Nausea in Teens

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16 year old girl w/ morning nausea, not pregnant

Nov 2009

Over the last 6 weeks my 16 year old daughter has developed a worrisome problem. Every school day morning when she wakes at 6:15 AM she is hit with nausea. The nausea comes on strong and then diminishes throughout the morning. Often but not always she vomits (only saliva & maybe a small amount of bile). I have her using SeaBand (mixed questionable results) until the nausea passes. She is NOT pregnant. There is no fever or other glaring signs of illness. Her appetite is good (except in the morning). She is doing well in school, likes school, & looks forward to going....

The odd thing is that on the weekends when she is able to ''sleep in'' she almost never wakes with nausea.

Does anyone else have or experienced a similar situation? If so please elaborate. Have you been able to get any definitive answers as to what is going on? Very worried Mama

Hi, I had issues very similar to your daughters from the age of about 16-22. Some of it was stress related. A lot of it turned out to be hormone related. No one really thought to consider that. Sometimes I was on the pill and that certainly made it worse. But even when I wasn't on the pill, this was an issue for me and I missed lots of school in high school and college because of it. Tums or Rolaids in the morning helped. It might be worth talking to a hormone specialist (they did not have such people when I was young). It may just be the hormonal shift she is going through. Is she depressed or low-energy as well? I have had no issues with either since that time in my life, but they were bad then. Getting into exercise was huge for me. I'm not sure anyone could have talked me into it at that time, but it helped regulate my body quite a bit. Good luck! was a similar teen

My 16-year old daughter has a similar problem. We've determined (after many tests and trips to the gastroenterologist's office) that the nausea is a stress reaction, increase in epinephrine, drop in blood glucose, feeling nauseated and faint, even shakey at times. It's all stress. We have found three things that help: 1) Taking a Calcium Tums tablet or Prilosec at bedtime, 2) immediately upon rising (or even before getting out of bed) starting the morning with an ounce of protein -- chocolate SILK soy milk, 1 tsp of peanut butter, a little piece of meat, cheese, 1/2 cup of yogurt -- to give the stomach acids something to digest. Regular milk, though rich in protein, sometimes adds to my daughter's nausea. And 3) if nausea persists after taking above measures, we find that a fingertip of ginger paste used in oriental cooking does the trick beautifully! These need not progress in any particular order, though this is the sequence we have found most helpful. In my daughter's case, the stress of a private AP-level high school was too much, so we're homeschooling now, and she's loving it. Far less drama in the mornings! A dietitian and MOM

I remember that when I was a teenager I had an 8 am dance class and once or twice had to excuse myself so I could throw up. I was just not physically able to be up and active so early. I was always a kid who needed a lot of sleep -- still am.

There's lots of research on how much sleep teens need and how their circadian rhythms adjust in these years -- everyone knows that school should start later for this age group, but unfortunately no one is willing to modify the school day.

I'd have her checked out by a doctor just to make sure nothing else is going on, but I would consider the possibility that she just feels sick from lack of sleep and too early of a morning. Talk to her about the importance of sleep so that she can make the connection between how she feels in the morning and when she goes to bed. Then see if she can get to sleep earlier. Also make sure she's not using any screens (cell phone, computer, TV, gaming system) an hour before bed as research shows that these devices can also disrupt sleep patterns. Still need 9 hours when I can get it.

Hi, First of all if you haven't already done so I would like to suggest that you make an appointment for her to see her doctor for an exam.

You say that she looks forward to going to school and likes school but it's curious that on school days she is more prone to feeling nauseous. Might her symptoms be related to some underlying anxiety about school? Or a situation that is troubling her that she has not voiced to you?

If you feel that there may be some truth to what I am saying and her doctor doesn't pinpoint something physical you might want to seek the help of an alternative health practitioner who can work with your daughter to alleviate her symptoms and improve her well being. My daughter has an alternative MD who subscribes homeopathy and herbs to help her with her anxiety and she has responded very well to this approach. Unfortunately, her doctor is in Southern California but there are some fine practitioners in our area as well. If you are interested I think that the Berkeley Parents Network has some pretty good leads for alternative practitioners. Best of luck to you and your daughter. Hope this helps.

My 15-year-old daughter has had very similar morning stomach problems (nausea, indigestion, no appetite), that then go away later in the morning. She will have these symptoms for several weeks and then they will go away for awhile and later return. She also never has the problem on days when she is able to sleep in. I don't really have a solution, just some thoughts:

1. Last spring when my daughter was having her most severe morning stomach issues, she was shortly afterward diagnosed with an ovarian cyst. Ovarian cysts are very common and usually go away on their own after a couple of menstrual cycles. Stomach problems are one of the symptoms of ovarian cysts.

2. I also think there may be a stress component to my daughter's morning stomach problems. It seems to increase during exams.

