Epistemis

Nausea and vomiting

Specialty: Gastrointestinal.

  • vomit
  • emesis
  • want to vomit

Why it occurs

  • Gastroenteritis
  • Drugs/chemotherapy
  • Bowel obstruction
  • Migraine
  • Pregnancy
  • Intracranial hypertension

Initial workup

Rule out acute abdomen and pregnancy; ionogram if they are intense/prolonged.

red flags

Vomiting + severe abdominal pain, focal headache, hematemesis or severe dehydration → assess urgency.

Standard management

  • Metoclopramide — prokinetic/antiemetic
  • Ondansetron — intense vomiting or due to chemotherapy
  • Serum therapy — replace fluids if dehydration

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousMucus in stool
Area
Gastrointestinal
Listed causes
6
Treatment options
3
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