Nausea and Vomiting (cont.)
Benjamin Wedro, MD, FACEP, FAAEM
Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In this Article
- Nausea and vomiting facts
- Introduction to nausea and vomiting
- What causes nausea or vomiting?
- Acute gastritis and nausea and vomiting
- Central causes of nausea and vomiting
- Nausea and vomiting associated with illness
- Nausea and vomiting from medications and medical treatments
- Nausea and vomiting and bowel obstruction
- Nausea and vomiting in pregnancy (morning sickness)
- Vomiting in infants
- What are home remedies for nausea or vomiting?
- When should I call the doctor regarding nausea and vomiting?
- How is the source of nausea or vomiting diagnosed?
- What is the treatment for nausea or vomiting?
Acute gastritis and nausea and vomiting
Acute gastritis is often caused by something that irritates the lining of the stomach. Examples include:
- Infections: Infections are often the cause of stomach irritation, whether it is a common virus or another type of infection. There may be associated crampy upper abdominal pain that is associated with the nausea and vomiting. Fever ,and chills may be present. Common viral infections include noroviruses and rotavirus. Infection by bacteria in the Helicobacter family (such as H. Pylori) can also be the infectious agent.
- Stomach flu: Stomach flu (gastroenteritis) is when vomiting and diarrhea occur together and is associated with a viral infection. It should not be confused with influenza (symptoms include fever, chills, cough, and muscle pain.
- Food poisoning: Food poisoning may cause significant vomiting, and the most common cause is a toxin released by the bacteria Staphylococcus aureus. Symptoms of food poisoning begin within a couple hours of eating contaminated or poorly prepared food. Other bacterial causes of food poisoning include Salmonella, Campylobacter, Shigella, E. coli, Listeria, or Clostridium botulinum (botulism).
- Other stomach irritants: alcohol, smoking, and nonsteroidal anti-inflammatory medications (NSAIDs) such as aspirin and ibuprofen may irritate the stomach lining and cause nausea and vomiting.
- Peptic ulcer disease: Peptic ulcer disease can range from mild irritation of the stomach lining to the formation of a defect in the protective lining of the stomach called an ulcer.
- Gastroesophageal reflux disease (GERD, reflux esophagitis): Nausea or vomiting is also associated with GERD (acid from the stomach is refluxed into the esophagus).
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