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DigestiveICD-10: R11One of the most common symptoms in medicine; affects nearly everyone at some point

Nausea and Vomiting

Also known as: Emesis, Feeling Sick to the Stomach

Nausea is an uncomfortable sensation of unease in the stomach that often precedes vomiting, and it is one of the most common medical symptoms encountered in clinical practice. It can result from a wide range of causes including infections, medication side effects, motion sickness, pregnancy, and gastrointestinal disorders. While usually self-limiting, persistent or severe nausea and vomiting can lead to dehydration and electrolyte imbalances.

Symptoms

Queasy or unsettled feeling in the stomach
Increased salivation
Sweating and clamminess
Loss of appetite
Retching or dry heaving
Vomiting
Lightheadedness or dizziness

Causes

  • Gastroenteritis (stomach flu) from viral or bacterial infection
  • Motion sickness or vestibular disorders
  • Pregnancy (morning sickness)
  • Medication side effects (chemotherapy, opioids, antibiotics)
  • Food poisoning or food intolerances
  • Migraines

Risk Factors

  • Pregnancy, especially the first trimester
  • Motion sensitivity or inner ear conditions
  • Undergoing chemotherapy or radiation
  • Recent surgery (postoperative nausea)
  • Gastroparesis or other digestive motility disorders

Diagnosis

  • Medical history and physical examination
  • Blood tests including electrolytes, glucose, and liver function
  • Pregnancy test if applicable
  • Imaging (CT, ultrasound) if obstruction or abdominal pathology is suspected

Treatment

  • Antiemetics (ondansetron, promethazine, metoclopramide)
  • Oral rehydration solutions to prevent dehydration
  • Dietary modification — BRAT diet (bananas, rice, applesauce, toast)
  • Ginger supplements or ginger tea
  • Treating the underlying cause (antibiotics for infection, stopping offending medications)

Prevention

  • Eat small, frequent meals rather than large portions
  • Avoid strong odors, spicy, or greasy foods if prone to nausea
  • Take anti-motion-sickness medication before travel
  • Stay hydrated, especially during illness

When to See a Doctor

  • Vomiting lasting more than 24 hours in adults or 12 hours in children
  • Signs of dehydration (dry mouth, dark urine, dizziness)
  • Vomiting blood or material that looks like coffee grounds
  • Severe abdominal pain accompanying nausea and vomiting

Frequently Asked Questions

Related Conditions

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Medical Disclaimer: This content is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider.

Content reviewed against peer-reviewed medical literature and clinical guidelines. Read our editorial standards.