stamford Hospital and remains on the staff. He is also on the staff of Greenwich Hospital and New York (Columbia) Presbyterian Hospital. Dr. Gardner is an Approved Consultant in Internal Medicine and Gastroenterology with the American Board of Internal Medicine.

  

  Board Certified Gastroenterologist

  Expert Answer

  Support wikiHow by unlocking this expert answer.

  It really depends on the cause. If you tend to experience nausea frequently for no reason, you ought to see a doctor. That's not common and is often stress-related. If it is, you can treat the stress without medication.

• Question

  How can you avoid cyclic vomiting?

  

  Dr. Roy Nattiv is a board-certified Pediatric Gastroenterologist in Los Angeles, California. who specializes in a broad range of pediatric gastrointestinal and nutritional illnesses such as constipation, diarrhea, reflux, food allergies, poor weight gain, SIBO, IBD, and IBS. Dr. Nattiv received his undergrad degree from the University of California, Berkeley, and his medical degree (MD) from the Sackler School of Medicine in Tel Aviv, Israel. He completed his pediatric residency at the Children’s Hospital at Montefiore, Albert Einstein College of Medicine in New York, and his fellowship at the University of California, San Francisco (UCSF). While at UCSF, he was a California Institute of Regenerative Medicine (CIRM) fellowship trainee and was awarded the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) Fellow to Faculty Award in Pediatric IBD Research. In addition to his clinical work, Dr. Nattiv is active in the research community and has been published in several high-impact medical journals.

  

  Board Certified Gastroenterologist

  Expert Answer

• Question

  Which foods usually trigger cyclic vomiting episodes?

  

  Dr. Roy Nattiv is a board-certified Pediatric Gastroenterologist in Los Angeles, California. who specializes in a broad range of pediatric gastrointestinal and nutritional illnesses such as constipation, diarrhea, reflux, food allergies, poor weight gain, SIBO, IBD, and IBS. Dr. Nattiv received his undergrad degree from the University of California, Berkeley, and his medical degree (MD) from the Sackler School of Medicine in Tel Aviv, Israel. He completed his pediatric residency at the Children’s Hospital at Montefiore, Albert Einstein College of Medicine in New York, and his fellowship at the University of California, San Francisco (UCSF). While at UCSF, he was a California Institute of Regenerative Medicine (CIRM) fellowship trainee and was awarded the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) Fellow to Faculty Award in Pediatric IBD Research. In addition to his clinical work, Dr. Nattiv is active in the research community and has been published in several high-impact medical journals.

  

  Board Certified Gastroenterologist

  Expert Answer

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Article SummaryX

To overcome nausea at night, try drinking some ginger or peppermint tea before bed, which can help alleviate nausea. You can also try sipping on ginger ale or a citrus-flavored soda since carbonated beverages can help with an upset stomach. Also, avoid eating right before bed since laying down with a full stomach can make you nauseous. You should also try to avoid greasy, fatty, or spicy foods, which make nausea worse. For more tips from our Medical co-author, like how to overcome nausea using essential oils, read on!

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