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Nausea is more often more associated with pregnancy rather than the menopause. In both instances nausea is triggered by lowering levels of progesterone. Here, our menopause expert Eileen Durward explores the relationship between nausea and other menopausal symptoms whilst also recommending a range of natural treatments to soothe any unsettled feelings of queasiness.
Nausea can be extremely unpleasant, and many people do not realise that it is sometimes a symptom of the menopause. Nausea most often occurs during the peri-menopause, and the symptom is usually at its worst in the morning. It can be accompanied by other PMS-like symptoms.
Nausea can be described as an uncomfortable feeling usually in the upper stomach, characterised by an urge to vomit. Although this feeling usually precedes vomiting, this is not always the case with the menopause.
Nausea may also be a side-effect of HRT. If this is the case, you may want to consider a different type of HRT, or an alternative.
Although the exact link between the menopause and nausea is not yet fully understood, it is thought that a change in hormone levels causes the symptom. Similar to pregnancy causing morning sickness, the menopause is a time of your life when your hormones are radically fluctuating, in particular, the hormones oestrogen and progesterone.
It is thought that reduced levels of the hormone progesterone cause gastrointestinal problems such as bloating, indigestion and heartburn, all of which may also lead to nausea.
Additionally, nausea may be caused or worsened by stress or fatigue. Both of these conditions are commonly associated with the menopause. If you are feeling overworked, then looking for ways of improving this may help to lift your feeling of nausea.
Lastly, severe menstrual pain or cramps can give rise to nausea.
Looking after your digestive system is often the first way to avoid or improve your symptoms of nausea. If you eat fatty, greasy or spicy food you are more likely to feel the after-effects of it. Avoiding eating altogether can also worsen your nausea. Instead, try to eat a small amount of very plain food, such as crackers. It is important not to eat too much, but a little may help to settle your stomach. Making sure that your blood sugar is balanced is important, as low blood sugar may contribute to your symptoms.
Avoid sitting in a hot, stuffy or smelly room, as this will only make you feel even queasier. Try to get some fresh air and breathe deeply, as this will create a rhythmic pattern in the stomach. Unless your nausea is unbearable, then keeping yourself occupied and your mind off the nausea will often help you get through the day.
It’s also important to consider what you drink. Try to avoid tea, coffee, sugary and fizzy drinks.
As the causes of nausea during the menopause can be broad, there are a number of ways to help relieve the symptom.
Most commonly, nausea comes at the early part of the menopause when a woman is still menstruating (more or less) regularly, and accompanied by PMS-like symptoms, such as period pains or bloating. If this is the case, try Agnus castus in the first instance.
TIP: Do not take Agnus castus if you are on hormonal contraceptives as it may not be suitable for you.
If your periods have stopped and you are experiencing nausea because of the menopause, try a supplement containing soya isoflavones.
TIP: Menopause Support contains isoflavones from fermented soya beans, hibiscus and magnesium. It is a general menopause supplement to see you through all points in this stage of your life.
If your nausea is unexplained or does not resolve despite attempts at treating the symptom, seek advice from your doctor in order to rule out other causes other than the menopause.
If you have not found a combination of home and herbal remedies to be effective, then it may be time to look for a conventional medicine. It is important to consult your doctor, before taking medications, as then you will be able to find the most effective treatment for you. Treatments include antihistamines and steroid treatments.
If your nausea is a side-effect of HRT then you may be able to find an alternative type of treatment. You will need to consult with your doctor to see what is available and suited to you.
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Maria Ward — 07.05.2020 08:05
I have nausea alot and aches all over my body.Also fatigue,sudden sharp pains in my overies and fallopian tubes,frequent urination at night,gas,belching,acid reflux,shortness of breathe and lumps on my bones that are tender to touch....especially my ribs.My back and buttocks hurt constantly.I feel dizzy at times too.
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Eileen — 07.05.2020 09:16
Dear Maria,
I'm sorry to hear that you are feeling so terrible. There may be a number of factors at play or a single issue. It is important that you talk to your GP as only a medical professional can diagnose a medical condition. Once you know what it is you are dealing with we will be happy to help you with any information that you need.
Keep safe and kind regards,
Eileen
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Maria Ward — 07.05.2020 08:04
I have nausea alot and aches all over my body.Also fatigue,sudden sharp pains in my overies and fallopian tubes,frequent urination at night,gas,belching,acid reflux,shortness of breathe and lumps on my bones that are tender to touch....especially my ribs.My back and buttocks hurt constantly.I feel dizzy at times too.
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Teresa — 06.03.2020 02:28
I've been experiencing severe Waves of queasiness accompanied with getting hot and and drinking water seems to calm it but last week it hit me so hard I literally passed out, is that something that happens in symptoms
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Eileen — 06.03.2020 15:59
Hello Teresa, Queasiness and hot flushes can be really common during the menopause. However, it would be a good idea to have a health review with your GP and discuss these symptoms.
