I'm 28M and currently going through a pretty rough Zoloft startup. The hardest part isn't even the mental anxiety itself anymore. It's what the anxiety seems to be doing to my stomach and my ability to eat.
I'm dealing with nausea, almost no appetite, food aversion, a constantly tense stomach, gagging and dry heaving, and it's making eating incredibly difficult.
The mornings are by far the worst.
I wake up and almost immediately my stomach feels tight and uncomfortable. I feel nauseous, food sounds disgusting, and sometimes I start gagging or dry heaving even though my stomach is basically empty.
Then I start thinking about whether I'll be able to eat, which increases my anxiety, which seems to make my stomach tighten even more.
It feels like I'm stuck in a loop:
anxiety -> tense stomach -> nausea -> can't eat -> empty stomach -> more nausea -> gagging/dry heaving -> more anxiety
What's strange is that this usually gets significantly better as the day goes on.
By evening or nighttime, my stomach often relaxes, my anxiety comes down, food stops feeling threatening or disgusting, and I can suddenly eat much more normally.
Sometimes by nighttime I feel almost like myself again.
Then I sleep, wake up the next morning, and the whole thing starts over.
For some context, my medication transition has been a little messy.
I was previously on Lexapro 20mg for about a year. I had basically zero startup side effects from Lexapro and lived normally on it, but my panic attacks eventually started returning.
My first psychiatrist reduced Lexapro to 10mg and started me directly on Zoloft 50mg.
That first attempt was brutal. I developed severe nausea, vomiting, dizziness, brain zaps and massively increased anxiety. Around day 4 I contacted my psychiatrist because I could barely tolerate it and was told to increase Zoloft from 50mg to 100mg.
I didn't increase it because I was already struggling badly at 50mg.
By day 5 I ended up in the ER because of the vomiting, stopped Zoloft and changed psychiatrists.
My new psychiatrist stopped Lexapro completely and restarted Zoloft much more slowly.
My current uninterrupted restart has been:
12.5mg for 7 days
25mg for 6 days
50mg, currently day 2
Also, i started use xanax since yesterday. I took it at morning after breakfeast. I took zoloft and xanax at the same time
So I'm currently 14 days into the uninterrupted restart, 2 days into 50mg, and 14 days completely off Lexapro.
I also unfortunately had what seemed to be a separate stomach bug during this period after some questionable food, with several days of diarrhea and vomiting. That has made it difficult to know exactly what caused what. I've had bloodwork done twice and everything was normal.
But the food aversion, nausea and difficulty eating had already started before that stomach illness, and those symptoms have continued even after the worst of it passed.
Another reason I suspect anxiety is playing a big role is my nightly Seroquel 50mg, which I've taken for years.
Once it kicks in and my anxiety drops, the tension in my stomach can almost completely disappear.
Suddenly food doesn't bother me. I stop thinking about whether I can eat. I can sometimes eat a completely normal meal at night after struggling to get food down earlier that same day.
My psychiatrist has now also prescribed a short 10-day Xanax bridge while I adjust to 50mg Zoloft.
I'm currently on day 2. I take 0.25mg Xanax together with my Zoloft and another 0.25mg later in the day.
It's obviously way too early to judge anything after two days, but when the anxiety settles down, my stomach and ability to eat seem to improve dramatically too.
That's really the part I'm trying to understand.
Did anyone else get increased anxiety on Zoloft that manifested mainly through their stomach?
Especially:
nausea, inability to eat, food aversion, stomach tension, gagging or dry heaving?
And was it particularly horrible after waking up but much better by nighttime?
If you went through this, when did you finally start being able to eat normally again?
Did the nausea and dry heaving gradually fade as your body adjusted to Zoloft?
Did increasing the dose temporarily bring it back?
And if anxiety itself was making your stomach tense up and preventing you from eating, did that loop eventually disappear once Zoloft started helping the anxiety?
I mainly want to hear from people who went through this specific "I'm anxious, my stomach locks up, I can't eat, I get nauseous and start dry heaving" phase and eventually got their appetite and normal stomach back.
Because right now I swear my stomach has its own anxiety disorder lol.