Health Information
Nausea and Vomiting, Age 4 and Older Topic Overview
Nausea is a sick feeling in the pit of your stomach.
When you are nauseated, you may feel weak and sweaty and have too much saliva
in your mouth. You may even vomit. This forces your stomach contents up your
esophagus and out of your mouth. Most of the time
nausea and vomiting are not serious. Home treatment will often help you feel
better.
Nausea and vomiting can be a symptom of another illness.
Nausea and vomiting may be caused by:
Illness caused by a virus, such as viral
stomach illness (gastroenteritis ). Food poisoning . Stress, nervousness, or a
mental health problem, such as
depression or an
anxiety disorder . Medicines , such as
antibiotics, birth control pills, or heart medicines. Pregnancy.
"Morning sickness " may be one of your first
symptoms. Problems with abdominal organs. Migraine headache . Heart attack . Stroke . Head injury. Alcohol
or drug abuse or withdrawal. Overeating. Eating
disorders, such as
anorexia or
bulimia . Disorders of the inner ear, such
as
labyrinthitis ,
Ménière's disease , or motion sickness. A
side effect of
radiation therapy . Nausea or vomiting also may be a symptom of a problem or a
disease, such as:
Nausea and vomiting can quickly cause
dehydration . Older adults have an increased chance of
becoming dehydrated because they may:
Not drink because they do not feel as thirsty as younger
people. Have kidneys that do not work well. Choose to
not drink because of the inability to control their bladders (incontinence ). Have physical problems or a
disease which makes it:
Hard to drink or hold a glass.
Painful to get up from a chair. Painful or exhausting
to go to the bathroom. Difficult to talk or communicate to someone
about their symptoms. Take medicines that increase urine output.
Not have enough money to adequately feed themselves. Review the Emergencies and Check Your Symptoms sections to
determine if and when you need to see a doctor.
Emergencies
Yes
Do you have any of the following symptoms that require emergency treatment?
Call 911 or other emergency services immediately.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
If you have any of the following
symptoms, evaluate those symptoms first.
Yes
Do you have
blood in your vomit , or have you vomited material that
looks like coffee grounds?
When to See a Doctor See
significance of blood in vomit if you need information
to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Before answering the following questions,
rate the severity of the blood in your vomit .
Call your health professional immediately if you answer "Yes " to
any of the following questions.
Note:
Do not eat or drink anything until
you have talked with your doctor. When you vomit blood, watch for
blood in the stools, such as
tarry , black, or maroon stools. This indicates a more
serious amount of bleeding.
Yes
Do you have more than
a streak of blood in your vomit?
Yes
Does your vomit contain material that looks like coffee grounds?
Call your health professional today if you answer "Yes " to
the following question.
Note:
Do not eat, and drink only sips of clear liquids
until you have talked with your doctor.
Yes
Do you have a streak of blood in your vomit and you do not think the
blood is coming from your nose or mouth?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
the following question.
Yes
For the past 24 hours, have you had streaks of blood in your vomit but
you are quite sure the blood is coming from your nose or mouth?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Has vomiting occurred with
signs of a serious illness ?
When to See a Doctor See
significance of a serious illness if you need
information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional immediately if you answer "Yes " to
any of the following questions.
Yes
Are you extremely sleepy or having a hard time staying awake?
Yes
Are you
confused or having trouble thinking clearly?
Yes
Are you irritable,
nervous, or restless?
Yes
Have you
had a
seizure ?
Yes
Are you
having trouble breathing?
Yes
Do you have
severe headache ?
Yes
Do you
have a severe stiff neck?
Yes
Are you having vision changes, double vision, or severe sensitivity to
light (photophobia)?
Yes
Are you so unsteady that you are having trouble standing or
walking?
Yes
Do you have a new skin rash or bruises?
Yes
Do you know or think you have a fever and shaking chills?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you have
vomiting and a fever ?
