Nausea and Vomiting

Many illnesses can cause stomach pain, nausea and vomiting. Some are mild sicknesses that will pass by themselves, but others are serious and need medical attention.

SYMPTOMS		DIAGNOSIS		SELF-CARE
1. Is the person an infant or child?		See Nausea and Vomiting in Infants and Children.
2. Do you have a fever?		Go to Question 7.*.
3. Do you have cold symptoms and fever along with nausea and vomiting?		You may have viral GASTROENTERITIS (stomach flu).		Use medicine, such as an anti-diarrheal, to help relieve your symptoms.
4. Do you have abdominal pain in the middle or lower right side?		You may have APPENDICITIS or a BOWEL OBSTRUCTION.		URGENT If the pain continues to get worse, see your doctor or be seen in the emergency room right away. An infected appendix could rupture within 24 hours if left unattended.
5. Do you have a headache or stiff neck, and does normal light hurt your eyes?		You may have MENINGITIS, a serious infection around the brain.		EMERGENCY Contact your doctor right away or go to the nearest hospital for proper diagnosis and treatment. Delay could result in serious injury or death.
6. Do you have pain in the right upper abdomen or do greasy foods make the pain worse?		You may have GALLSTONES or CHOLECYSTITIS, an infection of the gallbladder. This may also be due to PANCREATITIS, inflammation of the pancreas.		If the pain is intense or your fever persists, see your doctor right away. Often, gallbladder symptoms come and go. You still may need medicine or surgery to take care of the problem.
*7. Do you have a burning pain in your stomach that's relieved by bland foods and upset by spicy foods?		You may have ULCERS or simple HEARTBURN or GASTRITIS.		Use a simple antacid. If it takes care of the problem, your irritation was mild. If the pain or burning continue, see your doctor.
8. Have you vomited blood?		You may have a bleeding ULCER, a RUPTURE or TEAR in the lining of the esophagus, or a severe NOSEBLEED that may need packing.		URGENT Seek medical help right away. If you're actively vomiting blood, go to the emergency room now!
9. Did your sickness occur shortly after eating food that might have gone bad?		You may have FOOD POISONING caused by a toxin or bacteria from contaminated food. This is likely if someone else who ate the same food also became ill.		Most episodes will clear up by themselves in six to 12 hours. If you're uncomfortable or if the symptoms are severe, call your doctor.
10. Do you have yellow discoloration in your eyes, weight loss and nausea, or does food taste strange, or is your urine very dark?		You may have HEPATITIS from a viral illness, a drug or exposure to a chemical.		Make an appointment to see your doctor. The source of your hepatitis needs to be discovered to help prevent further damage to your liver.
11. Are you taking medicine?		Your medicine could be causing the problem.		Discuss this with your doctor.
12. Have you missed a period and/or could you be pregnant?		You may be PREGNANT.		Use an in-home pregnancy test, and if it is positive, confirm it with your doctor.
13. Do you have diabetes and vomiting?		You may develop KETOACIDOSIS, even with mild symptoms.		Monitor your blood sugar closely and check your urine for ketones. See your doctor if symptoms last more than 24 hours or are severe. Don't stop taking your medicine.
14. Did you recently hit your head and now have a headache, blurred vision, or numbness or tingling?		You may have a serious HEAD INJURY.		EMERGENCY After calling your doctor, go to the nearest emergency room for proper diagnosis and treatment.
For more information, please consult your doctor. If you think the problem is serious, call right away.

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