Vomiting & Nausea
Chapter 13. Abdominal Problems

Symptoms
Vomiting is throwing up the stomach's contents. Dry heaves may precede or follow vomiting.
Nausea is when you feel like you're going to throw up.

Causes
Common causes of nausea and vomiting are:
Viruses in the intestines. Eating spoiled food or eating or drinking too much.
Motion sickness
Morning sickness in pregnant women
Some medications, such as certain antibiotics

Some medical conditions cause vomiting, too. These include:
Labrynthitis. This is inflammation of an area in the ear that usually results from an upper respiratory infecction.
Migraine headaches
Appendicitis
A concussion from a head injury
Acute glaucoma (see Glaucoma)
Stomach ulcers (see Peptic Ulcers)
Hepatitis (see Hepatitis)
Meningitis. This is inflammation of membranes that cover the brain and spinal cord.

Questions to Ask

With vomiting, do you have any of these problems?
Any heart attack warning signs listed in Chest Pain topic
Stiff neck, fever and lethargy
You vomit blood or black colored matter
Sudden severe pain in and around one eye, blurred vision, headache, and you see rainbow-colored halos around lights
A recent head or abdominal injury
Fainting or decreased level of consciousness
Dehydration is when your body loses too much water. Do you have these signs of dehydration?
Feeling confused
Passing very little or no urine
Sunken eyes
Dry skin that doesn't spring back after being pinched
With nausea and vomiting, do you have a fever and shaking chills and pain in one or both sides of your mid back?
Do you have very bad stomach pain? Does it last for more than 2 hours? Does it keep hurting even after you vomit?
Do the whites of your eyes or does your skin look yellow?
Do you have any of these problems?
Burning or stinging feeling when you pass urine
Passing urine a lot more often than usual
Bloody or cloudy urine
Pain in your abdomen or over your bladder
With nausea or vomiting, do you have ear pain or a feeling of fullness in your ear?
In a baby or small child, has the vomiting lasted 2 to 6 hours? For others, has the vomiting lasted more than 12 hours without getting better?
Are you vomiting medicine that is necessary for you to take (e.g., high blood pressure pills, etc.)?

Self-Care Tips

For Vomiting:
Don't eat solid foods. Don't drink milk.
Drink clear liquids (water, sport drinks, such as Gatorade, flat cola, and ginger ale, etc.). Take small sips. Drink only 1 to 2 ounces at a time. Stir any carbonated beverages to get all the bubbles out before sipping them. Suck on ice chips if nothing else will go down. {Note: For children, contact your child's health care provider about using over-the-counter products such as Pedialyte and Revital Ice-rehydrating freezer pops.}
Gradually return to regular diet, but wait about 8 hours from the last time you vomited. Eat foods as tolerated. Avoid greasy or fatty foods.
Don't smoke, drink alcohol, or take aspirin.
For Nausea Without Vomiting:
Drink clear liquids. Eat small amounts of dry foods, such as soda crackers (if tolerated).
Avoid things that irritate the stomach, such as alcohol and aspirin.
For motion sickness, use an over-the-counter antinausea medicine, such as Dramamine. Follow package directions. Sea-Bands, a wrist band product that uses acupressure on a certain point on the wrist to control motion sickness, may be helpful. Sporting good stores and drugstores sell Sea-Bands.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 2002 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 06/06/02