10 Nausea and Vomiting

1. Infection

2. Acute alcohol ingestion

3. anxiety

4. severe pain

5. Labyrinth

6. cardiovascular causes

Nausea and Vomiting aetiology 6

1. Do you have any abdominal pain?

2. Timing of nausea and vomiting

   • Early morning vomiting is associated with pregnancy or excess alcohol intake. If vomiting occurs immediately after food, it suggests gastritis, and if vomiting occurs 1 or more hours after eating food, then peptic ulcers are possible

3. Signs of infection:

   • Acute causes of gastroenteritis normally include other associated symptoms such as diarrhoea, fever, and abdominal discomfort if the infection is due to food contamination. Then other people are often affected at the same time

History taking questions Nausea and vomiting 3

1. Suspected pregnancy

2. vomiting in children under 1 longer than 24 hours

3. Children wno fail to respond to OTC treatment

4. unexplained nausea and vomiting in any age

5. moderate to severe pain

Red flags/Referral symptoms to ask: Nausea and vomiting 5

1. Prochorperazine

Medications to treat: nausea and vomiting 1