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
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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