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Can Anxiety Cause Nausea?

Can Anxiety Cause Nausea?

Blog Outline

Yes. Anxiety can be the cause of nausea. There are physical and psychological reasons. 

In anxiety, the body releases adrenaline and cortisol stress hormones.

These hormones can trigger many psychological and health-related issues. Heart rate, difficulty in breathing, sweating, muscle tension, and digestive issues are some of them.  

But it is necessary to know about anxiety.

Anxiety Disorders and Health Conditions

Anxiety is a natural, common part of the human stress response. Every person experiences it from time to time in their life.  

Its characteristics are tension, negative or worried thoughts, and physiological changes. 

The anxiety symptoms go beyond mental distress. Its often appearance is a physical reaction in the body due to a chemical stress response that is triggered by the brain, including nausea. 

The physical manifestations are often referred to as psychosomatic illnesses

It can be a smart part of evolutionary biology that alerts people against danger. It is known as a “fight, flight, or freeze” response. 

Basically, our body prepares us to face an upcoming emergency or danger.

When we have stressful feelings, our body releases hormones immediately. These hormones are neurotransmitters in the brain that react after sending messages to the body. They cause:  

  • Faster heart rate
  • Difficult breathing
  • Muscle tension
  • Send more blood to the brain

However, anxiety can affect emotional, mental, and physical health in severe conditions.

The Brain-Gut Connection and Nausea

The link between anxiety and nausea is a brain-gut connection that contains the vagus nerve.

Emotional brain state can activate physical reactions in the body.

In times of stress and anxiety, the brain’s amygdala releases stress hormones.

How Stress Affects Your Stomach

When you feel stressed or anxious, your body becomes ready to face a threat. This is the reaction called “fight, flight, or freeze”. During this time, your body makes some immediate physical changes.

Your blood flows away from your stomach and intestines. It moves to your heart, lungs, muscles, and brain. This change in blood flow provides your stomach with less oxygen, and the result is bad digestion. You may have stomach issues, including nausea and vomiting.

Read More: Can Anxiety Disorder Cause High Blood Pressure? Insights About The Connection

The Vagus Nerve’s Role

The vagus nerve connects your brain to your stomach. It is a major part of the body system that controls digestion and helps you relax.

This nerve also contributes to your gag reflex. When you feel strong emotions, the brain can activate the vagus nerve, which can create a feeling of “butterflies” in your stomach before a big event. For some people, this feeling can become severe nausea or even vomiting.

Studies show that stress and anxiety can make people more sensitive to stomach problems like heartburn, even if the amount of stomach acid has not changed.

can-anxiety-make-you-feel-sick-all-the-time

Other Brain-Gut Connections Affecting Stomach

Anxiety can make you sick. Even stress can worsen these conditions, such as acid reflux, GERD, and heartburn. They can make these feelings more noticeable.

Stomach pain, cramps, gas, and bloating are direct manifestations of anxiety and stress on the digestive system.

Even stress can cause changes in bowel movements and become the cause of diarrhea or constipation. Anxiety and mental issues are strongly associated with IBS, a functional GI disorder where stress can aggravate symptoms, even if not become the direct cause.

Read More: Generalized anxiety vs panic disorder: A Closer Look

Major Anxiety Disorders That Cause Vomiting

Nausea can be a symptom of various anxiety disorders:

Generalized Anxiety Disorder (GAD)

This is caused by intense, persistent worry about everyday life. It can be persistent for six months or more. The symptoms can be tiredness and moodiness.

The excessive and uncontrollable worry can trigger the body’s fight-or-flight response. This response releases hormones that can interfere with digestive functions. It can lead to stomach discomfort, nausea, and other gastrointestinal issues.

Panic Disorder

Anxiety can bring panic attacks with sudden, extreme fear and visible physical symptoms like chest pain, dizziness, rapid heartbeat, sweating, and weakness. 

Read More: Is Panic Disorder a Disability?

Social Anxiety Disorder (SAD)

Nausea is a common physical symptom of social anxiety disorder. This is related to social situations that lead to self-consciousness and fear of judgment from other people.

Specific Phobia

Specific phobia is an irrational fear of certain objects or situations.

Post-Traumatic Stress Disorder (PTSD)

The situation is developed after trauma, which involves flashbacks, vivid dreams, and physical symptoms. The situation also triggers nausea-like feelings.

Coping Strategies For Anxiety and Related Nausea

Anxiety and its related symptoms, like nausea, need immediate attention. They can be reduced with the relief techniques. It is important to address both psychological and physiological aspects of anxiety to manage anxiety symptoms. 

Read More: Trauma Brain Vs Normal Brain: How Trauma Affects The Way We Live

Immediate Coping Strategies for Anxiety and Nausea

When anxiety-related nausea strikes, various methods can provide immediate relief:

Deep Breathing Exercises

Deep breathing can be helpful in both anxiety and nausea. Controlled, deep belly breathing can stimulate the vagus nerve, which helps calm the body.

When there are anxiety and nausea symptoms, you can practice belly breathing by placing one hand on your heart and the other on your belly. Then breathe powerfully through your nose and exhale gradually through pursed lips. This can work out.

