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Nausea

Over the past three months I have been experiencing nausea which occurs prior to a meal.  This mainly happens a few hours after eating a good breakfast consisting of a smoothie containing fruit, yoghurt, chia seeds, coconut water and a green powder.  The nausea usually dissipates when I eat something for lunch.  I'm puzzled as to the cause.  Does anybody else have this problem?
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4851940 tn?1515694593
Cider vinegar is said to be good for arthritic conditions.  As you still experience the nausea, then it does not appear that the cider vinegar was the culprit.  Sometimes there is not specific thing that causes the nausea.

You could try some over the counter anti acid tablets to see if they help.

Best wishes.
Helpful - 0
Avatar universal
Thanks Jemma, that site is interesting - I have in the past sometimes suffered shakiness and trembling prior to a meal, but the nausea is something new!  In the past two days when I've had to go out after breakfast, I've taken a few nuts with me, and this has definitely worked.  I've not gone back to the apple cider vinegar, so this may have also helped.

I really appreciate all your assistance and will keep a note of what I eat for a while.  Another surprising fact in all this, is that even if I'm late having breakfast due to exercising or generally getting involved in other activities, I still don't get nauseous, which probably indicates that I'm having something at breakfast that's causing me problems.  Might be time to try a completely different meal plan for a while!

warm regards, Val
Helpful - 0
4851940 tn?1515694593
I know that I did actually see that information somewhere, but have checked the site aqain, and yes, you are right that that particular site does not mention nausea as a symptom of hypoglycaemia.

Check out the website below which does say that the typical signs of low sugar levels are hunger, trembling, shakiness, nausea, pallor, and sweating.   It also does say that hypoglycemia is commonly linked with diabetes, but that other conditions can cause low blood sugar in people who do not have diabetes. It also lists the other medical conditions that can cause low sugar levels (hypoglycaemia).

http://www.medicalnewstoday.com/articles/166815.php

Your lunch does seem to contain more protein (cottage cheese, eggs, nuts or other protein) than your breakfast.  Protein, as you will no doubt know, is a slow release energy food.  The quantity will matter as well as what you eat.

There is no harm in eating a healthy snack in between your main lunch to see if that helps.  Keep a written record of what you eat and drink and how many hours you go without food before starting to feel nauseas.    This is likely to help you more and help your doctor to find what is causing you to feel that way.

Don't forget too, that physical activity will use up more energy.

There are lots of other causes for experiencing nausea.

Let us know how you get on.

Glad to know that the foot problem is now fine and that you will soon get your hear issue repaired.  

Wishing you well and a speedy recovery.
Helpful - 0
Avatar universal
Thanks so much Jemma for your further comments.  I've looked at the site you recommended but notice that none of the symptoms listed, actually relate to me and they don't mention nausea at all.  However this is something I'll investigate if the 'snacking' fails.

As you recommend, I'll take a few nuts with me if I'm out during the morning and hopefully that will be sufficient to head off the nausea.  The reason I don't have snacks in between meals is that I never feel hungry - I reckon my breakfast is pretty sustaining for a few hours!  I usually have a big salad for lunch with cottage cheese/soft boiled eggs/nuts or some other protein, which again sustains me for many more hours.

I have a very pronounced heart murmur and had been due for surgery earlier in 2013 but developed an inflammation type condition (nobody knew quite why) in one foot only, which meant they couldn't operate until this resolved.  As it's now almost back to normal I'm hoping the op can be organised soon.

Your good wishes and help are much appreciated.

Helpful - 0
4851940 tn?1515694593
By your  "R Gluc Serum" levels, you do not have diabetes.

Although your lowest blood (at 3.8) wasn't at the level that would be classed as having hypoglaecemia, you certainly seem to experience symptoms of low sugar levels.  I have copied and pasted the link below for you to help you understand more about hypoglaecemia in people who do not have diabetes.  I experienced similar symptoms for a very long time, before finally a glucose test showed up that I was prediabetic.

http://www.netdoctor.co.uk/diseases/facts/bloodsugarlow.htm

As you do not experience a problem between lunch a dinner, I suggest you look at exactly what you are eating and drinking and the portion size at lunch time that is different to breakfast.  

