FROM YOUR DESCRIPTION, IT SEEMS THAT THE NAUSEA AND CHEST TIGHTNESS AFTER SHOWERS COULD BE MULTI FACTORIAL AND MAY INVOLVE BOTH CIRCULATORY AND NERVOUS SYSTEM RESPONSES
LONG HOT SHOWERS CAN CAUSE BLOOD VESSELS TO DILATE, LOWER BLOOD PRESSURE AND LEAD TO DIZZINESS OR FAINTNESS, WHICH MAY TRIGGER NAUSEA, ESPECIALLY IF THERE IS UNDERLYING AUTONOMIC DYSFUNCTION, NEUROLOGICAL OR AUTOIMMUNE CONDITIONS
CHEST TIGHTNESS AFTER LAYING DOWN COULD BE RELATED TO TRANSIENT CARDIAC OR RESPIRATORY RESPONSE, OR VAGAL NERVE SENSITIVITY, SOMETIMES SEEN WITH SYSTEMIC AUTOIMMUNE CONDITIONS OR NEUROLOGICAL ISSUES
THE DULL CHEST PAIN YOU EXPERIENCE AT OTHER TIMES MAY BE MUSCULOSKELETAL, INFLAMMATORY, OR CARDIAC IN ORIGIN, AND SHOULD BE MONITORED CAREFULLY
IN AYURVEDIC TERMS, THIS COULD BE DUE TO VATA IMBALANCE AFFECTING CIRCULATION AND NERVOUS SYSTEM STABILITY, LEADING TO VERTIGO, NAUSEA AND CHEST DISCOMFORT, SOMETIMES EXACERBATED BY HEAT OR BODY POSITION
HELPFUL STRATEGIES INCLUDE TAKING WARM RATHER THAN HOT SHOWERS, ENSURING YOU MOVE SLOWLY WHEN EXITING THE SHOWER, SITTING DOWN IF DIZZY, AND AVOIDING STANDING STILL FOR LONG PERIODS
AYURVEDIC SUPPORT CAN INCLUDE
ASHWAGANDHA POWDER HALF TEASPOON WITH WARM MILK MORNING AND NIGHT
BALA POWDER HALF TEASPOON WITH WARM MILK TWICE DAILY
MAHAYOGRAJ GUGGUL TWO TABLETS TWICE DAILY AFTER FOOD WITH WARM WATER
TRIPHALA CHURNA HALF TEASPOON WITH WARM WATER AT NIGHT TO SUPPORT DIGESTION AND GENTLE DETOXIFICATION
DAILY OIL MASSAGE WITH SESAME OIL OR MAHANARAYAN OIL ON BACK AND CHEST FOLLOWED BY WARM BATH
TAKING SHOWERS IN COOLER ENVIRONMENT WITH SLOW ENTRY AND EXIT
LIGHT BREATHING EXERCISES AND CALMING PRACTICES TO SUPPORT NERVOUS SYSTEM
IT IS IMPORTANT TO MONITOR BLOOD PRESSURE, HEART RATE, AND REPORT ANY WORSENING CHEST PAIN, FAINTING OR SEVERE NAUSEA TO A DOCTOR
REGULAR FOLLOW UP WITH BOTH ALLIED MEDICAL SPECIALISTS AND AYURVEDIC MANAGEMENT CAN HELP REDUCE THESE EPISODES AND IMPROVE GENERAL STABILITY
Hlo,
⚠️ First — important safety note (please read) Because you describe: nausea with occasional vomiting fainting chest pressure/tightness recurrent chest pain lasting days 👉 This must continue to be evaluated by a physician.
Ayurveda can be supportive, but cardiac, autonomic (e.g., POTS), or neurological causes must be ruled out. If chest pain becomes sharp, severe, radiating, associated with shortness of breath, sweating, or fainting, seek urgent care immediately.
🌿 Ayurvedic understanding (brief & relevant) Your symptoms strongly suggest a combination of: 1. Pitta + Vata aggravation Hot showers: Increase Pitta → nausea, vomiting, chest discomfort Disturb Vata → fainting tendency, pressure sensations, nervous system instability 2. Udana Vata disturbance (chest & upward movement) This explains: Chest tightness/pressure after shower Nausea that worsens on standing or position change 3. Ama (metabolic inflammation/toxins) Given suspected autoimmune issues: Ama can block normal flow → nausea, pressure, pain Heat mobilizes Ama → symptoms flare after showers
Ayurvedic pattern name (approximate): Pitta-Vata prakopa with Udana Vata dysfunction and Ama involvement
🌱 Ayurvedic prescription (gentle & safe) 1. Shower-related changes (very important) These alone often reduce symptoms dramatically. Use lukewarm water, not hot Keep showers under 7–8 minutes Sit while showering if possible After shower: sit for 2–3 minutes before standing
2. Immediate nausea support Fresh ginger tea Grated ginger: ½ tsp Hot (not boiling) water: 1 cup Sip slowly after shower OR Ginger powder 250 mg (¼ tsp) with warm water Up to 2× daily
3. Pitta calming & chest support Guduchi (Tinospora cordifolia) 500 mg capsule 1–2× daily after meals Helps immune regulation + nausea + heat intolerance
4. Vata regulation (fainting, pressure sensations) Ashwagandha 300–500 mg Once daily at night Use cautiously if you are very heat-sensitive (reduce dose if worsens nausea)
5. Digestive Ama reduction (very mild) If digestion feels heavy or bloated: Triphala 500 mg At bedtime, 3–4 nights per week (not daily at first)
6. Chest tightness (non-cardiac support only) Warm sesame oil Very small amount Gentle rub over chest before bed Calms Udana Vata
❌ Avoid for now Very hot showers or baths Fasting or skipping meals Excess caffeine Spicy, fried, or very acidic foods Ice-cold drinks after showers
🔗 Could this be linked to your other conditions? Yes — very possibly.
