Morning sickness in the evening

Can You Get Morning Sickness at Night? – Cleveland Clinic

Morning sickness. It’s a frequent symptom of pregnancy, and perhaps the most curiously named. So-called “morning” sickness is a feeling of nausea and/or vomiting during pregnancy. Despite its name, morning sickness can strike any time of day or night. It’s a common symptom of early pregnancy, affecting up to 90% of people who are pregnant, says gynecologist Selena Zanotti, MD.

Is morning sickness only in the morning?

Unfortunately, feelings of nausea and bouts of vomiting during your pregnancy may not disappear when the clock strikes noon. Queasiness, nausea and vomiting can happen throughout the day and night during your pregnancy.

“Morning sickness is a misnomer,” Dr. Zanotti says. “It is most common in the morning when women wake up and haven’t eaten anything, but it can occur at any point during the day and throughout the evening and night.”

Morning sickness is most likely to happen during your first trimester (roughly 14 weeks) of pregnancy, though it can last into your second trimester, and beyond. The time of day, frequency and intensity of morning sickness will vary from person to person and can change throughout your pregnancy.

Causes of sickness in the evening or nighttime

The reason you may experience morning sickness at night, or during the day, may be related to changes in hormones that happen during pregnancy.

“Estrogen and progesterone increase in pregnancy and may affect the way foods and drinks move through your body. Also, hCG (human chorionic gonadotropin, the hormone responsible for that positive pregnancy test) is at its peak in the first trimester, which is when you are most likely to experience pregnancy nausea and/or vomiting,” Dr. Zanotti explains.

Morning sickness may also have a genetic layer. If your birth parent or sibling experienced morning sickness in their pregnancies, you may have a higher likelihood of pregnancy nausea. It’s also common among people with a history of migraines, mood disorders or motion sickness.

Some studies suggest morning sickness may have protected our hunting-and-gathering ancestors. Feelings of nausea may have guarded early humans and their developing embryos by causing pregnant people to avoid potentially dangerous foods, like poisonous berries or spoiled meat.

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During your pregnancy, morning sickness may be triggered by:

Feeling hungry or thirsty.
Eating, especially spicy or greasy foods.
Smelling strong or offensive smells, like perfumes or certain foods.
Lying down.
Prenatal vitamins.

Does night sickness mean I’m having a boy or girl?

Some people say morning sickness at night is an early indication of your baby’s biological sex, but Dr. Zanotti says the science on this is shaky.

“Some small studies have shown a higher incidence of female fetuses being associated with morning sickness, but no large studies have been done to assess this or determine a reason why it would occur,” she notes.

What helps morning sickness at night?

To curb morning sickness at night, Dr. Zanotti suggests:

Eat what works for you

Heavy, spicy and greasy foods frequently set off nausea in people who are pregnant. Pay attention to how your body reacts to certain foods, and stick to the foods that work for you. Eat small meals regularly, and keep on hand some easy-on-the-stomach snacks, like crackers or nuts. Having healthy snacks next to your bed can make it easy to reach for a little something to quell pregnancy nausea at night and when you first wake up.

The BRAT diet (bananas, rice, apples and toast) is easy on your stomach and can help you find some relief from morning sickness during the night or day. Sour foods and sour candies can do the trick, too. Try sucking on a slice of citrus — like lemon, lime or orange — when morning sickness takes over. Ginger is another popular way to find relief from morning sickness. You may find that ginger supplements, ginger tea, ginger candy or sucking on ginger root can help.

Prop yourself up

Lying flat, especially after eating, can cause the juices in your stomach to rise and leave you feeling queasy. To fight morning sickness at night, try propping up your top half (head to chest) with some extra pillows to keep inclined while you rest.

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Change up when you take your vitamins

Prenatal vitamins are important during your pregnancy. They ensure your body is getting the nutrients it needs to keep you and your baby healthy.

But you may find that your vitamins contribute to pregnancy nausea, too. If you’re taking your prenatal vitamins before bed, try taking them in the morning to fight off morning sickness at night, and vice versa. Taking your vitamins with a small, healthy snack can help to curb feelings of pregnancy sickness, as well. It’s important, though, that you don’t stop taking prenatal vitamins or change vitamins without talking with your doctor.

When to see your doctor

The good news for you? Morning sickness — or night sickness, or even morning-noon-and-night sickness, as the case may be — likely isn’t dangerous for you or your developing baby, Dr. Zanotti reassures.