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Sarah — 26.02.2020 21:56
Dear Eileen,
I'm almost 2 years postmenopausal but still getting horrible hot flashes, insomnia, nausea,diarrhea,dizziness, etc.(I was getting tachycardia but the Carbamazepine helps due to its increasing ADH levels. I also have POTS and Trigeminal Neuralgia). The panic attacks I think are related to hormones as well. Anyway it's still beyond bearable and I don't wish to take HRT.
Any information would be welcomed.
Thanks
Sarah Wind PS: I can't remember your last name. I don't mean to be disrespectful.
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Eileen — 27.02.2020 10:31
Hi Sarah
I have posted several blogs on anxiety and what you can do to help yourself so please do take a look.
https://www.avogel.co.uk/health/menopause/videos/anxiety-and-the-emotional-turmoil-of-the-menopause/
Anxiety in the morning https://www.avogel.co.uk/health/menopause/videos/how-to-calm-menopause-anxiety/
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Lyn — 02.07.2019 23:16
It has been 3 years since last period. I don't take any HRT or anything and wanted to know if fatigue (not real bad) on a daily basis and aches and pains off and on should still be happening 3 years later??? Some days I just feel blah and want to sleep. Have had chronic back pain for 10 plus years and some days just want to chill out. I never really got hit flashes but would get a little warm now and then. How long can women have menopausal symptoms???
Thank you
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Eileen — 04.07.2019 12:14
Hi Lyn
Symproms can go on longer for some women but often other health issues may be involved. Fatigue can also be caused by low iron, low thyroid function, low vitamin D or B12 so it is a good idea to ask your doctor to test for these just to rule them out.
It is difficult to say how long symptoms will last as it is different for every one, sorry.
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Leanne — 18.06.2019 02:35
Hi. I recently had ufe. About a week before my first cycle after the procedure I began having hot flashes, extreme nausea that i couldn't eat and barely drink, dizziness but worst of all was this panicked state of anxiety that lasted for 3 days. I felt terrified, hopeless and like there was not 1 thing too look forward to or enjoy doing. I had to make myself keep busy and surround myself with people to avoid panic attacks. If this is menopause or perimenopause i need help with the nausea and psychiatric presentations, the hot flashes didn't really bother me. The mental state scared the hell out of me
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Eileen Durward — 18.06.2019 13:25
Hi Leanne
We do know that any physical or emotional stress/shock can affect the hormones quite dramatically and it can sometimes take a little while for everything to settle down again. However, it is really important to go back to your doctor first about this just in case it is related to the operation. Your doctor can may be able to check your hormone levels to see what might be going on and suggest something to help in the meantime.
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Nancy — 31.05.2019 15:11
Nausea and fatique in post menopause and treatments
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Eileen — 03.06.2019 09:29
Hi Nancy
Hopefully the tips above will be of help for you and you can see more on fatigue here
https://www.avogel.co.uk/health/menopause/videos/how-to-beat-menopause-fatigue/
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Shanda Livolsi Owen — 09.04.2019 13:35
My name is Shanda. I’m 40 years old I’m suffering from night sweats, hot flashes, and nausea. My blood work showed I am in menopause. I went nine months with no cycle, however I started nine months to the day with a seven day period. Help
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Shanda Livolsi Owen — 09.04.2019 14:35
Correction I am 48 years old.
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Eileen — 10.04.2019 11:26
Hi Shanda
Periods coming back after 6 months or more is quite common and just often due to a 'last fling' by your hormones. However, we do also advise getting a check up from your doctor as well just to make sure there are no other triggers such as fibroids.
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Shanda Livolsi Owen — 17.04.2019 17:50
Hi, thank you so much for your reply this helps me out !
Also struggling with severe panic attacks. I’ve had anxiety my whole life but never a panic disorder where my blood pressure shoots through the roof. Found myself in the hospital and was told I’m having panic attacks. Wondering if this is hormone related as well. So many changes going on and I’m not taking any supplements or anything for my menopause.
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Eileen — 18.04.2019 10:19
Hi Shanda
Menopausal panic attacks are usually caused by a reduction in oestrogen levels. If you don't get another period within the next month or so you could try Menopause Support to gently support your oestrogen. It is important to focus on eating regularly as low blood sugars can trigger an attack - have something, however small, every 3-4 hours, e.g. a banana or some dried fruit or nuts.
Also, keep your water intake up as dehydration makes you feel way more panicky and gives you palpitations. Avoid caffeine if you can, as this can trigger panic attacks too, as can very sugary foods.
