Why do I feel nauseous and want to vomit the day after drinking alcohol?

Aug 02, 2022 Source: Cainiu Health
Dr. Zhao Haiming
Introduction
Nausea and vomiting experienced the day after drinking alcohol may be caused by acute gastric mucosal lesions induced by alcohol irritation. Generally, symptoms can improve after ceasing alcohol consumption, along with protective measures for the gastric mucosa—such as drinking warm milk and consuming other soothing foods. Sublingual ginger administration can alleviate nausea and vomiting, and acupressure or acupuncture at the Hegu (LI4), Neiguan (PC6), and Zusanli (ST36) points may also help relieve these symptoms.

  For various reasons, one may occasionally be required to attend cocktail parties and consume alcohol. Moderate alcohol consumption may benefit health; however, excessive drinking poses significant health risks. After drinking, individuals often experience marked discomfort—including dizziness, nausea, and vomiting—which can severely impair normal work and academic performance. So, what causes nausea and vomiting the day after drinking?

  What Causes Nausea and Vomiting the Day After Drinking?

  Nausea and vomiting experienced the morning after alcohol consumption may result from acute gastric mucosal lesions induced by alcohol irritation. Generally, symptoms improve once alcohol intake ceases, and gastric mucosal protection—such as consuming warm milk or other soothing foods—can help alleviate them. Sublingual ginger administration may relieve nausea and vomiting, and acupressure or acupuncture at key points—including Hegu (LI4), Neiguan (PC6), and Zusanli (ST36)—may also provide symptomatic relief. Additionally, electrolyte panels and other relevant laboratory tests should be performed to assess for possible electrolyte imbalances contributing to these symptoms.

  Severe hyponatremia, for instance, can manifest prominently with nausea and vomiting. When fatigue and somnolence are present, timely supplementation and correction of electrolyte abnormalities are essential. If nausea and vomiting occur the day after drinking—and particularly if the vomitus consists of gastric contents—clinicians should remain vigilant for potential intracranial pathology. A comprehensive evaluation—including neurological examination, cranial CT, and/or cranial MRI—is warranted to rule out such serious underlying conditions.

  Patients may consume bland, easily digestible foods such as rice porridge, rice water, noodles, or noodle paste, supplemented with cooked vegetables and fruits. We hope this information proves helpful.

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