What can cause morning nausea in men?

diggleblop · #1 07-07-2006, 10:01 AM

I can't find anything on this about men. When I type in keywords like morning nausea or morning sickness, the only thing that pops up is pregnant women.

Every morning I wake up feeling nausea in my stomach and then after about a half hour or so it goes away. There is never any vomiting, no reflux or anything like that. Just a mild sick feeling in my stomach. Now, I take Toprol XL 50mg once a day for heart palpitations and I also take roughly 2500 mg of tylenol a day because that's in my pain pills. I know that max dose of tylenol a day is 4000mg for adults. I'm about 6'2'' and 350lbs. A big guy.

WhyNot · #2 07-07-2006, 10:14 AM

The most common cause of morning nausea in anyone is low blood sugar. Fasting all night will do that to you.

About 1 in 100 patients on Toprol XL experiences nausea as a side effect, though the literature doesn't specify morning nausea.

So it's likely one of those. However, one of the symptoms of Tylenol overdose is nausea, so it's probably worth a mention to your doctor. If your liver is getting pickled, she can tell with a few tests.

Qadgop the Mercotan · #3 07-07-2006, 10:25 AM

Quote:

Originally Posted by WhyNot

The most common cause of morning nausea in anyone is low blood sugar. Fasting all night will do that to you.

Got a reputable cite for that one?

WhyNot · #4 07-07-2006, 10:43 AM

Quote:

Originally Posted by Qadgop the Mercotan

Got a reputable cite for that one?

Sure. Two for morning sickness and one for low blood sugar anytime:

Dr. Sears : "Low blood sugar can trigger nausea, and it may occur upon awakening or anytime you go hours without food."

Lauri M. Aesoph: "When blood sugar drops too low and isn't pulled back up, classic symptoms may occur, including hunger, weakness, dizziness, confusion, cold sweats, nausea, palpitations and even numbness of the face or extremities."

MSN article: "Low blood sugar levels can produce nausea and may result from a lack of food and energy."

Qadgop the Mercotan · #5 07-07-2006, 10:46 AM

The most common causes of vomiting prior to breakfast besides pregnancy are:

Alcoholism
Uremia
Chronic Obstructive Lung Disease
Psychogenic Vomiting
Increased Intracranial Pressure

I've had hundreds of folks on metoprolol, and have had essentially no complaints of nausea on it. But check with your own doctor.

Qadgop the Mercotan · #6 07-07-2006, 11:10 AM

Sorry, whynot but I'm not impressed with those cites.

Hypoglycemia as a legitimate diagnosis is very, very uncommon, despite it's fashionability a while back. Frankly, 99.99% of the hypoglycemia I see is in diabetics who are on medications which lower blood sugar.

So I don't buy the concept that it's the most common reason for AM nausea.

Qadgop the Mercotan · #7 07-07-2006, 11:35 AM

And to elaborate a bit further, I've seen many patients who have AM nausea who are not pregnant, and have AM blood sugars in the normal range.

Frankly, the most plausible reason I've run across for AM nausea is a stomach full of sloshy bile and acids, which isn't emptying itself of its secretions very rapidly due to sleep and lack of intake. Food helps because it reduces the pH and speeds stomach emptying.

At least that's a common hypothesis among a lot of gastroenterologists I know. The above-listed causes in my earlier post are the more common pathological ones.

Qadgop the Mercotan · #8 07-07-2006, 11:41 AM

Quote:

Originally Posted by Qadgop the Mercotan

Food helps because it reduces the pH and speeds stomach emptying.

Sorry, that should read: Reduces the acidity.

KarlGauss · #9 07-07-2006, 12:36 PM

Hypoglycemia in people not using diabetes medications is very, very uncommon.

Alas, attributing nausea (and fatigue, irrirability, lethargy, impaired memory, headache, sluggishness, etc, etc.) to hypoglycemia is very, very common. And very, very misguided. Study after study has shown, and years of clinical experience will confirm, that in people who claim to suffer from hypoglycemia, or who have been labeled as such, there is no relationship between their blood sugar level and their symptoms.

Basically, "hypoglycemia", just as with systemic candidiasis, "environmental hypersensitivity", and many cases of ostensible chronic fatigue syndrome, represents nothing more than an attempt to give a diagnostic label to a set of near-ubiquitous symptoms/complaints in our society.

I've always felt that part of the problem lies with the ease with which people (think they can) relate to hypoglycemia. After all, everyone knows about sugar and it's easy to conceptualize it being too low (or too high) depending on the timing, content, and size of the last meal. Now, if people started to believe they had hyperapobetalipoproteinemia, I'd be worried.

diggleblop · #10 07-07-2006, 01:28 PM

Thanks for the responses guys. As a large guy, I do have obstructive sleep apnea and use a CPAP machine every night for that. My blood sugar was tested by my granny's tester and it was 128. All my blood work came back ok as well back in April. I routinely get blood work done because of my Tylenol intake. The only thing that was high was my triglycerides. And actualyl, my LDL Cholesterol was low I was told.

