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i recently have began to awaken during the night with extreme nausea. i do not have any other abdominal discomfort besides the nausea. i also feel like i am constantly hot yet do not sweat . this feeling as though i have a fever happens during the night and usually subsides by noon. i am not pregant nor can i get pregnant so i know it is not that. i am 42 years old. should i schedule an appointment with my primary care doctor or my gyn? thanks do you know what can cause such symptoms?? especially only during the night and subsiding by noon?

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Being that you are 42, a possible root of your problem could be ralted to menopause. Following is a link to identify your particular type.

http://www.yourmenopausetype.com/questionaire/mtq.html

It is always a good idea to discuss symptoms such as hot flashes and nausea with your private physician. Nausea related to menopause is not widely recognized, but such cases do exist. Headaches related to menopause appear to be more common. Unfortunately, the connection between menopause and headaches is not widely recognized and they are treated as two unrelated conditions.

Women experiencing increased pain, such as headaches, or increased agitation of any body system, such as nausea may have a progesterone deficient menopause type. Menopause related nausea and headaches are often related to a progesterone deficiency.

It may be because progesterone opposes the action of prostaglandins, substances that increase pain and inflammation symptoms such as headaches and nausea. Of interest; estrogens increase prostaglandins, so may increase pain and inflammation – balance is the goal. Some types of PMS respond well to progesterone for this reason.

As well as opposing prostaglandins, progesterone is more calming or quiescent to the nervous system. Progesterone and its metabolites can calm a body system that is showing signs of agitation - there are increased irritable bowel symptoms with progesterone deficiency. This calming effect is in sharp contrast to the stimulating and agitating effects of estrogens. I have seen progesterone stop menopause related nausea a number of times.

The progesterone metabolites that are more calming to the body include allopregnanolone. This metabolite is relaxing, reduces anxiety and may have analgesic (pain relieving) properties. When progesterone is taken by mouth more of it will become metabolized to allopregnanolone. This may be why I have had better results with oral progesterone than with progesterone cream when treating nausea related menopause.

In any event, please contact your primary care physician to arrange a full work up of possible causes.

Good Luck,

LiddyBea

Reply to Liddy's Post: shouldnt i schedule with my gyn instead?? or should i go to primary in case something else is going on??

You are correct on scheduling the initial appointment wwith the ob/gyn. Typically each persons route of ation starts with the primary care physician, but since you already have one just start there. Just make sure they share your history to ensure the most appropriate treatment.

If you have any other questions, please let me know.

LiddyBea

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