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Nausea, excessive salivation, numbness. Not changed eating habits. Any ideas?

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Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
This morning in bed just before arising, when I turned from lying on my right side to lying on my left, I had a sudden onset of a feeling of nausea and lots of salivation. My mouth felt like it was getting ready for a heave - a bit of numbness. I stood up in case I did vomit. I spit out saliva two or three times, then the feeling ended - about two minutes. This evening around 7:30, I was in a meeting, then I stood up for a break and just as I did so, I had the same feeling of sudden nausea and lots of salivation. I wondered if I was going to throw up. Then both sensations stopped after about 3 or 4 minutes and 5 or 6 times spitting out the excess saliva. I've not changed my eating habits. I do not have any other symptoms like the onset of a cold or the flu, and I feel fine now. But it's weird. Any ideas?
Posted Tue, 10 Jul 2012 in Digestion and Bowels
Answered by Dr. Jasvinder Singh 19 minutes later
Thanks for posting your query.

Nausea and excessive salivation can be due to excessive production of saliva (also called water brash) which can happen as a compensatory mechanism to excessive production of acid in the stomach and its reflux into the food pipe.

It’s diagnosis is by fibroptic laryngoscopy or upper GO endoscopy.

It should go away with the right treatment and the following lifestyle measures:

1)     Try raising the head of your bed about four inches with blocks.

2)     It also might help to avoid eating or drinking for two hours before you lie down. Also avoid taking two or three heavy meals. Instead, take regular frequent small meals. Avoid taking tea or coffee prior to bedtime and concentrate more on a healthy diet.

3)     To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods. Further, avoid eating any junk food or oily, spicy food. Take a healthy, balanced and nutritious diet consisting more of fruits, salads, soups and raw vegetables (after proper washing). Also increase the protein content in your diet instead of carbohydrates and fats. An advice from a dietician will be helpful.

4)     Also take some antacid but if the symptoms are severe, then you may need drugs like proton pump inhibitors like omeprazole after consulting your doctor.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
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