To help yourself further, start practicing simple breathing exercises several times daily - you may be surprised at how good this is at averting panicky feelings. Get some gentle outdoor exercise every day if you can - just 10-20 minutes gentle walking makes you feel better.
Check your diet for wholegrains, dried fruit, nuts, seeds and green veg, as these are sources of magnesium which supports your nervous system. You could take an extra magnesium supplement too (e.g. Salus Haus Floradix liquid magnesium), and there is some magnesium in the Menopause Support. Herbs such as Avena sativa can be extremely calming too.
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Shanda Livolsi Owen — 18.04.2019 14:06
Thank you so much. I cannot tell you how helpful this information is. I appreciate you and appreciate your time and research! This makes me feel so much better. I’ve realize that panic disorder in a panic attack is completely different than every day anxiety. I have suffered from anxiety my entire life but these panic disorder episodes when my blood pressure rises to 180/100 with the crazy rush through my body is a whole Nother issue. My resting blood pressure is usually 99/69. I jog 3 miles every day. This is definitely helping me. Menopause and panic disorder going hand-in-hand it makes much sense. Again I appreciate your time and your help!
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Lisa Carvell — 09.04.2019 12:08
My name is Lisa I'm 40 and experiencing the beginning of menopause and I'm having trouble keeping food and liquids down this only occurs when I get my period and my periods have been getting worse with each month that passes I'm having more pain and having trouble keeping my thoughts straight. What can I do to feel better?
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Eileen — 10.04.2019 11:26
Hi Lisa
My colleague Emma has written a blog about nausea and periods and what you can do to help yourself so please do take a look and, hopefully, it will be of benefit for you.
https://www.avogel.co.uk/health/pms/are-you-sick-of-premenstrual-nausea/
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Trish — 12.01.2019 20:43
I am 49 and just went into menopause a few months back. I did not think it would be this bad. Nausea and anxiety has me tied up in knots even though I have min stress in my life. I am slim, get plenty of exercise, eat healthy until all this nausea started. Now I am having anxiety and can barely drink or eat anything. I am anxious to finally go to the doctor in hopes they can give me something to cut the nausea so I can atleast eat and drink. I most of all pray this doesn’t last the rest of my life.
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Eileen — 14.01.2019 15:29
Hi Trish
Hopefully the tips above will be of benefit for you, sometimes simple things work well! However, if you don't see any improvement then it is best to check with your doctor.
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Felicia — 20.12.2018 23:23
Hello Eileen, my name is Felicia and I am 43. I was diagnosed by my Gynecologist with perimenopause. My question is for up to a year my periods began to change with very dark periods almost as if I had major blood discharge then 2 days later heavy bleeding. Well for about 3 months now I haven't had a period. I began to have night sweats, heavy weight gain, upset stomach, nausea morning and evening, always tired, feeling depressed, and can't sleep at night. My face has terrible acne breakouts and my breast often pain and ache. Are these common systems and if so is there anything I can take over the counter or natural remedies? I feel terrible and so sick! Thank you kindly, Felicia!
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Eileen — 21.12.2018 08:29
Hi Felicia
Your symptoms are common ones as you start the approach to the menopause and are usually caused by falling oestrogen. You may find our Menopause Support can be of benefit here as it is known to gently raise and balance oestrogen - you can sign up for a free pack to try www.avogel.co.uk/join
Nausea (and spots!) is often caused by a stressed liver which, again, is quite common. You may find taking the Milk Thistle Complex for a couple of months can be of benefit. Nausea can also be caused by dehydration and low blood sugars so remember to drink lots of plain water every day and eat little and often.
Milk Thistle
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ScherryLee — 13.12.2018 23:47
Hi my name is scherry I. M going to be 48 on December 22 and I was spouse to get my period on Nov around the 20th and I haven't got it yet I. M feeling sick getting cramps I don't know what to do wait until I get it or go to my doctor please help me on what to do
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Eileen — 14.12.2018 07:13
Hi Scherry
Missing periods are often one of the first signs that you are approaching the menopause, you are in the average age range 45-55 so it is possible that you are on your way. However, if you are worried at all then please do see your doctor.
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Emily — 11.12.2018 18:17
I had a total hysterectomy 3 years ago and have been suffering with night sweats, hot flashes, weight gain, headaches, and recently GERD (heartburn etc.) and for the past few months now nausea, similar to morning sickness, mostly in the a.m., sometimes in the early p.m., the GYN that did my surgery tried giving me HRT patches in two different MGS that only gave me horrid headaches, then he wanted to try Premarin which I am not a huge fan of taking HTC's in any form, however I am miserable, losing sleep and a stressful job t top it off. I am recently taking a milk thistle supplement but need relief of all my symptoms, I just want to feel human again without feeling awful all the time.