When to See a Doctor See
significance of vomiting and a fever if you need
information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you need information on how to take a temperature,
see the topic
Body Temperature .
Call your health professional immediately if you answer "Yes " to
any of the following questions.
Yes
Do you have a fever of
104
°F (40
°C) or higher?
Yes
Do you think that you have a high fever, but you are unable to measure
your temperature?
Call your health professional today if you answer "Yes " to
any of the following questions.
Yes
Do you
have a fever of 103
°F (39.4
°C)
to 104
°F (40
°C)?
Yes
Have you had a fever of
101
°F (38.3
°C) to
103
°F (39.4
°C) for 12 hours?
Yes
Do you think that you have a moderate fever, but you are unable to
measure your temperature?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
any of the following questions.
Yes
Have you had a fever of
100
°F (37.8
°C) to
101
°F (38.3
°C) for 24 hours?
Yes
Do you think that you have had a mild fever for 24 hours or longer, but
you are unable to measure your temperature?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you think that you might be
pregnant ?
When to See a Doctor See
significance of pregnancy if you need information to
help you answer the question below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Are
you having problems with nausea or vomiting, and you think you might be
pregnant ?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you have
severe or persistent vomiting ?
When to See a Doctor See
significance of severe or persistent vomiting if you
need information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Do you have
severe vomiting ?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
any of the following questions.
Yes
Have you had mild
to moderate vomiting for 24 hours?
Yes
Have
you had vomiting that comes and goes for longer than 2 days?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you have vomiting with
mild to moderate dehydration ?
When to See a Doctor See
significance of mild to moderate dehydration if you
need information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Do you have
mild to moderate dehydration , and you are unable to
drink enough to replace lost fluids?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
the following question.
Yes
Have you had
mild dehydration for 24 hours, but you are able to
drink enough to replace lost fluids?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you think that your nausea or
vomiting may be caused by a
medicine ?
When to See a Doctor See
significance of medicine if you need information to
help you answer the question below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Do you
think that your nausea or vomiting may be caused by a
medicine ?
Note:
If you answer is Yes :
Call the doctor who prescribed the
medicine to find out whether you should stop taking the medicine or take a
different one. An appointment may not be necessary. If you are
taking a nonprescription medicine, stop taking the medicine. Call your doctor
if you feel you need to continue taking the medicine.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Have you had
persistent nausea ?
When to See a Doctor See
significance of persistent nausea if you need
information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
the following question.
Yes
Over the past 24 hours, has persistent nausea kept you from doing your
usual activities?
You need an appointment within the next 1 to 2 weeks if you answer "Yes " to
any of the following questions.
Yes
Have you
had nausea and a poor appetite for 1 week or longer?
Yes
Have you lost
10 lb (4.5 kg) or more in the
past 3 months without trying?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Other Symptoms to Watch For Do you have any of the following symptoms?
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Emergencies
Yes
Do you have any of the following symptoms that require emergency treatment?
Call 911 or other emergency services immediately.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
If you have any of the following
symptoms, evaluate those symptoms first.
Yes
Do you have
blood in your vomit , or have you vomited material that
looks like coffee grounds?
When to See a Doctor See
significance of blood in vomit if you need information
to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Before answering the following questions,
rate the severity of the blood in your vomit .
Call your health professional immediately if you answer "Yes " to
any of the following questions.
Note:
Do not eat or drink anything until
you have talked with your doctor. When you vomit blood, watch for
blood in the stools, such as
tarry , black, or maroon stools. This indicates a more
serious amount of bleeding.
Yes
Do you have more than
a streak of blood in your vomit?
Yes
Does your vomit contain material that looks like coffee grounds?
Call your health professional today if you answer "Yes " to
the following question.
Note:
Do not eat, and drink only sips of clear liquids
until you have talked with your doctor.
Yes
Do you have a streak of blood in your vomit and you do not think the
blood is coming from your nose or mouth?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
the following question.