3. Stomach problems are super common in kids, and not easy to identify the cause of. I know of many, many children and teens who have had mysterious stomach ailments that ebb and flow, and almost always are nothing serious (but still painful and real). teen parent

In my mid-20s I suffered from chronic reflux which manifested as nausea and not heartburn. Could night time acid reflux be part of the problem? Also when I was younger I hated to wake up early because, beside feeling really really groggy, I would feel sick as well although not as extreme as you describe. (I used to be a very heavy sleeper but now that I'm older and have been sleep trained by two babies, I can be instantly awake at any time.) I would look at diet, getting enough sleep, and stress (which makes any underlying condition worse). Good luck! Brenda

It's so long ago....but my boyfriend in high school had this problem. In his case, it turned out to be that his stomach digested food at a different pace than other stomachs, and he awoke nauseous every morning. He and his family experimented and found solutions based on when and what to eat. Another person I knew had similar issues and was helped by consulting with Nori Hudson, Berkeley nutrition expert, who helped figure out what was going on--it was a different problem but they found a solution. sympathetic

First, get to a doctor for a full workup. Items to check - cardiology workup, since children have different symptoms than adults, e.g. instead of classic angina kids often experience nausea (Lucile Packard at Stanford is quite familiar with this area). Other items include checking thyroid (hypothyroidism often manifests itself at this age) - the treatment in this case is a simple pill. There are other very less likely possibilities like tumors and such, but those are very rare. A thorough health exam will alleviate your worries and put you on quantitative ground.

BTW, I'm hypothyroid and I've often found it extremely difficult to get up rapidly (note, not ''early'' - ''rapidly''). I get dizzy and nauseated and can't eat. Too little sleep also is difficult when your thyroid levels are off, and they are at the lowest in the early morning - that's why you're supposed to take your thyroid pill first thing in the morning without fail.

One thing to consider if she has some physical limitations at this time - why not start school later? My daughter had a 2nd-7th period schedule for junior year. It can be done if you push for it.

Finally, make sure you do a pregnancy test. Now I know and you know and she knows that she's not pregnant, but do it anyway, because the doctor's office will insist on it. Assure them you have done one yourself, but they are free to do one as well. This gets this issue off the table fast and allows you to get talking about other medical issues.

Good luck. Lynne

Your post does not mention if your daughter has been to a doctor. Also it may take more than one pregnancy test to know if someone is pregnant. Nausea can indicate many things:

Since she needs to sleep in on weekends and then the symtoms go away could mean she is really stressed at school. I don't think any adults today have a reasonable idea of the stresses in school today - even carefully chosen school environments are a mixed bag. If this is the case please seek counseling. Being stressed can lead to many long term physical changes in the brain and organ systems that are real, debilitating, and potentially life threatening. Not sure why society is not supportive as a whole to this option in this day and age, but change is often ''a long time coming''.

I would really support your making a doctor's appt, or if your medical office has a nurse practioner or a physician's assistant if this gets her in sooner. Rule out medical causes, and at the same time check out counseling. Counseling (IMHO) should be seen more as as something that keeps us well, or makes us better, than as a last ditch unwelcome resort. Hope things improve

Hypoglycemia can cause nausea in the morning--I have had this. She should try eating a small meal w/ protein & no sugar just before bed, and see if she feels better. Hope this helps. por

Is she taking birth control pills (maybe without telling you)? They can cause symptoms of pregnancy, including ''morning sickness'' and nausea.

Lack of sleep could also be the culprit. My daughter, who has a sensitive system, feels nauseous when she doesn't get enough sleep or if she has to get up drastically early in the morning. That would fit why your daughter is OK on the weekends.

Good luck figuring it out!

I know this is a long shot, but I know my teen was getting morning nausea when we switched our brand of daily vitamins. I didn't figure it out until I started taking them and had the same experience. Now I am sure we take them on a really full stomach and there's no problem. mom of teen

There are many causes for morning nausea. Have your daughter checked for food allergies, seasonl allergies, lactose intolerance, sinus infection. The sinus infection can go undetected for a long period of time. The infection is toxic to your body and causes nausea. Hope your daughter feels better soon, Cecilia CC

I wonder if this could be an inner ear problem from rising early or from interrupting a sleep cycle. Or an acid stomach/reflux issue, from anxiety, diet, eating disorder. etc. In any case, I hope she goes to her doctor to check out all possible physical causes. Without any disrespect, it is possible to get a false negative on a home pregnancy test. I'd be worried too

I've always felt a bit nauseous upon awakening early. As a girl, I remember horrid egg breakfasts before church on Sundays. Now, when I'm readying for work at 7:00 a.m., the smell of eggs or onions cooking is too much! I can handle a bit of toast and tea. My appetite comes into full force at about 11:00 a.m. Weekends I wake up later, and have no problem! I think my body is telling me it's just not quite awake yet. I usually bring a mid-morning snack with me if I have to leave early. I don't see this as a problem -- I've always been amazed at anyone who can actually eat so early! Fit & Healthy Mom

Are you sure she is (1) getting enough sleep and (2) not stressed by school? I've known of kids who got nausea when faced with a situation that stressed them - including a day at a summer camp that ''should'' have been fun. At 16 she could be trying really hard to fit in, to assure herself and you that she's not being a baby, and just having stress. High school is full of really good reasons for anxiety.

Try waking her up at the school time on the weekend and see if that makes her nauseated. If she is sick on the weekend you should take her to the doctor. Good luck, it sounds stressful to YOU! sympathetic mom

I have the same concern with my 15 year old daughter. She is out of school today for the same problem, wakes up at 7, often feels nausea and has a light amount of vomiting and then states she does not feel well enough to go to school. She usually likes school and is doing ok but I fear that missing so much school is affecting her grades. I think that part of the problem is fatigue, not getting enough sleep and it affects her physically. My advice is to make sure she eats and drinks well in the evening and then goes to sleep early enough to get at least 9 hours of sleep. I am trying this and have suggested counseling but my daughter is resistant. She seems to have more of this problem when she returns from staying with her Dad, we have joint custody. RN Mother

It could be stress, dehydration, food sensitivities.... Probably a good idea to have a doctor rule out pinworms, ulcer, or worse. Good luck