From both Ayurvedic and modern views, this pattern overlaps with: Autonomic dysfunction (e.g., POTS) Inflammatory/autoimmune activity Neurological regulation issues Ayurveda sees these as systemic imbalance, not isolated problems.
🧭 When to escalate beyond Ayurveda Please seek urgent medical review if: Chest pain becomes severe or different Fainting worsens Vomiting becomes frequent New neurological symptoms appear
Tq
Hello I get why you’re worried. All these things – feeling sick after showers, chest tightness, passing out, and joint pain – especially with your suspected nerve and immune problems. But dont worry we are here to help you out 😊
YOUR MAIN CONCERN
You’re dealing with: – Feeling sick during or after showers – Nausea getting worse after you get out of the shower – Throwing up sometimes – Chest tightness or pressure when you lie down after showering (lasts about 20 seconds) – Random days of dull chest pain in the middle of your chest that lasts for days
Plus, you’ve had: * Fainting spells * Joint pain * A suspected nerve issue (maybe CCAS) * A suspected autoimmune problem (psoriatic arthritis)
WHAT’S MOST LIKELY GOING ON (IMPORTANT!)
Based on how your symptoms show up, it’s probably a problem with your body’s automatic systems, not just a stomach problem.
PROBABALE DIGANOSIS
1️⃣Autonomic Dysfunction / Dysautonomia (This is pretty common for people with autoimmune or nerve conditions.)
When you take a hot shower: – Your blood vessels get bigger. – Blood pools in your legs. – Less blood gets to your brain, which causes nausea, fainting, and throwing up.
This explains: * Feeling sick after showers * Feeling worse when you get out * Your history of fainting * Chest pressure when you lie down (because your blood pressure shifts around)
Things often linked to this: * Autoimmune diseases * Nerve problems * POTS (where your heart races when you stand up) * Ehlers-Danlos syndrome (which often goes with joint pain)
2️⃣ Vasovagal Response Hot water can make your vagus nerve go into overdrive, leading to: * Nausea * Dizziness * Throwing up * Chest pressure * Feeling like you’re about to faint
This happens more often in people with: * Ongoing swelling * A sensitive nervous system * Autoimmune problems
3️⃣ Chest Symptoms – Let’s Clear This Up Your chest sounds like it’s not heart-related, BUT you still need to get it checked out. Things that point to it not being your heart: * Dull pain, not sharp * Pressure instead of a stabbing pain * Comes and goes * Goes away on its own * Triggered by how you’re sitting/standing or temperature changes
Possible causes: * Autonomic dysfunction (the automatic system problem) * Spasms in your food pipe or acid reflux * Costochondritis (swelling around your ribs, common with inflammatory arthritis) * Your vagal nerve going into overdrive
But seriously, you need to rule out heart problems at least once, especially with chest pain that lasts for days.
AYURVEDIC UNDERSTANDING
From an Ayurvedic point of view, this looks a lot like: Vata Pradhana Udana–Prana Vata Dushti This involves: * An overly sensitive nervous system * Poor blood flow control * Being linked to toxins and swelling
Gets worse with: * Heat * Sudden temperature changes * Standing up after bathing
Hot showers stir up Vata, leading to: * Nausea (Chhardi) * Chest discomfort (Hridaya Uparodha) * Dizziness / fainting (Murchha)
IS THIS CONNECTED TO YOUR OTHER PROBLEMS?
👉 Yes, very likely. This doesn’t sound like some random new thing. Autoimmune issues, nerve problems, fainting, and not handling heat well is a pretty classic combination.
WHAT TO DO NOW (SUPER IMPORTANT)
GET CHECKED OUT BY A DOCTOR (DON’T SKIP THIS!) Please talk to your doctor about these
Orthostatic vitals: Checking your blood pressure and heart rate lying down, sitting, and standing. ECG:(If you haven’t had one) Echocardiogram: (Just once, to make sure there are no issues with your heart’s structure) Autonomic testing: (If they can do it) Basic blood tests: * Electrolytes * B12 * Iron levels * Thyroid
IMMEDIATE THINGS YOU CAN DO (VERY HELPFUL)**
SHOWER CHANGES * Use warm water, not hot. * Sit while showering (get a shower chair if needed). * Keep showers to 5–7 minutes. * Don’t stand still right after your shower—sit down first. * End with a little cool water on your legs.