Yes
For the past 24 hours, have you had streaks of blood in your vomit but
you are quite sure the blood is coming from your nose or mouth?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Has vomiting occurred with
signs of a serious illness ?
When to See a Doctor See
significance of a serious illness if you need
information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional immediately if you answer "Yes " to
any of the following questions.
Yes
Are you extremely sleepy or having a hard time staying awake?
Yes
Are you
confused or having trouble thinking clearly?
Yes
Are you irritable,
nervous, or restless?
Yes
Have you
had a
seizure ?
Yes
Are you
having trouble breathing?
Yes
Do you have
severe headache ?
Yes
Do you
have a severe stiff neck?
Yes
Are you having vision changes, double vision, or severe sensitivity to
light (photophobia)?
Yes
Are you so unsteady that you are having trouble standing or
walking?
Yes
Do you have a new skin rash or bruises?
Yes
Do you know or think you have a fever and shaking chills?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you have
vomiting and a fever ?
When to See a Doctor See
significance of vomiting and a fever if you need
information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Note:
If you need information on how to take a temperature,
see the topic
Body Temperature .
Call your health professional immediately if you answer "Yes " to
any of the following questions.
Yes
Do you have a fever of
104
°F (40
°C) or higher?
Yes
Do you think that you have a high fever, but you are unable to measure
your temperature?
Call your health professional today if you answer "Yes " to
any of the following questions.
Yes
Do you
have a fever of 103
°F (39.4
°C)
to 104
°F (40
°C)?
Yes
Have you had a fever of
101
°F (38.3
°C) to
103
°F (39.4
°C) for 12 hours?
Yes
Do you think that you have a moderate fever, but you are unable to
measure your temperature?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
any of the following questions.
Yes
Have you had a fever of
100
°F (37.8
°C) to
101
°F (38.3
°C) for 24 hours?
Yes
Do you think that you have had a mild fever for 24 hours or longer, but
you are unable to measure your temperature?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you think that you might be
pregnant ?
When to See a Doctor See
significance of pregnancy if you need information to
help you answer the question below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Are
you having problems with nausea or vomiting, and you think you might be
pregnant ?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you have
severe or persistent vomiting ?
When to See a Doctor See
significance of severe or persistent vomiting if you
need information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Do you have
severe vomiting ?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
any of the following questions.
Yes
Have you had mild
to moderate vomiting for 24 hours?
Yes
Have
you had vomiting that comes and goes for longer than 2 days?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you have vomiting with
mild to moderate dehydration ?
When to See a Doctor See
significance of mild to moderate dehydration if you
need information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Do you have
mild to moderate dehydration , and you are unable to
drink enough to replace lost fluids?
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
the following question.
Yes
Have you had
mild dehydration for 24 hours, but you are able to
drink enough to replace lost fluids?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Do you think that your nausea or
vomiting may be caused by a
medicine ?
When to See a Doctor See
significance of medicine if you need information to
help you answer the question below.
Review
health risks that may increase the seriousness of your
symptoms.
Call your health professional today if you answer "Yes " to
the following question.
Yes
Do you
think that your nausea or vomiting may be caused by a
medicine ?
Note:
If you answer is Yes :
Call the doctor who prescribed the
medicine to find out whether you should stop taking the medicine or take a
different one. An appointment may not be necessary. If you are
taking a nonprescription medicine, stop taking the medicine. Call your doctor
if you feel you need to continue taking the medicine.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Yes
Have you had
persistent nausea ?
When to See a Doctor See
significance of persistent nausea if you need
information to help you answer the questions below.
Review
health risks that may increase the seriousness of your
symptoms.
You may wait to see if the symptoms improve over the next 24 hours (or specified time period) if you answer "Yes " to
the following question.
Yes
Over the past 24 hours, has persistent nausea kept you from doing your
usual activities?
You need an appointment within the next 1 to 2 weeks if you answer "Yes " to
any of the following questions.
Yes
Have you
had nausea and a poor appetite for 1 week or longer?
