Friday, 28 March 2025

MULTIDIMENSIONAL APPROACH TO COMMON GASTROINTESTINAL SYMPTOM - NAUSEA AND VOMITING

 

Abstract

Nausea and vomiting are symptoms of many different health conditions, including early pregnancy, concussions and the stomach flu. Happening in both adults and children, there are many ways to relieve nausea. This article review about causes, risk factors, different type, clinical presentation general management including some home remedies management and homoeopathic way of treatment of Nausea and vomiting. Homoeopathy treats the person as a whole. It means that homoeopathic treatment focuses on the patient as a person, as well as his pathological condition.

Introduction

Vomiting is an uncontrollable reflex that expels the contents of the stomach through the mouth. It’s also called “being sick” or “throwing up.” Nausea is a term that describes the feeling that you might vomit but aren’t actually vomiting.

Both nausea and vomiting are very common symptoms and can be caused by a wide range of factors. They occur in both children and adults, although they’re probably most common in pregnant women and people undergoing cancer treatments.

Causes of Nausea and vomiting

Nausea and vomiting may occur together or separately. They can be caused by a number of physical and psychological conditions.

Nausea

The most common causes of nausea are intense pain — usually from an injury or illness — and the first trimester of pregnancy. There are also a number of other relatively common causes, including: motion sickness, emotional stress, indigestion, food poisoning, viruses, exposure to chemical toxins. If have gallstones, also likely to feel nauseated. Certain smells bring on the feeling of nausea. This is a very common symptom during the first trimester of pregnancy, although it can also occur in people who aren’t pregnant. Pregnancy-induced nausea usually goes away by the second or third trimester.

Vomiting in children

The most common causes of vomiting in children are viral infections and food poisoning. However, vomiting can also be caused by: severe motion sickness, coughing, high fevers

Overeating, In very young infants, blocked intestines can also cause persistent vomiting. The intestines may become blocked by abnormal muscular thickening, hernia, gallstones, or tumors. This is uncommon but should be investigated if unexplained vomiting occurs in an infant.

Vomiting in adults

Most adults rarely vomit. When it does occur, a bacterial or viral infection or a type of food poisoning usually causes vomiting. In some cases, vomiting can also be the result of other illnesses, especially if they lead to a headache or high fever.

Chronic stomach conditions

Chronic, or long-term, stomach conditions can often cause nausea and vomiting. These conditions can come along with other symptoms, such as diarrheaconstipation, and stomach pain. These chronic conditions include food intolerances, such as celiac disease and dairy protein and lactose intolerance.

Irritable bowel syndrome (IBS) is a common stomach condition that causes bloating, nausea, vomiting, heartburn, fatigue, and cramping. It occurs when parts of the gut become overactive. Doctors usually diagnose IBS by identifying symptoms and ruling out other stomach and bowel conditions.

Crohn’s disease is an inflammatory bowel disease that commonly affects the intestines, though it can occur anywhere in the digestive tract. Crohn’s disease is an autoimmune condition in which the body attacks its own healthy gut tissue, causing inflammation, nausea, vomiting, and pain.

Doctors usually diagnose Crohn’s disease using a colonoscopy, a procedure that uses a small camera to explore the colon. Sometimes they also need a stool sample to help diagnose the condition.

Lifestyle choices

Certain lifestyle choices can increase your chance of experiencing nausea and vomiting.

Consuming a large amount of alcohol can cause damage to the lining of the gut. Alcohol can also react with stomach acid. Both of these will cause nausea and vomiting. In some cases, excessive alcohol consumption can also cause bleeding in the digestive tract.

Eating disorders

An eating disorder is when a person adjusts their eating habits and behaviors based on an unhealthy body image. It can cause nausea and vomiting.

Bulimia is an eating disorder in which a person induces vomiting deliberately to purge the stomach of any consumed food. People with anorexia may also feel nausea due to starvation and excess stomach acid.

Serious conditions

Though rare, vomiting can sometimes occur as a symptom of a more serious condition, including: meningitis, appendicitis, concussion, a brain tumor, migraines

General Management

Treatments for nausea and vomiting depend on the cause. You may get treatment for the underlying problem. There are some medicines that can treatment nausea and vomiting. For severe cases of vomiting, you may need extra fluids through an IV (intravenous).

There are things that you can do to feel better:

·        Get enough fluids, to avoid dehydration. If you are having trouble keeping liquids down, drink small amounts of clear liquids often.

