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Ginger (Zingiber officinale)

Ginger is a pungent root whose compounds act on the gut, likely by blocking serotonin signals that spark nausea. People look at it most for nausea and vomiting in pregnancy, and the evidence is strong: pooled trials found nausea improved compared with placebo, and severe vomiting symptoms were less likely. The improvements were moderate in size, and results for nausea after surgery or chemotherapy were more mixed.

Sources: PMID 24642205; PMID 11275030

Best evidence
Grade A
Conditions studied
24
Outcomes
67
Graded outcomes
44164

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

24 conditions

Morning Sickness: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect9 studies216 people
Pregnancy Nausea (NVP)

Meta-analysis (12 RCTs, n=1278): Ginger significantly improved nausea vs placebo (MD 1.20, 95% CI 0.56-1.84, p=0.0002, I²=0%). Subgroup analysis favored <1500mg/day. Another meta-analysis (13 studies, n=1174): OR 7.475 for general NVP symptom improvement. More effective than vitamin B6.

Improves (the measure goes up)Moderate effect
Hyperemesis Gravidarum

Meta-analysis (10 RCTs): Pooled OR 0.41 (95% CI 0.22-0.79, p=0.008) indicating significant reduction in nausea and vomiting symptoms. Compared to placebo, vitamin B6, and metoclopramide. Various forms tested including capsules, powders, and biscuits.

Improves (the measure goes down)Moderate effect
Surgical Recovery: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect9 studies268 people

Hyperemesis Gravidarum

  • Nausea Symptoms: improves
Hyperemesis Gravidarum: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect9 studies321 people

Digestive Health

  • Chemotherapy-Induced Vomiting: improves
  • Postoperative Nausea/Vomiting: improves
  • Gastric Emptying Rate: improves
Digestive Health: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Chemotherapy-Induced Vomiting

Meta-analysis (10 RCTs): OR 0.71 (95% CI 0.54-0.94, p=0.015) for CINV control. Systematic review update (18 articles): 60% reduced acute vomiting likelihood with ≤1g/day for >3 days vs control. Also reduced chemotherapy-related fatigue. Nausea results mixed due to clinical heterogeneity.

Improves (the measure goes down)Moderate effect
Postoperative Nausea/Vomiting

Multiple systematic reviews: Ginger reduces PONV severity and decreases need for rescue antiemetics. Two of three RCTs found ginger superior to placebo and equally effective as metoclopramide. Typical dose: 1g before operation. Some meta-analyses show non-significant difference vs placebo.

Improves (the measure goes down)Moderate effect
Gastric Emptying Rate

Small Increase

Improves (the measure goes up)Small effect4 studies24 people
Gastric Emptying

Multiple small studies suggest ginger promotes gastric motility and accelerates gastric emptying. May benefit functional dyspepsia and gastroparesis. Mechanism involves cholinergic stimulation and prostaglandin modulation. More research needed for clinical recommendations.

Improves (the measure goes up)Small effect
Lower Esophageal PressureImproves (the measure goes up)1 study14 people

Studies that measured lower esophageal pressure

Motion Sickness

  • Motion Sickness/Seasickness: improves
  • Gastric Emptying Rate: improves
  • Motion Sickness Symptoms
Motion Sickness: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Motion Sickness/Seasickness

RCT (n=80 naval cadets): Single dose of ginger associated with statistically significant reduction in seasickness at 4 hours (p<0.05). Multiple early studies showed efficacy for experimentally-induced motion sickness. Results vary by induction method and ginger preparation.

Improves (the measure goes down)Moderate effect
Gastric Emptying Rate

Small Increase

Improves (the measure goes up)Small effect4 studies28 people
Motion Sickness Symptoms

No effect

NoneNo effect28 people

Bone Cancer

  • Nausea Symptoms: improves
Bone Cancer: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea Symptoms

Moderate Improvement

Improves (the measure goes down)Moderate effect9 studies60 people

Osteoarthritis (OA)

  • Inflammation: improves
  • Osteoarthritis Symptoms: changes; see studies
  • Pain: changes; see studies
Osteoarthritis (OA): outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Inflammation

Small Decrease

Improves (the measure goes down)Small effect1 study92 people
Osteoarthritis SymptomsChanges; see studies1 study167 people

