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Alternating anxiety and nausea in the early morning

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GERD & Acid Reflux
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Posted 8/16/2014 11:21 AM (GMT 0)
I have been diagnosed with GERD and mild Gastritis. I am on Protonix and Ranitidine for the GERD and Paxil for anxiety. Every morning I wake up to extreme nausea or extreme anxiety. It alternates day to day. Both get better as the morning progresses. The problem is my job requires me to leave for work by 6:30 a.m. I have not been working full time for a long time and the medical bills are mounting. My doctors are getting frustrated with me when I e-mail them for help. I am also trying Acupuncture and Chinese Herbs. I was just put on Lamictal in addition to the Paxil. I am 59 and have never had episodes like this before . I have been very healthy until 2 yrs. ago. when I started having various ailments. Those are all gone. This is what remains. I am very frustrated and want my life back.
Posted 8/16/2014 11:29 AM (GMT 0)
Do you get anxious because your not nauseous like you are expecting it to happen? Nausea is common with gastritis but u can manage it with diet and supplements like ginger root. What does up current diet look like and how much do u drink?
Posted 8/16/2014 11:34 AM (GMT 0)
I don't drink alcohol at all. I have cut out caffeine, dairy, gluten, alcohol, citrus. I don't think bout getting anxious or nauseous.I try to go to bed with a clear head but now that I see the pattern, I am starting to anticipate how I will feel in the morning, anxious or nauseous.
Posted 8/16/2014 12:11 PM (GMT 0)
I've suffered with both before and I would often wake up and immediately start thinking about my stomach, which if it wasn't bad would then make it bad. What I have found helps with nausea is drinking lot of water throughout the day, keeps my stomach acid diluted. I also take ginger capsules when it's bad and it helps a lot. Also a heating pad on the stomach helps.

Be careful eating fatty or high fibre foods, usually these are in breakfast cereals which is why I used to feel worse in the morning. Avoid all bran, stick to simple carbs and also avoid raw fruit and veg as it's hard to digest.

For the anxiety I have learnt various relaxation techniques from deep breathing to autogenics. Now when I'm anxious I do these while relaxing my body physically, which helps the mind relax. Anxiety is something that takes a while to go away but it will do. Most important thing is to try and relax when it comes, even if it's just relaxing your body physically it helps.
Posted 8/16/2014 12:58 PM (GMT 0)
All good advice. Thank you. For anxiety, I go outside and walk and breath into a balloon. It is now 3 hrs. later and I am much better. off to work. I am always bad at drinking enough water. I will keep trying.
Posted 8/17/2014 9:02 AM (GMT 0)
Once again, I am awake at 3 a.m. feeling extremely nauseous. I had an Endoscopy and I have mild gastritis. I am on Protonix and Ranitidine. Nothing is changing my pattern. nauseous one morning, extremely anxious and nervous the next early morning and then back to nauseous the following morning. Usually if nauseous I am not extremely anxious and if anxious, no nausea. Any ideas out there? This is frustrating to no end. None of the doctors can figure it out. I am on Paxil and Lamictal but the anxiety symptoms remain the same. My doctor wants to put me on Effexor. i think they are all missing something. The link between the two.
Posted 8/19/2014 9:35 AM (GMT 0)
Hi there,

Nausea has always been one of my main symptoms and the first to appear on off days. Things I have found helpful are not drinking too much, especially in the evenings (nothing after 9 pm in my case); I certainly couldn't drink lots of water like Andy! Also, acupuncture DID help me a lot, so also the herb milk thistle. Another thing that made a BIG difference to morning nausea was taking my anti acid medication at night.

I would also find if something else woke me in the night (e.g kids or needing to spend a penny!) my stomach would decide it was morning and time to start acid production, meaning by the time the alarm went I'd wake feeling very sick indeed.

I also keep chewable DGL by the bed and chew that immediately I wake up if I feel at all queasy.

Main triggers for the nausea seem to be things that trigger the reflux the day before, drinking too much liquid in the evening (leading to reflux I guess), going too long without food and sleep disturbance.

Only thing I can think that would trigger nausea or anxiety like that is perhaps a disturbance of cortisol levels or low blood sugar - just a thought.

Presumably you have the head of the bed raised?

MMM
Posted 8/19/2014 9:37 AM (GMT 0)
PS: could you be doing something to manage the nausea (e.g eating less) that leads to the anxiety the next day??
Posted 8/19/2014 1:00 PM (GMT 0)
Yes, I have the head of the bed raised. What is DGL? I took 2 pepto bismol tablets this morning. They helped a little. I still had shakes and chills but the nausea was less intense. Interesting about something else waking me up. I am a very light sleeper. Indeed, if I wake up then the nausea or the anxiety ( depending on the day) is soon to follow.
Posted 8/21/2014 9:40 PM (GMT 0)
Paxil is a drug that has a lot of side effects. I know that it's used for anti-anxiety, but it's mostly used for depression. There are a lot of other/newer drugs on the market that you doctor can prescribe, there are probably quite a few that you might tolerate better. One of the side effects of Paxil is definitely nausea and nervousness.
Posted 8/22/2014 1:16 AM (GMT 0)
Thanks. I agree but now that I am on Paxil, I read that it is very hard to get off of. My doctor doesn't like to be questioned in her prescriptions. Not my favorite person in the world right now.
Posted 8/23/2014 1:16 PM (GMT 0)
DGL is licorice, which you can get deglycinerinzed (the DG bit of DGL) so as not to affect blood pressure. It comes in capsule form but the chewable tablets I find helpful for that early morning yukky sensation.

MMM
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