Everything else was fine. I had an echo done and that was fine as well. So I'm otherwise in great health.

My instinct tells me if is something wrong with my stomach and digestive system. Because before I took Prilosec, I used to get heartburn something fierce, but since taking that a few months ago, no more heartburn.

But yeah, I'm thinking it's bile and digestive problems. Thanks for the repsonses and I guess I'll go talk to the ole Doc to be sure.

KarlGauss · #11 07-07-2006, 01:33 PM

Just a thought, but might not the CPAP be forcing air into your stomach and thereby cause "gas" and bloating? While not 'nausea' themselves, it's easy to imagine how those symptoms might contribute to the feeling of nausea.

diggleblop · #12 07-07-2006, 02:06 PM

You know, I thought the same thing. That maybe the CPAP could be causing it, becuase it IS rather powerful. I mean, when the mask is on my face, I have to REALLY tighten it or else it will blow right off my face.

Figaro · #13 07-07-2006, 02:07 PM

I've noticed that I suffer AM nausea if I go to bed even slightly dehydrated.

KarlGauss · #14 07-07-2006, 02:19 PM

Quote:

Originally Posted by KarlGauss

Just a thought, but might not the CPAP be forcing air into your stomach and thereby cause "gas" and bloating? While not 'nausea' themselves, it's easy to imagine how those symptoms might contribute to the feeling of nausea.

Well, I'm wrong.

I just did a quick lit search and discovered that, if anything, CPAP has been shown to improve upper GI symptoms such as reflux.

Qadgop the Mercotan · #15 07-07-2006, 02:42 PM

Quote:

Originally Posted by KarlGauss

Well, I'm wrong.

I just did a quick lit search and discovered that, if anything, CPAP has been shown to improve upper GI symptoms such as reflux.

You may be wrong about being wrong, Karl. While CPAP does probably improve GES tone and hence reduce reflux on average, it still can cause some gastric distension in some folks. Or so our local CPAP NP told me once.

gabriela · #16 07-07-2006, 06:35 PM

Can't steady intake of acetaminophen, even in recommended doses, increase liver enzymes? Could that be related to nausea, QtM?

KarlGauss · #17 07-07-2006, 06:50 PM

Quote:

Originally Posted by gabriela

Can't steady intake of acetaminophen, even in recommended doses, increase liver enzymes? Could that be related to nausea, QtM?

As of this week, yes.

Fish · #18 07-07-2006, 07:35 PM

Do you eat right before you go to bed?

I find that if I eat very late, then I wake up with an icky-feeling stomach.

diggleblop · #19 07-07-2006, 10:54 PM

Eh, sometimes I eat a sandwich a few hours before bed, sometimes not. It's weird. Maybe it's stress. lol

Either way, that abstract was interesting to read. Thanks for all the help guys and guyettes !

vislor · #20 08-06-2012, 07:47 AM

Rise, oh dead thread, and be nauseous!

I have been experiencing this as well and wonder if there is more information.

I'm six foot, 250#, so overweight. I have been trying to lose weight but the past week has been bad so after losing twenty pounds, have put five back on. But, on and off, for the past week or two, I have woken up in the morning and felt nauseous. Any other thoughts? Should I just talk to my doctor?

Thanks!

aruvqan · #21 08-06-2012, 09:24 AM

Quote:

Originally Posted by Qadgop the Mercotan

Sorry, whynot but I'm not impressed with those cites.

Hypoglycemia as a legitimate diagnosis is very, very uncommon, despite it's fashionability a while back. Frankly, 99.99% of the hypoglycemia I see is in diabetics who are on medications which lower blood sugar.

So I don't buy the concept that it's the most common reason for AM nausea.

I never had low blood sugar issues until I was on insulin. But I do get the whole list, shakes, nausea, balance issues and peripheral numbness. Well, except for the time I was ill and hadn't eaten in almost a month, but that was seriously rare and the doctors warned me about it.

Jack Batty · #22 08-06-2012, 09:29 AM

I've also been experiencing the morning bout of nausea. Funny, it only seems to affect me on days that I have to go to work.

I'm not being flippant. I really do get queazy just about every morning as I'm heading off to work, but I never get that feeling on weekend morning, or days that I'm off.

My point being -- I think stress has something to do with it. Definitely for me, maybe for others in this thread with the same issues.

boxerboy · #23 01-11-2013, 02:46 AM

I'm a bit relieve at least to know that I'm not the only one experiencing acid refluxes in men... I've been dealing with it for the past 6 years and I admit is caused by a mix of stress at work, undersleep, and anxiety. I always feel anxious of throwing up if I eat outside with crowd and friends. It had affected my social life

This started when I was stressed at work and was asked to face a crowd that day. I ate alot and was full at that time that I puked because of nervousness... To cut my story short, to get through on my day to day, I just eat very little but trying to get it frequently. I am still looking forward that my problems will fix itself. Hope somebody find this helpful and maybe sounds funny for some...