Studies that measured osteoarthritis symptoms

PainChanges; see studies1 study100 people

Primary Dysmenorrhea (Menstrual Cramps)

  • Dysmenorrhea Symptoms: improves
  • PMS Symptoms: changes; see studies
Primary Dysmenorrhea (Menstrual Cramps): outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Dysmenorrhea Symptoms

Small Improvement

Improves (the measure goes down)Small effect1 study150 people

Studies that measured dysmenorrhea symptoms

PMS SymptomsChanges; see studies1 study70 people

Studies that measured pms symptoms

Vertigo

  • Dizziness: improves
  • Nystagmus Symptoms
Vertigo: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Dizziness

Small Improvement

Improves (the measure goes up)Small effect1 study8 people

Studies that measured dizziness

Nystagmus Symptoms

No effect

NoneNo effect8 people

High Cholesterol

  • High-density lipoprotein (HDL): improves
  • Low-density lipoprotein (LDL): changes; see studies
  • Total cholesterol: changes; see studies
High Cholesterol: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
High-density lipoprotein (HDL)

Small Improvement

Improves (the measure goes up)Small effect1 study85 people

Studies that measured high-density lipoprotein (hdl)

Low-density lipoprotein (LDL)Changes; see studies85 people
Total cholesterolChanges; see studies85 people
TriglyceridesChanges; see studies85 people

General Athletic Performance

  • Inflammation: improves
  • Muscle Soreness: changes; see studies
  • Rating of Perceived Exertion: improves
General Athletic Performance: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Inflammation

Small Decrease

Improves (the measure goes down)Small effect1 study40 people
Muscle SorenessChanges; see studies1 study65 people

Studies that measured muscle soreness

Rating of Perceived ExertionImproves (the measure goes up)1 study25 people

Studies that measured rating of perceived exertion

Cognitive Improvement

  • Memory: improves
  • Reaction Time: improves
Cognitive Improvement: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Memory

Small Improvement

Improves (the measure goes up)Small effect1 study60 people

Studies that measured memory

Reaction TimeImproves (the measure goes up)60 people

Muscle Recovery

  • Inflammation: improves
  • Muscle Soreness: changes; see studies
  • Rating of Perceived Exertion: improves
Muscle Recovery: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Inflammation

Small Decrease

Improves (the measure goes down)Small effect1 study40 people
Muscle SorenessChanges; see studies1 study65 people
Rating of Perceived ExertionImproves (the measure goes up)1 study25 people

Colorectal Cancer

  • Colorectal Cancer Risk: improves
  • Inflammation: changes; see studies
Colorectal Cancer: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Colorectal Cancer Risk

Small Improvement

Improves (the measure goes down)Small effect1 study30 people
InflammationChanges; see studies1 study30 people

Aerobic Exercise Performance

  • Muscle Soreness: improves
  • Rating of Perceived Exertion: improves
Aerobic Exercise Performance: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Muscle Soreness

Small Improvement

Improves (the measure goes down)Small effect1 study25 people
Rating of Perceived ExertionImproves (the measure goes up)1 study25 people

Overweight

  • Appetite: improves
  • Blood glucose: changes; see studies
  • Inflammation: changes; see studies
Overweight: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Small Decrease

Improves (the measure goes down)Small effect10 people
Blood glucoseChanges; see studies1 study10 people
InflammationChanges; see studies1 study10 people
Metabolic RateImproves (the measure goes up)1 study10 people
InsulinChanges; see studies10 people
Thermic effect of food (TEF)Improves (the measure goes up)10 people

Weight Loss & Maintenance

  • Appetite: improves
  • Blood glucose: changes; see studies
  • Inflammation: changes; see studies
Weight Loss & Maintenance: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Appetite

Small Decrease

Improves (the measure goes down)Small effect10 people
Blood glucoseChanges; see studies1 study10 people
InflammationChanges; see studies1 study10 people
Metabolic RateImproves (the measure goes up)1 study10 people
InsulinChanges; see studies10 people
Thermic effect of food (TEF)Improves (the measure goes up)10 people

Infertility

  • Anti-Oxidant Enzyme Profile: improves
  • Ejaculate Volume: improves
  • Follicle-Stimulating Hormone: improves
Infertility: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anti-Oxidant Enzyme Profile

