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Published on: 1/31/2025

What Are the Possible Causes of Nausea and Vomiting in Women?

Nausea and vomiting in women can be caused by a wide range of factors, including gastrointestinal issues, hormonal changes, infections, and psychological factors. Understanding these potential causes is essential for effective diagnosis and treatment.

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Explanation

Common Causes of Nausea and Vomiting

Several common conditions can lead to nausea and vomiting in women:

  • Gastrointestinal Disorders: Conditions such as gastroenteritis (inflammation of the stomach and intestines), food poisoning, and peptic ulcers can cause nausea and vomiting. These conditions often result from infections or irritants in the digestive tract.
  • Pregnancy: Nausea and vomiting are common in early pregnancy, often referred to as "morning sickness." This condition is thought to be related to hormonal changes and typically resolves by the end of the first trimester.
  • Menstrual Cycle: Hormonal fluctuations during the menstrual cycle can lead to nausea and vomiting in some women, particularly during menstruation or premenstrual syndrome (PMS).
  • Medications: Certain medications, including chemotherapy drugs, antibiotics, and pain relievers, can cause nausea and vomiting as side effects.

Other Potential Causes

In addition to the common causes, other factors may contribute to nausea and vomiting:

  • Infections: Viral or bacterial infections, such as the flu or a stomach virus, can lead to nausea and vomiting. Infections of the inner ear (vestibular system) can also cause motion sickness and related symptoms.
  • Psychological Factors: Anxiety, stress, and depression can manifest as physical symptoms, including nausea and vomiting. This is sometimes referred to as "psychogenic vomiting."
  • Metabolic and Endocrine Disorders: Conditions such as diabetes (especially diabetic ketoacidosis), thyroid disorders, and adrenal insufficiency can lead to nausea and vomiting.
  • Neurological Conditions: Migraines and other neurological disorders can cause nausea and vomiting as part of their symptomatology.

When to Seek Medical Attention

If nausea and vomiting are persistent, severe, or accompanied by other concerning symptoms (such as dehydration, severe abdominal pain, or blood in vomit), it is important to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly laboratory tests, to determine the underlying cause and recommend appropriate treatment.

(References)

  • Johns T, Lawrence E. Evaluation and Treatment of Nausea and Vomiting in Adults. Am Fam Physician. 2024 May;109(5):417-425. PMID: 38804756.

  • Heckroth M, Luckett RT, Moser C, Parajuli D, Abell TL. Nausea and Vomiting in 2021: A Comprehensive Update. J Clin Gastroenterol. 2021 Apr 1;55(4):279-299. doi: 10.1097/MCG.0000000000001485. PMID: 33471485; PMCID: PMC7933092.

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