Most of us brush off nausea. We blame something we ate, stress, skipping a meal, or even the weather. But what if your body is whispering something far more serious? If nausea keeps coming and going—especially if you're over 40 or dealing with other health issues—it could be more than just a stomach quirk. It might be your heart.Sounds dramatic? It isn’t. In fact, experts warn that this seemingly minor symptom could be an early sign of heart trouble, particularly in women and older adults. And it often goes unnoticed—until it’s too late.We tend to associate heart attacks with clutching chest pain and collapsing. That’s partly why subtle or unusual signs—like nausea—get ignored. But doctors are sounding the alarm that the body doesn’t always scream when the heart is in trouble. Sometimes, it nudges.“One of the most overlooked warning signs of heart trouble, especially among Indian patients, is nausea or a vague, unsettled feeling in the chest that comes and goes,” says Dr Yusuf M M, Consultant Cardiac Surgeon at Apollo Hospital, Chennai. “Most people don’t link this to the heart. They assume it’s acidity, gas, or just fatigue.”Unfortunately, that assumption can delay critical care. According to Dr Yusuf, many patients come in days or even weeks after first experiencing these “weird” sensations, only to learn they were actually early symptoms of a cardiac event. “Not all heart symptoms are dramatic,” he explains. “Chest pain might feel like tightness, dullness, or heaviness. Nausea, dizziness, or a cold sweat—especially if it’s unusual or recurring—should never be ignored.”Why Is There A Gender Gap in Heart Symptoms?Women are especially at risk of missing the signs. Studies show that women tend to have “atypical” symptoms during heart attacks—nausea, fatigue, back pain, and shortness of breath—rather than the textbook crushing chest pain seen in men.Because these symptoms are vague, they’re often misattributed to hormonal fluctuations, gastrointestinal issues, or stress. This makes it even more important to look at the bigger picture.Is the nausea happening alongside breathlessness, sweating, or unusual fatigue? Does it come on during physical exertion or after emotional stress? If yes, it’s time to stop dismissing and start investigating.Why We Often Overlook Heart Signs?In many parts of the world, including India and the US, over-the-counter remedies are often the first line of defense. A wave of nausea? Pop an antacid. Feeling uneasy? Try some ginger tea. While these may ease temporary discomfort, they can also mask serious issues.“In India, where home remedies are common, we often miss the critical window for early intervention,” says Dr Yusuf. “That’s why even mild or odd symptoms deserve a closer look.”But this pattern isn’t limited to one region. Across the globe, people routinely downplay symptoms out of fear, denial, or the simple belief that “it’s probably nothing.” In the case of heart issues, this mindset can be dangerous.Who’s Most at Risk?Dr Anbarasu Mohanraj, Clinical Lead & Senior Consultant, Cardiovascular & Thoracic Surgery at Kauvery Hospital, Chennai, outlines a key principle: when it comes to the heart, “the body usually whispers before it screams.”According to him, lingering nausea, sudden dizziness, or vague chest discomfort shouldn’t be casually dismissed—especially if you fall into a higher-risk category. This includes people over 40, or anyone with high blood pressure, diabetes, a family history of heart disease, or a high-stress sedentary lifestyle.“Prevention begins with paying attention,” Dr Anbarasu says. “If something feels off and you can’t explain it, get a quick ECG or cardiac enzyme test. These are simple, accessible, and can detect issues before they escalate.”He also emphasizes that many heart conditions are manageable if detected early. What stands in the way? “Getting people to seek help before it’s too late. A little vigilance can save a life.”When to Visit The Doctor?Not every wave of nausea is a cause for panic. But patterns matter. Here’s what doctors suggest looking out for:Nausea that recurs without clear causeAccompanying symptoms like sweating, lightheadedness, breathlessness, or chest discomfortNausea during physical activity or stressful situationsFamily history of heart disease or personal history of lifestyle risk factorsIf you experience any of the above, don’t wait for it to get worse. Seek medical evaluation. An ECG, blood tests, or even a quick physical exam could make all the difference.Your body is smarter than you think. It rarely throws out signals without reason. So, when nausea keeps showing up uninvited, listen to it. Don’t settle for assumptions or temporary relief.Instead, ask the tough question- Could this be my heart trying to get my attention? As Dr Anbarasu puts it, “These minor signs could be your early warning. Don’t ignore your symptoms.”In the end, it’s not about living in fear. It’s about paying attention—to the little things, the odd feelings, the symptoms that don’t quite make sense. Because sometimes, the difference between a scare and a crisis is simply getting checked in time.If you’ve been brushing off recurring nausea, pause. Reflect, especially if you're over 40, living a high-stress life, or have known risk factors. The next time it happens, don’t reach for an antacid right away.