Small Increase

Improves (the measure goes up)Small effect75 people
Ejaculate VolumeImproves (the measure goes up)75 people
Follicle-Stimulating HormoneImproves (the measure goes up)75 people
Luteinizing HormoneImproves (the measure goes up)75 people
Oxidative Stress BiomarkersChanges; see studies75 people
Seminal MotilityImproves (the measure goes up)75 people
Sperm CountImproves (the measure goes up)75 people
Sperm QualityImproves (the measure goes up)75 people
TestosteroneImproves (the measure goes up)75 people

Type 2 Diabetes

  • Blood glucose
  • HbA1c: changes; see studies
Type 2 Diabetes: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

No effect

NoneNo effect1 study216 people
HbA1cChanges; see studies216 people

Eye Health

  • Blood Flow
  • Fatigue Symptoms: changes; see studies
  • Ocular Blood Flow: improves
Eye Health: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Flow

No effect

NoneNo effect100 people
Fatigue SymptomsChanges; see studies100 people
Ocular Blood FlowImproves (the measure goes up)100 people

Chemotherapy Side Effects

  • Nausea Symptoms: changes; see studies
Chemotherapy Side Effects: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea SymptomsChanges; see studies9 studies60 people

Pregnancy and Delivery Health

  • Nausea Symptoms: changes; see studies
Pregnancy and Delivery Health: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Nausea SymptomsChanges; see studies9 studies206 people

Gastroesophageal Reflux Disease (GERD)

  • Gastric Emptying Rate: improves
Gastroesophageal Reflux Disease (GERD): outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Gastric Emptying RateImproves (the measure goes up)4 studies11 people

Pneumonia

  • Gastric Emptying Rate: improves
Pneumonia: outcomes studied for Ginger (Zingiber officinale)
GradeOutcomeEffectSizeStudiesPeopleStudies list
Gastric Emptying RateImproves (the measure goes up)4 studies32 people

What the published studies found

5 automated readings

Automated reading of the published studies (Decosa evidence engine), for outcomes Dr. Grey has not graded yet. It is not a Dr. Grey grade and does not change one. How it is read

Key findings

  • Nausea SymptomsMorning SicknessImproves (the measure goes down)
  • Pregnancy Nausea (NVP)Morning SicknessImproves (the measure goes up)
  • Hyperemesis GravidarumMorning SicknessImproves (the measure goes down)

Shop the evidence-backed picks

Third-party tested Ginger (Zingiber officinale) products, in the forms the graded studies used where we can match them.