The symptoms may be gastric related - that can settle with eating something (but not always, depending what the gastric problem is).

To help to avoid getting those horrible symptoms before lunch, I suggest you have a healthy snack like an apple or some protein food like nuts.  That may just be enough to see you to lunch without experiencing those nausea symptoms.
I have found that eating small amounts more frequently does help with gastric problems like acid reflux.

Mitral valve leakage sometimes produces no symptoms, but your doctor may hear a heart murmur.  As you need to have this fixed soon, it clearly is quite bad.  You are already no doubt aware of the types of symptoms that can be felt from a leaky valve, which include lightheadedness, rapid heartbeat, heart fluttering or palpitations, fatigue.

Severe heart valve leak may impair the forward flow of blood that can cause symptoms of congestive heart failure, which includes shortness of breath, especially with exertion or when lying flat, leg swelling or fluid retention elsewhere in the body.

Hope all goes well for you.

Best wishes.




Helpful - 0
Avatar universal
Thank you Caregiver for your comments.  I don't think this problem is associated with diabetes either and agree that I probably need to consult with a gastroenterologist.  I will however try to have something small to eat between breakfast and lunch - don't snack between meals usually and find it hard to remember to do this and then by the time it occurs to me, the nausea hits me!

As I've commented to Jemma, I do have a problem with a leaking mitral valve which is due to be fixed sometime soon - don't know whether these two problems have any relation to each other??
Helpful - 0
Avatar universal
On looking at my blood test results, Jemma, they say my  "R Gluc Serum" levels were 5.7 April 14; 4.4 May & July 14; 3.8 Aug 14 and 4.1 Sept 14. Presumably this was what my Doctor based his advice on that I didn't have diabetes.

I think I may have confused you with when the nausea occurs.  I have my breakfast without problems and then about 4 hours later, prior to lunch I start getting the nausea, sometimes even dry-retching.  This dissipates if I eat something - even just a small amount.

I haven't changed the basic ingredients in my smoothies for ages and have been having the lemon juice in the hot water for a long time too.  I only added the vinegar fairly recently, but quite a while prior to experiencing the nausea.  I have stopped the vinegar in the last few days, but it hasn't really made a difference yet, so will try stopping the lemon juice too.  

My diet is primarily very good - no processed or junk foods.  I rarely have gluten and keep away from sweets stuff apart from about four pieces of fruit a day.

My Doctor didn't prescribe anything, but only suggested I try leaving off the apple cider vinegar.  I'm reluctant to take any drugs and will try to remember to eat something in between those two meals.  Although it does puzzle me why I don't ever have a problem between lunch and dinner, which seems a little strange - I don't have snacks between those meals.

I might add also that I do have another problem at present and I don't know whether this might have anything to do with the nausea.  I have a 30 percent leakage in my mitral heart valve and am due to have it either repaired or replaced shortly.  In the meantime I have been taking Micardis Plus, but this is the only medication I take apart from several vitamin and mineral supplements which I have also been having for a long time under the supervision of a naturopath.

I appreciate all your comments Jemma.
Helpful - 0
Avatar universal
As far as I'm aware I don't have problems with sleep apnea, but have had no testing on this one.  I haven't slept right through the night though for many years, but wouldn't I be gasping for breath if sleep apnea was present?  No problems at all with my bowels as I have heaps of fruit and vegies, chia seeds and a mainly vegetarian diet - have two bowel movement every day..
Helpful - 0
Avatar universal
2 questions Val. do you have any kind of sleep apnea? do you have any constipation issues?
Helpful - 0
1530171 tn?1448129593
Low acid levels are much more prevelent with GERD symptoms than high levels.
The symptoms are almost identical, however in the vast majority of cases
PPIs or anti-acid meds are prescribed w/out testing.
I suggest the baking soda burp test or a Betaine HLC challenge to self-test
first before resorting to anti-acids, which could cause your health to deteriorate even further if your gastric acid levels are low!
Just look it up online.

In Endometriosis, there's often an underlying Estrogen
(over Progesterone) dominance.
Relatively simple to correct if this is the case, should it still be unresolved.