However, an estimated 1% to 3% of pregnancies experience hyperemesis gravidarum — next-level nausea and vomiting that can make it hard to carry on with normal life. If you have these symptoms, talk with your doctor:

You frequently vomit multiple times a day and can’t seem to keep anything down.
You experience weight loss during your pregnancy (5% of your body weight or more).
Your nausea and vomiting are frequent and persistent, even after trying the suggestions above.

“Severe morning sickness can cause dehydration,” Dr. Zanotti says. “If morning sickness is leading to weakness or dizziness, you may need intravenous fluids. If you can’t keep any food down or are experiencing significant weight loss, talk with your healthcare provider. There are medications that can help.”

While morning sickness can, unfortunately, come with the job of growing new life, there are steps you can take to make yourself more comfortable. Talk with your doctor about your symptoms if home remedies aren’t doing the trick, and rest assured that while morning sickness isn’t confined to the a.m., it’ll likely ease up in your second trimester.

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Pregnancy nausea can strike any time of day. Many pregnant women find themselves waking up nauseous, especially in the first trimester, thanks to increased pregnancy hormones, a newfound sensitivity to odors, and a sensitive gastrointestinal tract. The good news is that morning sickness at night usually goes away in the second trimester. Until then, there are some remedies for treating it, including avoiding fatty foods at dinner and sipping ginger tea before bed. If your nausea is severe or you're dehydrated, be sure to call your doctor, who can rule out any potentially serious problems.

Photo credit: © Christopher Futcher/iStock

What causes morning sickness at night?

Many moms-to-be quickly discover that "morning sickness" is misnamed, because pregnancy nausea and vomiting can strike morning, noon, or night. Nausea at night can keep you from falling asleep and even wake you up, especially during those early weeks of pregnancy. (For most, morning sickness usually begins when you're around nine weeks pregnant.)

No one knows what causes nausea during pregnancy, and specifically, queasiness, vomiting, and morning sickness at night, but it might be a combination of factors, including:

Rapidly rising levels of hormones in early pregnancy
An enhanced sense of smell and sensitivity to odors
A sensitive gastrointestinal tract
Certain genes that are involved in development

How long does pregnancy nausea at night last?

Most women who suffer from pregnancy-related nausea, including morning sickness at night, feel complete relief by about 14 to 20 weeks of pregnancy.

Some women may feel queasy for longer, or even throughout their entire pregnancy. Talk with your healthcare provider about your nausea and vomiting. They'll evaluate you and your symptoms, check you for dehydration and appropriate pregnancy weight gain, and give you options for some relief. Sometimes they'll also order blood and urine tests.

If your symptoms continue well into the second trimester, keep discussing them with your medical team, as they often have ways to help you find relief. They may be able to offer you several safe medications for management of your nausea and vomiting of pregnancy, some of which can even help you sleep.

Your healthcare provider will want to make sure that there isn't an underlying problem, and will likely want to rule out a severe condition called hyperemesis gravidarum, which can lead to dehydration and nutritional deficiencies.

Remedies for morning sickness at night

If you have a mild case of pregnancy nausea at night, some simple strategies and changes may help. (If these things aren't helping, talk to your healthcare provider. There are some safe over-the-counter pregnancy nausea remedies and anti-nausea medications they can recommend.)

Keep simple snacks at your bedside. Snacking on crackers, for example, may help you feel better and get back to sleep if you're waking up nauseous. To ward off that queasy and sick feeling when you first wake up in the morning, nibble on a few crackers and then rest for 20 to 30 minutes before getting up.
Don't eat too close to bedtime. Lying down right after eating can slow digestion.
Avoid fatty foods at dinnertime, as they take longer to digest. Also steer clear of rich, spicy, acidic, and fried foods, which can irritate your digestive system and cause pregnancy gas. Complex carbs and lean proteins are your best bet for an evening meal.
Sip ginger tea at bedtime. A number of studies have shown that ginger can reduce the nausea and vomiting of pregnancy. Although no side effects or adverse outcomes occurred in the research on ginger tea during pregnancy, it's a good idea to check with your provider before using it or any herbal remedies.
Try an aromatherapy diffuser in your bedroom. Lemon, mint, and orange scents help some women feel less queasy and might be worth a try overnight. (Many moms-to-be also enjoy using aromatherapy during labor.)
Open a window (even just a crack) to get some fresh air in the room. Stuffy air can be a trigger for nausea.