  • Grade A

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Studies cited

38 studies from PubMed

  1. Ginger for treating nausea and vomiting: an overview of systematic reviews and meta-analysesNutrients, 2023 · PMID 38072785
  2. Effect of ginger in the treatment of nausea and vomiting compared with vitamin B6 and placebo during pregnancy: a meta-analysisJ Matern Fetal Neonatal Med, 2022 · PMID 31937153
  3. Effects of Ginger Intake on Chemotherapy-Induced Nausea and Vomiting: A Systematic Review of Randomized Clinical TrialsNutrients, 2022 · PMID 36308792
  4. Efficacy of Ginger (Zingiber officinale) in Ameliorating Chemotherapy-Induced Nausea and Vomiting and Chemotherapy-Related Outcomes: A Systematic Review Update and Meta-AnalysisJ Acad Nutr Diet, 2019 · PMID 31519467
  5. Does the Oral Administration of Ginger Reduce Chemotherapy-Induced Nausea and Vomiting?: A Meta-analysis of 10 Randomized Controlled TrialsCancer Nurs, 2019 · PMID 30299420
  6. The effectiveness and safety of ginger for pregnancy-induced nausea and vomiting: a systematic reviewWomen Birth, 2015 · PMID 23482308
  7. A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomitingNutr J, 2014 · PMID 24642205
  8. Effects of ginger for nausea and vomiting in early pregnancy: a meta-analysisJ Am Board Fam Med, 2014 · PMID 24390893
  9. Ginger (Zingiber officinale) and chemotherapy-induced nausea and vomiting: a systematic literature reviewNutr Rev, 2013 · PMID 23550785
  10. Efficacy of ginger for nausea and vomiting: a systematic review of randomized clinical trialsBr J Anaesth, 2000 · PMID 10793599
  11. Effects of ginger on motion sickness susceptibility and gastric functionPharmacology · PMID 2062873
  12. Acute effects of dietary ginger on quadriceps muscle pain during moderate-intensity cycling exerciseInt J Sport Nutr Exerc Metab · PMID 19164834
  13. Ginger (Zingiber officinale) reduces muscle pain caused by eccentric exerciseJ Pain · PMID 20418184
  14. Ginger consumption enhances the thermic effect of food and promotes feelings of satiety without affecting metabolic and hormonal parameters in overweight men: a pilot studyMetabolism · PMID 22538118
  15. Effect of ginger on lower esophageal sphincter pressureJ Med Assoc Thai · PMID 20420113
  16. Effects of ginger on gastric emptying and motility in healthy humansEur J Gastroenterol Hepatol · PMID 18403946
  17. Ginger syrup as an antiemetic in early pregnancyAltern Ther Health Med · PMID 12233808
  18. Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trialObstet Gynecol · PMID 11275030
  19. Effect of a ginger extract on pregnancy-induced nausea: a randomised controlled trialAust N Z J Obstet Gynaecol · PMID 14712970
  20. Effectiveness of ginger for prevention of nausea and vomiting after gynecological laparoscopyJ Med Assoc Thai · PMID 17214049
  21. The efficacy of ginger in prevention of postoperative nausea and vomiting after major gynecologic surgeryJ Med Assoc Thai · PMID 17725149
  22. The efficacy of ginger for the prevention of postoperative nausea and vomiting: a meta-analysisAm J Obstet Gynecol · PMID 16389016
  23. Vertigo-reducing effect of ginger root. A controlled clinical studyORL J Otorhinolaryngol Relat Spec · PMID 3537898
  24. A randomized controlled trial of ginger to treat nausea and vomiting in pregnancyObstet Gynecol · PMID 15051552
  25. Ginger treatment of hyperemesis gravidarumEur J Obstet Gynecol Reprod Biol · PMID 1988321
  26. Comparing analgesic effects of a topical herbal mixed medicine with salicylate in patients with knee osteoarthritisPak J Biol Sci · PMID 22308653
  27. A randomized, placebo-controlled, cross-over study of ginger extracts and ibuprofen in osteoarthritisOsteoarthritis Cartilage · PMID 10607493
  28. Effectiveness and safety of steamed ginger extract on mild osteoarthritis: a randomized, double-blind, placebo-controlled clinical trial.Food Funct · PMID 39212491
  29. Anti-emetic effect of ginger powder versus placebo as an add-on therapy in children and young adults receiving high emetogenic chemotherapyPediatr Blood Cancer · PMID 20842754
  30. Effect of ginger on gastric motility and symptoms of functional dyspepsiaWorld J Gastroenterol · PMID 21218090
  31. Zingiber officinale Improves Cognitive Function of the Middle-Aged Healthy WomenEvid Based Complement Alternat Med · PMID 22235230
  32. Phase II study of the effects of ginger root extract on eicosanoids in colon mucosa in people at normal risk for colorectal cancerCancer Prev Res · PMID 21990307
  33. Investigation of the effect of ginger on the lipid levels. A double blind controlled clinical trialSaudi Med J · PMID 18813412
  34. Ginger extract reduces delayed gastric emptying and nosocomial pneumonia in adult respiratory distress syndrome patients hospitalized in an intensive care unitJ Crit Care · PMID 20149584
  35. Effect of treatment with ginger on the severity of premenstrual syndrome symptomsISRN Obstet Gynecol · PMID 24944825
  36. Comparison of effects of ginger, mefenamic acid, and ibuprofen on pain in women with primary dysmenorrheaJ Altern Complement Med · PMID 19216660
  37. The effect of oral supplementation of ginger on glycemic control of patients with type 2 diabetes mellitus - A systematic review and meta-analysis.Clin Nutr ESPEN · PMID 39053695
  38. Beneficial Effects of Ginger Extract on Eye Fatigue and Shoulder Stiffness: A Randomized, Double-Blind, and Placebo-Controlled Parallel Study.Nutrients · PMID 39203851