Motion Sickness: Causes, Symptoms, and Treatments for a Common Ailment

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on February 10th, 2024.

Key Takeaways

  • The condition occurs when your vestibular system (inner ear balance organs) sends conflicting signals to your brain compared to what your eyes see, creating sensory mismatch within 15-30 minutes of travel.
  • Children ages 2-12 are most vulnerable due to their developing vestibular systems, while pregnant women experience increased susceptibility from hormonal changes affecting the inner ear.
  • Dramamine (dimenhydrinate) should be taken 30-60 minutes before travel at 50-100mg doses, while scopolamine patches provide 72 hours of protection when applied behind the ear 4 hours prior to departure.
  • Strategic positioning reduces symptoms by up to 70%—sit over airplane wings where turbulence is minimal, choose front seats in cars, and select lower deck cabins on ships near the waterline.
  • Ginger capsules (250mg taken 4 times daily) have proven as effective as Dramamine in clinical studies, with additional benefits of reducing nausea without drowsiness side effects.

Motion sickness is a common condition that has affected people for centuries, from ancient Greeks and Romans to modern-day travelers and amusement park enthusiasts. If you experience this ailment, you're not alone. In this article, we'll explore the causes, symptoms, and various treatments available to help you manage motion sickness and enjoy your travels or adventures without discomfort.

What Causes Motion Sickness?

Motion sickness occurs when there is a conflict between the signals your senses send to your brain. For example, when you're on a spinning ride at an amusement park, your eyes may see one thing, your muscles feel another, and your inner ears sense something else. Your brain struggles to process these mixed signals, leading to feelings of dizziness and nausea.

The Role of the Ears and Brain

Your inner ears play a crucial role in maintaining your sense of balance. They are part of the vestibular system, which includes three pairs of semicircular canals and two sacs called the saccule and utricle. These structures send information about your surroundings to your brain. The semicircular canals contain fluid that moves with the turns of your head, while the saccule and utricle are sensitive to gravity, telling your brain whether you're standing up or lying down.

Normally, your brain can process all this information and make sense of it. However, when the signals are conflicting, such as when you feel like you're moving on a plane but your eyes tell you that you're not, motion sickness can occur.

Motion Sickness: Causes, Symptoms, and Treatments for a Common Ailment

Who Gets Motion Sickness?

Anyone can experience motion sickness, but it is most common in children and pregnant women. It's important to note that motion sickness is not contagious, so you can't spread it to others.

Symptoms of Motion Sickness

Motion sickness can come on quickly and cause various symptoms, including:

  • Cold sweats

  • Nausea and vomiting

  • Dizziness

  • Increased saliva production

  • Loss of appetite

  • Pale skin

Some people may also experience headaches, fatigue, or shallow breathing.

Tips to Ease Motion Sickness

For most people, symptoms of motion sickness don't last long and often subside once you get used to the situation. However, if the discomfort persists, try these simple remedies:

  1. Relax and find something to focus on, such as taking deep breaths or counting backwards from 100. Closing your eyes can also help.

  2. Look at a stable object, like the horizon when on a boat or through the windshield when in a car.

  3. Avoid alcohol and eat lightly before travel, but don't fast.

  4. Breathe fresh air and avoid smoking.

  5. Avoid reading.

  6. If possible, choose a seat over the wing on a plane, an upper-deck cabin on a ship, or a front seat in a car.

Natural Remedies for Motion Sickness

Some people find relief from motion sickness with natural remedies, such as:

  • Raw ginger: This root has been used as a folk remedy to fight nausea, and there is some scientific evidence supporting its effectiveness. However, ginger may act as a blood thinner, so consult your doctor before using it.

  • Mint: Eating peppermint is thought to calm the body, and its aroma may provide a soothing effect.

  • Acupuncture and acupressure: Some people find that stimulating a specific point just below the wrist helps alleviate nausea.

Medications for Motion Sickness

If motion sickness persists, consult your doctor about the following medications:

  • Dimenhydrinate (Dramamine): This over-the-counter antihistamine helps with motion sickness. Take the first dose about an hour before traveling and subsequent doses every 4 to 6 hours.

  • Scopolamine (Maldemar): This prescription medication is administered through a patch worn behind the ear. Apply it 4 hours before needed, and a single dose lasts for 3 days.

  • Other drugs include Cyclizine (Marezine, Marzine, Emoquil), Meclizine (Antivert, Bonine), and Promethazine (Phenadoz, Phenergan, Promethegan).

Be aware that these medications may cause side effects such as drowsiness and dry mouth.

When to See a Doctor

Motion sickness typically subsides once the journey is over. However, if you continue to experience dizziness, headaches, vomiting, hearing loss, or chest pain, contact your doctor for further evaluation.

By understanding the causes, symptoms, and various treatment options for motion sickness, you can take steps to manage this common condition and enjoy your travels or adventures without discomfort. Remember to consult your healthcare provider if your symptoms persist or worsen.

For more information on motion sickness and its management, visit:

The Bottom Line

Prevention through proper seating and timing medication or ginger supplementation 30-60 minutes before travel provides the most effective symptom control. For severe cases or persistent symptoms despite these measures, prescription options like scopolamine patches offer longer-lasting relief. If you're struggling with recurring travel-related nausea and dizziness, Doctronic can help you explore the right treatment approach for your situation.

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