Vomiting & Nausea
Chapter 13. Abdominal Problems

Vomiting is when you throw up what is in your stomach. Nausea is when you feel like you're going to throw up.

Causes
Common causes of nausea and vomiting are:
Viruses in the intestines (you can get diarrhea, too)
Morning sickness in pregnant women
Some medications
Spoiled food
Eating or drinking too much

Some medical conditions cause vomiting, too. These include:
Vertigo from an inner ear problem
Migraine headaches
Appendicitis
Brain tumors
Acute glaucoma (see Glaucoma)
Stomach ulcers (see Peptic Ulcers)
Hepatitis - inflammation of the liver
Meningitis - inflammation of membranes that cover the brain and spinal cord

Questions to Ask

Do you have any of these problems along with the vomiting?
Stiff neck, fever, and headache
Black or bloody vomit
Very bad pain in and around one eye
Blurry eyesight
A head injury that happened a short time ago
Dehydration is when your body loses too much water. Do you have any of these signs of dehydration?
Feeling confused
Very little or no urine
Sunken eyes
Dry skin that doesn't spring back after being pinched
Do you have these symptoms with the vomiting?
Fever and shaking chills
Pain in one or both sides of your lower back
Do you have very bad stomach pain? Does it last for more than 2 hours? Does it keep hurting even after throw up?
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
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?
Do you have a blind spot, loss of part of your visual field, or do you see sparkling lights?
Are you throwing up medicine that is necessary for you to take? (Birth control pills and high blood pressure pills are examples.)

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 anti-nausea medicine, such as Dramamine. Follow package directions.

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 04/20/99