AFTER SHOWERS * Sit for 5 minutes before lying down. * Sip warm water with a tiny bit of salt. * Don’t lie flat on your back right away.
AYURVEDIC HELP (GENTLE & SAFE) Abhyanga: (Oil massage before your bath with sesame oil, 2–3 times a week).
1.Ashwagandha capsule 1-0-1 after food ( balance in your automatic system).
👉Jeeraka Siddha Jala: (Warm water with cumin for nausea).
❌AVOID: * Fasting * Getting cold after a bath * Sudden changes in how you’re standing or sitting
Your symptoms are real and make sense. It’s likely tied to problems with your body’s automatic system, which is often seen with autoimmune and nerve conditions. It’s something you can manage, but it needs to be properly identified. Hot showers are a trigger, but not the main problem. You’re smart to ask questions about this now.
Warm Regards Dr. Snehal Vidhate
Feeling nauseous after showers along with dizziness chest tightness and fainting suggests an imbalance in the nervous system and circulation when the body is exposed to water and temperature changes blood vessels relax and blood shifts away from the brain causing nausea weakness and faint sensation this becomes more noticeable when coming out of the shower or lying down the short lasting chest pressure is related to the body struggling to regulate blood flow quickly this is often seen in people with autoimmune neurological or inflammatory conditions and may be connected to your existing health issues from an Ayurvedic perspective this indicates weak nervous system adaptation internal heat sensitivity and unstable circulation triggered by water exposure and changes in posture the following Ayurvedic medicines can support your condition Ashwagandha powder half teaspoon morning and night with warm water Brahmi vati one tablet twice daily after food Arjuna powder half teaspoon twice daily with warm water Hingwashtak churna a small pinch with meals if gas or chest discomfort
1.Avipattikar churna 3/4 tsp twice daily with warm water before meals 2.Sitopladi churna 1/2 tsp twice daily with honey 4.Simhanada guggulu 2 tab twice daily with water after meals 5.Saraswatarishta 20 ml with 20 ml water twice daily after meals
Got it, Anjali 🌿. Since you’re managing nausea after showers, chest tightness, fainting episodes, and suspected autoimmune tendencies, let’s focus on gentle, stepwise Ayurvedic diet and lifestyle routines (dinacharya + ritucharya) that can stabilize circulation, reduce Ama (toxins), and balance Vata–Pitta–Kapha.
🥗 Diet Tips (Ahara): - Warm, light meals: Favor khichdi (mung dal + rice), lightly spiced vegetable soups, and stews. Avoid heavy, oily, or fried foods especially before bathing. - Avoid extremes: Skip very hot, spicy (Pitta-aggravating) or very cold (Kapha-aggravating) foods.
Digestive support: - Sip warm ginger water or cumin–fennel tea after meals. - Add turmeric and black pepper in cooking for Ama clearance.
Meal timing: - Eat at regular times, avoid skipping meals. - Keep dinner light and before 8 pm
🌞 Lifestyle Tips (Vihara)
Bathing routine: - Use lukewarm water, not very hot. - Keep showers short (5–7 minutes). - Sit quietly for 2–3 minutes after shower before lying down.
Daily rhythm: - Wake up early (Brahma Muhurta ~5:30 am). - Gentle yoga: Anulom Vilom, Bhramari, and restorative asanas (Supta Baddha Konasana, Balasana). - Evening wind-down: light walk, calming herbal tea (tulsi or chamomile).
Sleep hygiene: - Aim for 7–8 hours of sleep. - Avoid screens before bed; use warm oil foot massage (padabhyanga) with sesame oil for grounding.
Stress balance: - Journaling or mantra chanting (e.g., “Om Shanti”) to calm Vata. - Gentle pranayama after shower to stabilize circulation.
Seasonal adaptation (Ritucharya): - In winter: favor warming spices (ginger, cinnamon). - In summer: cooling foods (coriander, coconut water, buttermilk).
Warm Regards Dr. Anjali Sehrawat
Your symptoms likely vasovagal response to heat + possible dysautonomia from PsA/autoimmune , you must see cardiologist, gastroenterologist & rheumatologist urgently (ECG, echo, endoscopy).
Meanwhile start with Avipattikar Churna – 3 gm + warm water before dinner (nausea & GERD). Kamadhudha Ras – 250 mg morning + night (cools Pitta flare). Sutshekhar Ras – 1 tablet morning + night after food (chest tightness). Brahmi Vati gold – 1 tablet night (calms dizziness & anxiety).
Daily Lukewarm showers <5 min, sit if dizzy. Lie with head elevated 20 min post-shower. Anulom-Vilom 10 min daily.
Diet Give: moong khichdi + ghee, pomegranate. Avoid: spicy/sour, heavy meals.
Regards Dr Gursimran Jeet Singh MD Panchakarma
