OB-GYN (Obstetrician-Gynecologist) Questions OB-GYN

Nauseation?

Around May 15th I started feeling nasty headaches, nausea, dizziness, stomach cramps, upset stomach, and tiredness. Could this be due to dehydration? I've been having cramps like if I'm going to get my cycle but I haven't got it for the month of June or the month of May. I'm getting cramps like if I'm going to start my cycle but it hasn't come on top of all the other symptoms I just mentioned.


1 Answer

Missing your period can be common for women at any time during their menstrual career; although it is more common at the beginning and at the end of your menstrual career, age 12-20 and age 40-50. Our female periods are controlled by the balance of your 2 female hormones Estradiol (E) and Progesterone (P4). Usually, we continue to make E on a regular daily basis but our production of P4 is more likely to be affected by STRESS which can prevent the process of ovulation when we make P4. Low P4 also causes abdominal bloating and constipation which can by themselves lead to a low grade nausea; so can stress lead to muscular tension in our head and neck. In our neck is a large muscle, the Sternocleidomastoid muscle that our Vagus nerve runs through. The Vagus nerve, if squeezed with muscle tension can trigger nausea as it runs down to our stomach; however, bloating from low P4 can also trigger nausea. Dehydration usually also has dizziness with bending over and then coming back upright but the resolution of dehydration is more simply answered by putting a cold wet cloth on the back of your neck and on your forehead, drinking 32oz water + a 6oz ‘shot’ of G2 or Propel or Gatorade or Pedialyte for the electrolyte in 15minutes, putting your feet up and see how you feel in 30min or so. If you are so dehydrated that you cannot drink fluids then you may need to have a friend feed you spoonfuls of crushed icecubes or frozen icecubes of Pedialyte (put icecubes of water or Pedialyte in a blender like an icee) and let the crushed ice/Pedialyte melt in your mouth little by little until you can drink oral fluids on your own. If you are so nauseated that you cannot handle crushed ice, you may require more advanced medical help with an IV placed. Either way, you will likely have a wicked headache as part of your recovery whether you regain your hydration quickly or slowly so be prepared for that.