Now there doesn't seem to be much difference between the two, does there? Between the real nausea and "fake" anxiety-not-going-to-get-sick nausea. I was thinking about this, about how one can tell the difference, and to be honest I can't put my finger on it. For me, the only difference is when its real and I am going to get sick, its like my brain knows before I do, and I just know somehow that this is the real deal. I can be in denial, but like I just know, even though it can feel very much the same as anxiety nausea. I can't pinpoint what exactly the difference in feeling is? Do you notice a definate difference, or is it more obscure?