*Content reviewed by HotPause Health Gastroenterologist, Dr. Vicky Yang

Does Menopause Cause Nausea?

Can Menopause Cause Nausea?

While nausea isn’t the most commonly discussed symptom of menopause, many women wonder, “Does menopause cause nausea?” The answer is yes—nausea during perimenopause and menopause is possible due to hormonal fluctuations. Understanding why this happens can help you manage and alleviate this uncomfortable symptom.

Why Does Nausea Happen in Menopause?

During perimenopause and menopause, your body’s estrogen levels decrease significantly. Estrogen isn’t just involved in reproductive functions; it also influences the gastrointestinal tract. When estrogen levels fluctuate and decline, it can make your stomach and digestive system more sensitive, potentially altering the rhythm of gut motility, leading to nausea during menopause.

Other menopause-related symptoms can exacerbate nausea:

• Hot Flashes: Sudden feelings of heat can trigger discomfort and queasiness.
• Sleep Disturbances: Lack of restful sleep can lead to fatigue and increased sensitivity to nausea.
• Vertigo: A sensation of spinning or dizziness. While vertigo has many causes, recent research suggests a possible connection between hormonal changes in menopause and disturbances in the vestibular system, which controls balance and spatial orientation.
• Emotional Stress: Anxiety and mood swings common in menopause can manifest physically, including an upset stomach.
• Changes in diet, lifestyle adjustments, and the body’s decreased ability to manage stress can further contribute to nausea in perimenopause.

How Long Does Menopause-Related Nausea Last?

The duration of nausea during menopause varies among women. Some may experience mild, short-lived episodes, while others might deal with more persistent nausea. As hormone levels gradually stabilize post-menopause, this symptom often diminishes. However, if nausea persists, it’s important to consult a healthcare provider to rule out other potential causes.

What Can You Do About Nausea in Menopause?

Managing menopause and nausea involves a combination of dietary choices, lifestyle adjustments, and, when necessary, medical treatments.

Lifestyle and Dietary Adjustments

• Avoid Triggers: Steer clear of spicy foods, alcohol, and caffeinated beverages, which can irritate your digestive system.
• Eat Small, Frequent Meals: This can prevent your stomach from becoming too empty or too full, both of which can trigger nausea.
• Stay Hydrated: Drink water throughout the day to stay hydrated, but avoid drinking large amounts at once.
• Ginger Remedies: Incorporate ginger into your diet—ginger tea, ginger ale, or candied ginger are known to help alleviate nausea.
• Peppermint: Peppermint tea or candies can soothe an upset stomach.
• Sour Flavors: Foods with sour flavors, like lemon or sour candies, may help reduce nausea.
• Light Broths: Chicken or vegetable broth can be gentle on the stomach and provide necessary nutrients.

Over-the-Counter Remedies

• Antiemetic Medications: Medications like Kaopectate or Pepto-Bismol (both containing bismuth subsalicylate) can relieve nausea.
• Antihistamines: Over-the-counter options like Dramamine (dimenhydrinate) may help, but can cause drowsiness.

Prescription Medications
For severe or persistent nausea, consult your healthcare provider. They may prescribe medications such as:

• Zofran (ondansetron): Helps block nausea signals to the brain.
• Promethazine (Phenergan): An antihistamine that treats nausea but may cause drowsiness.

Stress Management

• Relaxation Techniques: Practices like deep breathing exercises, meditation, or yoga can reduce stress-induced nausea.
• Regular Exercise: Light to moderate physical activity can improve overall well-being and reduce symptoms.

When to Seek Medical Advice

If you’re experiencing severe nausea, unexplained weight loss, or if nausea interferes with your daily life, it’s important to consult a healthcare professional. They can rule out other causes such as gastrointestinal issues or side effects from medications.

Final Thoughts

Menopause and nausea might not be the most talked-about pairing, but understanding the connection can empower you to take control of your symptoms. By making mindful lifestyle choices and seeking appropriate treatments, you can navigate this transitional phase more comfortably.