Food senstitivity/intolerance needs to be ruled out as well.
Elimination diet is the simplest way, but when testing gluten you have to be
off it for months, as its effects may linger around for a very long time, before totally eliminated from the body.

Cheers.
Niko


Helpful - 0
4851940 tn?1515694593
Having your hormones and the endometriosis sorted, did that stop the nausea?

Some of my medications cause me to feel nausea.

Helpful - 0
Avatar universal
I had nausea for 18 months, did all the tests, scans, saw all the doctors, until narrowed  down to the hormones. Did laporoscopy, was diagnosed with endometriosis, so check digestive stuff and then see the gyn doctor.  
Helpful - 0
4851940 tn?1515694593
When a person's blood glucose falls quite low (you don't have to be a diabetic), some people can experience nausea, sometimes to the point of wanting to vomit, extreme hunger may be felt and headaches.

It is highly likely the symptoms felt are that of acid reflux as suggested by the doctor, but other medical issues should not be ruled out until a proper diagnosis proves it to be connected to the digestive tract or a hiatus hernia.

If the symptoms persist, the doctor can prescribe medication to reduce acid production and can also order for a barium meal xray to be carried out.
Helpful - 0
144586 tn?1284666164
This problem has nothing whatsoever to do with diabetes or sugar levels. The symptoms are textbook indications of a weak muscle at the gastroesophageal junction.  The esophagus passes through a hole in the diaphragm called the diaphragmatic hiatus before entering the stomoach. The diaphragm separates the chest from the abdominal cavityt the gastroesophageal junction. This condition is often associated with GERDS.

See a gastroenterologist for a consult.
Helpful - 0
4851940 tn?1515694593
It depends on what type of tests you had done with regard to screening for diabetes.  If you did have a blood test to check your HBA1C that shows the average sugar levels in your blood over a period of 3 months.   Every 9-12 weeks the red corpuscles are renewed, and the sugar sticks to the red corpuscles, this is how the HBA1C works out the average.

A blood sugar monitor that uses a pin prick finger test will only show the sugar levels in your system at the time the test is being done.

Another good way to check for glucose problems is by having a glucose test.  This will show whether you are glucose intolerant.  This means that you are not a diabetic but that there is a problem.

When you mentioned that you experience problems "prior" to a meal, this means before you eat.

But then you say you experience problems after you have eaten.  In this case, it is highly likely to be gastric related.  

It may be that something in the smoothie is not agreeable to your digestive tract.  Although lemon juice is acidic, it actually changes composition once in the body, where along the body it changes is composition I do not know.
So it may well be that the lemon juice and the vinegar does not suit your stomach.

Eating the small meals frequently, with healthy snacks in between will also help problems with acid reflux.  Keep off junk foods (sounds like you do anyway), fried and highly spiced foods.  Also cut out or cut down on processed foods, white bread, cakes, biscuits.  Eat more fresh fruit and veg.  By what you wrote with regard your smoothie, sounds like you have a healthy eating plan.

Make sure that you drink fluids, especially water so as not to get dehydrated.

Did the doctor prescribe any stomach medication for you to try?  If not, try the eating plan first and if that does not settle things down, ask your doctor for a prescription or purchase some from the pharmacy.  Your pharmacist will be able to help you with that, if you are unsure which remedy to purchase.
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Avatar universal
Thanks so much for your comments.  I've just been to my Doctor who doesn't think I have diabetes because of previous general testing done a while ago.  However, he reckons the nausea could be caused by reflux as at the same time as I have breakfast I also have a mug of hot water containing the juice of half a lemon and a dessertspoon of apple cider vinegar.  I had left this off for a day once before, but he said I might have to do it for a few days to see if this helps. In the meantime I'll follow your advice about the healthy snack between meals.

Helpful - 0
4851940 tn?1515694593
It could be because your sugar levels have fallen too low.  This is called hypoglycaemia.

Have a healthy snack in between meals and ensure that you drink plenty of fluids and especially water.  Having a healthy snack in between meals will help to stop your blood sugars going down too low.

Book in to see your doctor and explain your symptoms to him so that he can do a HBA1C blood test to look for signs of diabetes.
Helpful - 0
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