·        Eat bland foods; stay away from spicy, fatty, or salty foods

·        Eat smaller meals more often

·        Avoid strong smells, since they can sometimes trigger nausea and vomiting

·        If you are pregnant and have morning sickness, eat crackers before you get out of bed in the morning

Home remedies

Anti-nausea medications can help with nausea symptoms. However, they often have side effects, such as drowsiness. Some people may prefer to explore natural remedies for nausea.

·        Ginger is a popular natural remedy for nausea.It is not clear how ginger specifically treats nausea. However, experts believe ginger compounds may work similarly to anti-nausea medications. Several studies agree that ginger may help reduce nausea in various situations.For instance, consuming ginger may effectively decrease nauseaTrusted Source during pregnancy or after chemotherapyTrusted Source treatment.

·        Peppermint aromatherapy may also help reduce nausea.One study of 100 people found that peppermint essential oil significantly improvedTrusted Source nausea when used alone or alongside medications. In another study, peppermint oil reduced the frequency of nausea, vomiting, and retching in people undergoing chemotherapy. In a third study Trusted Source, using an inhaler containing peppermint oil at the onset of nausea reduced symptoms — within 2 minutes of treatment — in 79% of cases.

·        Citrusy smells, such as those from freshly sliced lemon, may help reduce pregnancy-related nausea.In one older study from 2014, 100 pregnant people inhaled either lemon essential oil or almond oil as soon as they felt nausea. At the end of the 4-day study, those in the lemon group rated their nausea 9% lowerTrusted Source than those given the almond oil placebo.

·        Fennel powder, which may reduce Trusted Source menstrual symptoms, including nausea, and help people experience shorter periods.

·        Cinnamon, which may decrease Trusted Source the severity of nausea that some people experience during menstruation

·        Cumin extract, which may help improve symptomsTrusted Source such as abdominal pain, nausea, constipation, and diarrhea in individuals with irritable bowel syndrome

·        Relaxing your muscles, whether through massage or PMR techniques, may help relieve nausea.

·        Vitamin B6 is an alternative treatment for pregnant people who prefer to avoid anti-nausea medications.

·         Fresh air and ventilation: Stay in a well-ventilated area or step outside for fresh air, as stuffy or odorous environments can trigger or worsen vomiting.

·        Avoid triggers: Identify and avoid triggers that can induce vomiting, such as certain foods, strong smells or excessive movement.

·        Gradual reintroduction of food: Once vomiting has subsided, start with small, bland and easily digestible foods, such as crackers, rice or bananas, before gradually reintroducing a normal diet.

 

HOMOEOPATHIC MANAGEMENT

Homoeopathy is a remarkable resource for those dealing with digestive disorders.  The unique physical, emotional and mental expression of illness is characteristic and is used to channel the course of Homoeopathic treatment. The remedies work by stimulating body’s natural ability to heal itself, acting as a catalyst for healing. Homoeopathy can be of assistance in retrieving normal motility and treating any psychological issues related to gastric disorders. The following homoeopathic medicines are often found indicated in cases of nausea and vomiting

 

Indicated Remedies

Indications

Nux vomica

One of the primary remedies for vomiting, especially when associated with overeating, indigestion or excessive alcohol consumption. The person may experience nausea, a sour or bitter taste in the mouth and an irritable disposition.

 

Ipecacuanha

Indicated for persistent nausea and vomiting, even when the stomach is empty. The person may feel weak, exhausted and may have a constant inclination to vomit.

Arsenicum album

This is suitable for vomiting accompanied by anxiety, restlessness and a feeling of extreme weakness. The person may have a burning sensation in the stomach and may experience relief from sipping warm drinks

 Phosphorus

Recommended for vomiting with a sour or bitter taste in the mouth and a sensation of burning in the stomach. The person may feel weak and may have a strong desire for cold drinks

Veratrum album

A remedy indicated for violent vomiting and diarrhoea, with profuse sweating, coldness and weakness. The person may have a pale face and a craving for icy-cold drinks

 Pulsatilla

This remedy can be helpful if nausea is worse in the afternoon and evening (often in the morning, as well). The woman is not very thirsty, although she may feel better from drinking something cool. She can crave many different foods, but feels sick from many things (including foods she craves). Creamy foods or desserts may be appealing, but can cause discomfort and burping or bring on vomiting. A woman who needs this remedy usually is affectionate, insecure, and weepy—wanting a lot of attention and comforting.

Bryonia alba

Recommended when vomiting occurs after eating or drinking, and the person experiences intense nausea and a desire to remain still. The person may feel worse with any motion

 

Carbo Vegetalis: 

If the vomiting is associated with indigestion, heartburn, flatulence, and a bloated feeling, carbo vegetalis can be the ideal remedy. Food regurgitation or GERD with a sour taste in the mouth is a good indicator for using this remedy. There is gas in the stomach which causes distention and burping, especially in children, and this remedy is very useful in such cases.

