Nausea and vomiting are common symptoms that can be caused by numerous conditions. Nausea and vomiting most often are due to viral gastroenteritis — often mistakenly termed "stomach flu" — or the morning sickness of early pregnancy.
Definition
- Nausea and vomiting are common symptoms that can be caused by numerous conditions. Nausea and vomiting most often are due to viral gastroenteritis — often mistakenly termed "stomach flu" — or the morning sickness of early pregnancy.
- Many medications can cause nausea and vomiting, as can general anesthesia for surgery. Rarely, nausea and vomiting may indicate a serious or even life-threatening problem.
Causes
Nausea and vomiting may occur separately or together. Common causes include:
- Chemotherapy
- Gastroparesis (a condition in which the muscles of the stomach wall don't function properly, interfering with digestion)
- General anesthesia
- Intestinal obstruction
- Motion sickness: First aid
- Morning sickness
- Migraine
- Rotavirus
- Viral gastroenteritis (stomach flu)
- Vestibular neuritis
Other possible causes of nausea and vomiting include:
- Alcohol use disorder
- Anaphylaxis (in children)
- Anorexia nervosa
- Appendicitis
- Benign paroxysmal positional vertigo (BPPV)
- Brain tumor (both cancerous and noncancerous)
- Bulimia nervosa
- Concussion
- Cholecystitis
- Cholecystitis (gallbladder inflammation)
- Cyclic vomiting syndrome
- Depression (major depressive disorder)
- Dizziness
- Diabetic ketoacidosis
- Ear infection (middle ear)
- Food poisoning
- Generalized anxiety disorder
- GERD (gastroesophageal reflux disease)
- Hiatal hernia
- Heart failure
- Gallstones
- Fever (in children)
- Hydrocephalus (a congenital brain abnormality)
- Hyperparathyroidism (overactive parathyroid)
- Hyperthyroidism (overactive thyroid)
- Hypoparathyroidism (underactive parathyroid)
- Intestinal ischemia
- Enlarged spleen (splenomegaly)
- Intracranial hematoma
- Intussusception (in children)
- Duodenitis (inflammation of the initial portion of the small intestine)
- Liver cancer
- Liver failure
- Medications (including aspirin, nonsteroidal anti-inflammatories, oral contraceptives, digitalis, narcotics and antibiotics)
- Meniere's disease
- Meningitis
- Milk allergy (in infants and children)
- Pancreatic cancer
- Pancreatitis
- Peptic ulcer
- Pseudotumor cerebri
- Pyloric stenosis (in infants)
- Radiation therapy
- Severe pain
- Traumatic brain injury
When to see a doctor
Seek prompt medical attention if nausea and vomiting are accompanied by other warning signs, such as:
- Chest pain
- Severe abdominal pain or cramping
- Blurred vision
- Fainting
- Confusion
- Cold, clammy, pale skin
- High fever and stiff neck
- Fecal material or fecal odor in the vomit
- Seek immediate medical attention
Ask someone to drive you to urgent care or an emergency room if:
- Nausea and vomiting are accompanied by pain or a severe headache, especially if you haven't had this type of headache before
- You're unable to eat or drink for 12 hours or your child hasn't been able to keep liquids down for eight hours
- You have signs or symptoms of dehydration — excessive thirst, dry mouth, infrequent urination, dark-colored urine and weakness, dizziness or lightheadedness upon standing
- Your vomit contains blood, resembles coffee grounds or is green
Make an appointment with your doctor if:
- Vomiting lasts more than two days for adults, 24 hours for children under age 2 or 12 hours for infants
- You've had bouts of nausea and vomiting for longer than one month
- You've experienced unexplained weight loss along with nausea and vomiting
Take self-care measures while you wait for your appointment with your doctor:
- Take it easy. Too much activity and not getting enough rest might make nausea worse.
- Stay hydrated. Take small sips of cold, clear, carbonated or sour drinks, such as ginger ale, lemonade and water. Mint tea also may help.
- Avoid strong odors and other triggers. Food and cooking smells, perfume, smoke, stuffy rooms, heat, humidity, flickering lights, and driving are among the possible triggers of nausea and vomiting.
- Eat bland foods. Start with easily digested foods such as gelatin, crackers and toast. When you can keep these down, try cereal, rice, fruit, and salty or high-protein, high-carbohydrate foods. Avoid fatty or spicy foods. Wait to eat solid foods until about six hours after the last time you vomited.
- Use over-the-counter (OTC) motion sickness medicines. If you're planning a trip, OTC motion sickness drugs, such as Stugeron or Kwells Travel Sickness tablets, may help calm your queasy stomach.
- If your queasiness stems from pregnancy, try nibbling on some crackers before you get out of bed in the morning.
References:
https://patient.info/doctor/persistent-nausea-or-vomiting
http://www.webmd.com/digestive-disorders/digestive-diseases-nausea-vomiting#1
http://www.healthline.com/health/nausea-and-vomiting
http://www.medicinenet.com/nausea_and_vomiting/article.htm