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When to call your doctor about morning sickness at night

You can talk with your healthcare provider anytime about getting relief if you're consistently waking up nauseous in the middle of the night. Getting good sleep during pregnancy is a precious commodity, and your ob-gyn or midwife might be able to provide some additional suggestions for how to keep the nighttime nausea at bay.

It's especially important to get in touch if you:

Have severe nausea and vomiting (you're sick much of the day, every day)
Cannot keep down any fluids for 12 hours or solids for 24 hours
Are losing weight
Have signs of dehydration, including dark urine, dizziness, or infrequent urination
Have blood in your vomit

Read more:

Insomnia during pregnancy
What to eat when pregnant: The 12 best foods
Meal planning during pregnancy

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Karen Miles

Karen Miles is a writer and an expert on pregnancy and parenting who has contributed to BabyCenter for more than 20 years. She's passionate about bringing up-to-date, useful information to parents so they can make good decisions for their families. Her favorite gig of all is being "Mama Karen" to four grown children and "Nana" to nine grandkids.

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Show 8 more answers out of 1600

Why do you feel sick in the morning on an empty stomach

Nausea in the morning on an empty stomach is most common in pregnant women due to intoxication, but it is not uncommon for males or even children to have this problem

Do not worry too much if you have encountered such a problem once, it is likely that this is a banal poisoning. But, if nausea in the morning on an empty stomach does not go away, you should immediately consult a doctor. Some people are used to dealing with this problem with folk remedies and medicines and they really get better, but it is worth considering that most likely the disease or pathology itself continues to develop. And as a result, it will turn into a more serious form. That is why it is so important to consult a doctor who will find out the cause of morning sickness and prescribe the most effective treatment. nine0008

Possible diseases

Most often, morning sickness on an empty stomach may indicate the presence of the following diseases:

unpleasant symptoms. This is due to inflammatory processes in the duodenum 12. The patient can also be tormented by: burning, bloating during and after eating, heartburn.

Appendicitis - nausea is likely to fade into the background after unbearable pain in the right side begins to appear.
Inflammation of the gallbladder (cholecystitis) - this disease can also be accompanied by morning nausea. Accompanying symptoms are pain in the right hypochondrium and excessive gas formation. nine0126

Other causes of nausea in the morning

After excluding the above diseases from the list of causes, the following causes can be considered:

Pregnancy. Intoxication and nausea in the morning is often found in pregnant women, especially in the early stages. This is a normal reaction of the body to significant changes and hormonal changes. It is very important to completely exclude drugs for the treatment of the digestive tract during pregnancy. These funds can have an extremely negative impact on the health of the patient, the unborn child and the course of pregnancy. Therefore, you will have to endure this ailment and get by with folk remedies, but be sure to consult your doctor. nine0126
Migraine. Morning sickness on an empty stomach may precede a severe headache. You will most likely still feel a lot of noise and increased sensitivity to smells.
High blood pressure (hypertension). The problem of morning sickness can be accompanied by headache and dizziness. If you do not pay attention to these symptoms in a timely manner, you risk starting this disease, which in turn can lead to a stroke.
Cardiovascular disease - rarely, nausea on an empty stomach occurs with heart failure or developing myocardial infarction. If nausea is accompanied by pain, a feeling of heaviness and tightness behind the sternum, numbness or tingling in one half of the body, it is necessary to seek medical help as soon as possible, as this may be an incipient myocardial infarction. nine0126
Increased intracranial pressure - Nausea and regurgitation in infants can occur when pressure increases inside the ventricles of the brain.

What to do if you feel sick in the morning

It is important to understand that regular morning sickness is a signal of the presence of a pathology or disease and it is highly undesirable to self-medicate. Be sure to consult a doctor for an examination, but if you don’t have such an opportunity at the moment, there are several effective ways that will help reduce or temporarily get rid of this problem:

Medicines. You need to be very careful and you must be sure that morning sickness is not the cause of pregnancy or an intestinal disease.
Ginger root, mint and lemon drinks. You can make infusions of these products for maximum effect, simply by adding them to a glass and boiling water, after 15 minutes you will have a very effective and safe (in the absence of allergies) remedy for morning sickness. YOU can also just add them to hot tea. nine0126
Medicinal collection - if nausea relentlessly torments you in the morning, you can try a collection of mint, oak bark and celandine. To prepare the drink, take 1 tsp of mint leaves, dried oak bark and chopped celandine, pour 0.5 l of boiling water and boil in a water bath for 10 minutes. After the broth is cooled and filtered, take 1 tablespoon 3-5 times a day before meals.
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