Mindfulness Practices

The other strategy can be engaging in mindfulness exercises and meditation. It can help reduce anxiety, stress and may reduce nausea. Such therapies as mindfulness-based stress reduction (MBSR) and mindfulness-based cognitive therapy have shown results to reduce anxiety along with other disorders.  

Mindfulness practices consist of simple exercise that involves taking intentional deep breaths, counting them, and witnessing thoughts without judgment.  

Hydration

Water or other beverages like sports drinks and herbal teas can relieve intense symptoms and reduce nausea. Hydration can also help prevent anxiety.

Eating Mild Foods

For some people, hunger or low blood sugar can trigger anxiety and nausea. You can take a small number of bland snacks, plain rice, or boiled potatoes. These foods can help settle the stomach. It is suggested that you should avoid greasy, fried, spicy, and high-sugar foods.

Rest

Rest can be a simple act to reduce anxiety. When you have a relaxed mind, you can control such a fight-or-flight response. Wear loose-fitting, comfortable clothes that can provide relief when feeling sick. If you have acid reflux or GERD, it is best to prop yourself up with pillows.

Read More: Is Social Anxiety Disorder A Disability?

Focusing on the Present

Be aware of your present state. When you are in a state of anxiety, try to focus on what is happening around you and remind yourself that you are safe. This can be helpful to pass on feelings.

Communication

Discuss your situation with your trusted friend or partners, or family member. If your situation gets worse, you should consult with a mental health professional. They can suggest a better solution and therapy.

Professional Treatment Options

For persistent or severe anxiety, professional interventions can help that including:

can-anxiety-cause-constant-nausea

Talking Therapies

Cognitive behavioral therapy (CBT)

It focuses on changing unhelpful thought patterns. A therapist helps to identify anxious thoughts that vary from person to person.

Psychodynamic Psychotherapy

This therapy addresses the roots that are the causes of anxiety through self-reflection. This is especially useful for anxiety that comes after trauma or deep-seated emotional conflicts.

Psychotherapy and hypnosis have also been found helpful for IBS and functional dyspeptic symptoms.

Medication

In some cases, psychiatrists use medication. It is combined with talking therapy. Psychiatrists prescribe medication like anti-anxiety drugs and antidepressants. Anti-anxiety drugs offer short-term relief due to the risk of physical dependence.   

Antidepressants are often prescribed for long-term treatment and relief in situations like panic disorder and generalized anxiety. Tricyclic antidepressants can be effective for IBS and other functional bowel symptoms.

Beta-blockers can slow heart rate and reduce blood pressure, normally prescribed for predictable, sudden bouts of anxiety like stage fright. It can reduce anxiety that makes you nauseous.

Read More: A Guide to Understand Anxious Attachment

When To Seek Medical Help For Anxiety And Related Physical Symptoms

It is necessary to consult a medical practitioner and psychiatrist if anxiety and nausea are continuous and trigger more related symptoms. Untreated anxiety can affect daily functioning in life.

A psychiatrist can help to identify the condition, level of symptoms, and recommend appropriate treatment options accordingly.

At Orange Coast Psychiatry, Our psychiatrists are experienced and have years of knowledge of treatment. Also, there are personalized choices, whether you need cognitive behavioral therapy or psychodynamic therapy. Besides that, for people who want it to be secret, we have telehealth services for ongoing treatment. Contact us now and control your feelings.

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Can Anxiety Cause Nausea?

Yes. Anxiety can be the cause of nausea. There are physical and psychological reasons.  In anxiety, the body releases adrenaline and cortisol stress hormones. These hormones can trigger many psychological and health-related issues. Heart rate, difficulty in breathing, sweating, muscle tension, and digestive issues are some of them.   But it

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Outside of work, Leemarie enjoys staying active, practicing self-care, and spending time with family and friends. She also loves traveling and trying new experiences that bring joy and balance to her life.

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Dr. Grawert

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Dr. Lauren Grawert is a double board-certified psychiatrist with the American Board of Psychiatry and Neurology and Addition Psychiatry. She is an integral part of the team of Supervising Psychiatrists for our Psychiatric-Mental Health Nurse Practitioners here at Orange Coast Psychiatry.
In previous roles, Dr. Lauren Grawert was the founder of LHG Telemedicine LLC, as well as Chief of Psychiatry (Northern Virginia) for the Mid-Atlantic Permanente Medical Group; she has also worked in private practice specializing in general psychiatry, substance use disorders, and medically assisted treatment (MAT). Dr. Grawert has served as an expert for the San Diego Community Response to Drug Overdose Task Force; the Addiction subcommittee leader for Kaiser Permanente National Mental Health & Addiction Leadership Organization; and a Professor of Psychiatry at Penn State College of Medicine. She received her medical and psychiatric training at Medical University of South Carolina.
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May is passionate about promoting resilience and recovery through preventive mental health care and individualized, holistic treatment plans. Her commitment to excellence is reflected in her memberships in the American Psychiatric Nurses Association and Sigma Theta Tau International Honor Society of Nursing.
In her personal time, May enjoys fostering mindfulness and well-being through activities she loves, such as spending time with her husband and their two beloved cats, Pippy and Eva.