Ignatia: 

Vomiting is brought on by emotional stressors, associated with depression and trying to curb this feeling. The person may be crying and have mood swings and sleeplessness. This is also used in children who may complain of a lump in the throat. In children especially, everything that is said will be taken very personally.

Antimonium crudum 

The tongue is coated with a white layer and vomiting occurs soon after eating or drinking. There could be history of eating indigestible foods or overloaded stomach.

Kreosote: 

When undigested food stays in the stomach for prolonged periods or used in vomiting associated with cancerous growths and kidney diseases.

Aethusa: 

If a child is vomiting curd-like material followed by exhaustion, this is a good solution. The hungry child eats and goes through the bout of nausea, and the cycle repeats.

Asarum

 

This remedy is indicated when a woman feels very ill, with constant nausea and retching. She is extremely sensitive to everything—especially noise, which can aggravate the nauseous feelings. She feels best when lying down and resting. Cool drinks or food may help, but it is hard for her to even think of eating.

Lacticum acidum

 

This remedy is indicated for “classic morning sickness”: nausea worse immediately on waking in the morning and on opening the eyes. The woman may salivate a lot and have burning stomach pain. She usually has a decent appetite and feels better after eating.

Sepia

 

Gnawing, intermittent nausea with an empty feeling in the stomach suggests a need for this remedy. It is especially indicated for a woman who is feeling irritable, sad, worn out, and indifferent to her family. She feels worst in the morning before she eats, but is not improved by eating and may vomit afterward. Nausea can be worse when she is lying on her side. Odors of any kind may aggravate the symptoms. Food often tastes too salty. She may lose her taste for many foods, but may still crave vinegar and sour things.

Tabacum

 

This remedy can be helpful to a woman who feels a ghastly nausea with a sinking feeling in the pit of her stomach. She looks extremely pale, feels very cold and faint, and needs to lie very still and keep her eyes closed. If she moves at all, she may vomit violently—or break out in cold sweat and feel terrible.

Conclusion

Homeopathic remedies can help rebuild mind, body and spirit as well as personal relationships for a balanced lifestyle. Homeopathy will reinforce and tone the body’s systems. Homeopathic remedies can help deal with anxiety, depression, and stress along with digestive problems. It will attend to nutritional problems and help the patient develop a healthier body image.Homeopathic constitutional treatment based on the individual case is the most suitable and would aim to heal the underlying physical or emotional crisis causing digestive disorders.

 

References:

 

1.      Harrison's Principles of Internal Medicine

2.      http://en.wikipedia.org/wiki/

3.      Davidson’s Principles and Practice of Medicine,

4.      https://www.peacehealth.org/medical-topics

5.      https://www.lybrate.com/topic

6.      https://www.homeopathyschool.com/the-clinic/self-help-conditions/vomiting/

7.      E.A.Farrington , Clinical Materia Medica

8.      W. Boericke, Pocket Manual of Homeopathic Materia Medica and Repertory

9.      M.L.Tyler, Homeopathic Drug Picture.

10. https://medlineplus.gov/

11. H.C.Allen, Allen’s Keynotes.

12. Lilienthal S., Homoeopathic Therapeutics

13. Dewey W. A., Practical Homeopathic Therapeutics

14. /https://www.healthline.com/nutrition/

15. http://www.nlm.nih.gov/medlineplus/ency/article/

16. Dr. K.N.Mathur, Principles of Prescribing

 

About the author

Prof. Dr. S. SABARIRAJAN., M.D. (Hom) (Pract. of Med), PGDHHM

HOD, Dept. of Practice of Medicine, Sivaraj Homoeopathic Medical College and Research institute (Affiliated to The Tamilnadu Dr. M.G.R. Medical University, Chennai), Thumbathulipatty, Salem - 636307, Tamilnadu

Prof. Dr. S. R. AMEERKHAN BABU., M.D. (Hom) (Pract. of Med), MBA

HOD, Dept. of Practice of Medicine, Excel Homoeopathy Medical College & Hospital (Affiliated to The Tamilnadu Dr. M.G.R. Medical University, Chennai), NH544, Komarapalayam, Namakkal Dt. - 637303, Tamilnadu

MULTIDIMENSIONAL APPROACH TO COMMON GASTROINTESTINAL SYMPTOM - NAUSEA AND VOMITING

  Abstract Nausea and vomiting are symptoms of many different health conditions, including early pregnancy, concussions and the stomach f...