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Emily — 11.12.2018 19:17
I forgot to add that I feel tired most of the time with low energy as well.
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Eileen — 12.12.2018 08:07
Hi Emily
Please can you let me know how old you are and, if you don't mind, tell me why you had the operation. You can answer me privately if you wish. eileen@bioforce.co.uk
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Andrea — 02.12.2018 20:07
50 year old-
I have suffered terrible heavy bleeding for 6 years. Two years ago was placed on a IUD Mirena device that was initially good. Then about 10 months in started bleeding which increased to 3 periods a month, nausea, insomnia etc..... I did go to doctor (they checked and device in place etc.... bullshit). Looking back there were a few thing not quite right. I finally asked for an referral to HD.
Had the device taken out 2 months ago and bleed for 6 out of 7 weeks. The amount was awful. No one warned me it might be like this. I actually was depressed, dispare, anxious etc.... it was the worst two months of my life. Then went to doctor and she has put me on BC pill to stop the bleeding.
I have decided to do an endro abulation now (which no one ever suggested).
My query is how do I take my self off BC with out a meltdown? Have felt nauseous, cramps, headache, slight brain fog, no energy, anxious, etc.... since on the pill.
Detox suggestions please, to balance those hormones. I want to fell myself again
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Stephanie Kennedy — 20.09.2017 23:27
I'm 47, soon to be 48. I had a hysterectomy 8 years ago due to several benign cysts and polyps in my uterus causing severe pain and heavy bleeding. I have been experiencing several signs of menopause. But this severe nausea and hot flashes have recently started. I'm on day three of Amberen. I sure hope it begins to help me soon. Any suggestions from anyone? I also have a very stressful job, and I read that stress can trigger the symptoms even more. Help
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eileen — 21.09.2017 13:51
Hi Stephanie
Nausea is a common symptom in the menopause and can be caused by several factors. Fluctuating oestrogen levels can be a trigger (a bit like morning sickness in pregnancy!) but falling oestrogen levels can also affect the digestion, leading to a stressed liver, which in turn can cause nausea.
You may find taking Milk Thistle Complex helpful, as this is traditionally used to support the liver, and you could add in a soya isoflavone supplement such as Menopause Support. This is used to help gently raise and balance oestrogen levels, thus reducing symptoms.
Nausea can be caused by other factors, however, such as low blood sugar or dehydration; so do make sure that you are eating a good diet, with healthy snacks between meals, and drink plenty of plain water as well as your other drinks.
Stress can play a huge part in menopause symptoms so trying to keep in under control either through stress remedies or relaxation/deep breathing can be of great benefit.
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Elizabeth Smith — 07.09.2017 02:27
I.have just turned 46 yrs
And feel sick in the morning
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Eileen — 07.09.2017 15:35
Hi Elizabeth, Do you still have periods? and are you taking any medication? Do you have any breakfast?
Thank you
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Beth — 17.08.2017 07:03
Do you know of any gummy herbal remedies that can help with nausea? I have a hard time swallowing big pills. If that is in powder form, I can mix it in yogurt.
Also, do you mail to the United States? That is where I live.
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eileen — 17.08.2017 08:13
Hi Beth
A dandelion root tincture (liquid) would probably help with the nausea or you could find a dandelion root coffee (from your local health store) should do the trick. Remember to drink lots of plain water and eat little and often as dehydration and low blood sugar levels will cause nausea as well.
Here in the UK we do a Milk Thistle Complex which contains dandelion and I recommend that for nausea. We do send to the US but the post is very expensive so I would see if you can get the dandelion where you are. Just be aware that dandelion leaf products such as tea won't help as the leaf is for the kidneys not the liver.
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Sandra — 02.08.2017 17:09
Going through sweats terrible
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eileen — 03.08.2017 08:25
Hi Sandra
You may find the herb sage can help as this is specifically form hot flushes and night sweats and usually works quickly. Remember to drink lots of plain water as dehydration can make them worse!
https://www.avogel.co.uk/herbal-remedies/sage-tablets-menoforce/index.php
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Robin — 09.07.2017 13:32
I just added my address for samples, do you send product to USA?
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Eileen — 11.07.2017 07:47
Hi Robin, this offer is open to UK and Republic of Ireland residents only, so you will not receive your sample. However, you will receive all of my emails which I hope you will find useful.
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Jacqueline — 27.06.2017 19:08
Why does feeling sick always worse at night about 9 oclock
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eileen — 29.06.2017 09:05
Hi Jacqueline
This could be caused by a number of things depending on what else is going on for you. Please could you give me some more details such as how old are you, have your periods stopped and if so when, are you on any medication for anything form your doctor and how long has this been going on for, thanks. You can email me personally at Eileen@avogel.co.uk
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