Dr. Montgomery

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After psychiatry residency, she completed her Forensic Psychiatry Fellowship at the University of Southern California, Keck School of Medicine. After completing her fellowship, Dr. Montgomery has worked in public psychiatry for the Los Angeles County Department of Health Services. She teaches, consults, and treats individuals with depressive disorders, anxiety disorders, trauma-related disorders, and serious mental illness (SMI), such as schizophrenia spectrum and bipolar disorders. Her experience includes outpatient, inpatient, emergency, consult liaison, addiction, dual-diagnosis, and forensic psychiatry. She is an expert evaluator on the Superior Court of California Panel of Expert Psychiatrists and Psychologists. Dr. Montgomery is an attending physician for the Harbor-UCLA Department of Psychiatry and serves as a psychiatrist with Orange Coast psychiatry.

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M.D. – Psychiatrist

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Dr. Ravi graduated from Virginia Commonwealth University (B.S., Magna Cum Laude), VCU School of Medicine (M.D.), Dartmouth Hitchcock Medical Center (Residency in Psychiatry), and John. A. Burns School of Medicine (Fellowship in Geriatric Psychiatry). He currently is a clinical assistant professor of psychiatry at John A. Burns School of Medicine in Honolulu, HI and serves as a psychiatrist with Orange Coast psychiatry.
Dr. Ravi is a dedicated community psychiatrist with extensive experience in public, correctional, inpatient and outpatient settings, and an experienced tele-psychiatrist. He consults on topics in general psychiatry, including quality improvement, treatment planning, and crisis management, and in correctional psychiatry, including recovery-oriented treatment for individuals with serious mental illness and dual diagnosis. His current and future interests focus on understanding the various approaches in managing the suffering and disturbance of complex psychiatric disorders, particularly in the use, misuse, overuse, and misrepresentation of psychotropic medications.

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He is widely published, has been recognized at many levels for his research, teaching, consulting, and clinical endeavors, and has received research funding from the NCI, NIMH, the National Palliative Care Research Center, the Archstone Foundation, and industry.
Dr. Irwin earned his Bachelor of Science from the University of California, Los Angeles, and both his MD and PhD (neuroscience) at the University of Illinois, Urbana-Champaign. He successfully completed his psychiatry residency at UC San Diego as chief resident of Outpatient Psychiatric Services, as well as a two-year elective in hospice and palliative care at San Diego Hospice and The Institute for Palliative Medicine. He is a diplomate of the American Board of Psychiatry and Neurology, with subspecialty certification in psychosomatic medicine.

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Outside of her professional life, Shaheena enjoys exploring new culinary experiences, staying active through exercise, and planning her next travel adventures.
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Cristian Cuevas

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A California State University Long Beach graduate, Cristian also earned recognition as a board-certified psychiatric mental health registered nurse. With a wealth of expertise in adult psychiatric care across the lifespan, Cristian has successfully diagnosed and treated a diverse range of mental health disorders.
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Rooted in the highest quality of evidence-based practice and informed by a holistic, collaborative, person-centered approach, Mina’s clinical skillset encompasses psychiatric assessments, medication management, psychotherapy, and education. Her clinical focus covers symptoms and conditions related to depression, anxiety, panic, mood imbalances, attention/concentration deficits and hyperactivity, executive dysfunction, life transitions, acute stress, grief, trauma, and more. Additionally, Mina has experience in providing ketamine-assisted therapies and Transcranial Magnetic Stimulation (TMS) for mental health.
Coming from a family of immigrants, Mina is familiar with providing culturally-, religiously-, and spiritually sensitive care while also maintaining efforts in delivering highly therapeutic communications. Furthermore, she continues her commitment in providing evidence-driven care and in upholding standards of quality by remaining active in organizations such as the American Psychiatric Nurses Association and the Sigma Theta Tau International Honor Society of Nursing.
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Aside from her dedication to providing mental health care, Mina also enjoys exploring nature and hiking, making photography and art, as well as spending quality time with friends, family, and her dog, Kona.

Dr Barrios

Board-Certified Child and Adolescent Psychiatrist

Dr. Carlos Barrios is a Board-Certified Child and Adolescent Psychiatrist with over two decades of experience in mental health care. His expertise in telepsychiatry has allowed him to serve patients across California and beyond. In his practice, Dr Barrios integrates metabolic and functional methodologies, focusing on guiding patients toward medication independence and emphasizing the connection between physical and mental health.
Outside of his professional life, Dr Barrios is passionate about kettlebell training, which helps him maintain my physical and mental wellness. He cherishes visiting his family in Guatemala, to reconnecting with his cultural roots and rejuvenating his spirit. Dr Barrios is also deeply involved in transcendental meditation and rucking, practices that not only provide him with tranquility but also keep him grounded and connected to nature. These hobbies reflect his commitment to a holistic approach to health, both personally and professionally.