Yes
Have you lost
10 lb (4.5 kg) or more in the
past 3 months without trying?
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Other Symptoms to Watch For Do you have any of the following symptoms?
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Home treatment may be all that is
needed to treat occasional nausea.
Watch for
dehydration and treat it early. Older adults and young
children can quickly become dehydrated. Use
acetaminophen , such as Tylenol or Panadol, instead of
aspirin or a
nonsteroidal anti-inflammatory drug (NSAID) , such as
ibuprofen, if you need to treat a fever or abdominal pain. Take an
over-the-counter antinausea medicine, such as
meclizine (Antivert or Bonine) or dimenhydrinate (Dramamine), or an
antihistamine , such as Benadryl. Don't give
antihistamines to your child unless you've checked with the doctor
first. Try acupressure:
Place the tip of your right index finger on
the underside of your left wrist, about
1.5 in. (4 cm) from your hand.
Acupressure points are very small, so you may need to try this method more than
one time.
Apply moderate
pressure for 2 to 3 minutes. Repeat as needed. Acupressure bands , which are available for motion sickness, may help reduce
nausea. Suck on peppermint candy or chew a stick of
peppermint gum. Peppermint may relax tight muscles in your stomach and help
decrease the stomach contractions that may be causing your nausea. If you are vomiting:
Rest in bed until you are feeling
better. Sip a
rehydration drink to restore lost fluids and
nutrients. After vomiting has stopped for one hour, drink
1 fl oz (30 mL) of a clear
liquid every 20 minutes for one hour. Clear liquids include apple or grape
juice mixed to half strength with water, rehydration drinks, weak tea with
sugar, clear broth, and gelatin dessert. Avoid orange juice, grapefruit juice,
tomato juice, or lemonade. Avoid apple or grape juice if you also have
diarrhea. Do not drink milk products, alcohol, or carbonated drinks such as
sodas.
If you do not have
any more vomiting, increase the amount of fluid you drink to
8 fl oz (237 mL) during the
second hour. If you are not vomiting after the second hour, make sure that you
continue to drink enough to prevent dehydration.
When you are
feeling better, begin eating clear soups, mild foods, and liquids until all
symptoms are gone for 12 to 48 hours. Gelatin dessert, dry toast, crackers, and
cooked cereal are good choices. Try to stay away from strong food odors, which
can make nausea worse. The acid in vomit can erode dental enamel and cause tooth
decay (cavities ). Rinse your mouth with water after you
vomit. Brush your teeth if you can.
Symptoms to Watch For During Home Treatment Use the Check Your Symptoms section to
evaluate your symptoms if any of the following occur during home
treatment:
Dehydration
develops. A
stiff neck develops. Severe vomiting develops. Chest pain or
other
symptoms of a heart attack
develop. Changes in mental alertness develop, such as extreme
sleepiness, personality changes, confusion, irritability, or
restlessness. Vomit contains blood or material that looks like
coffee grounds. Vomiting with fever of
103
°F (39.4
°C) or higher occurs
or fever lasts longer than 2 days.
Belly pain
develops or gets worse. Vomiting lasts longer than 2 days.
Your symptoms become more severe or more frequent. Prevention
Food poisoning Food poisoning is one of the most
common causes of nausea and vomiting in adults. To prevent food poisoning:
Follow the
2-40-140 rule. Don't eat meats, dressing, salads, or other foods that have been
kept between 40
°F (4.4
°C) and
140
°F (60
°C) for more than 2
hours. Be especially careful with large cooked meats, such as your
holiday turkey, which require a long time to cool. Thick parts of the meat may
stay over 40
°F (4.4
°C) long
enough to allow bacteria to grow. Use a thermometer to check your
refrigerator. It should be between
34
°F (1.1
°C) and
40
°F (4.4
°C). Defrost meats in the refrigerator or the microwave,
not on the kitchen counter. Wash your hands, cutting boards, and
countertops often. After handling raw meats, especially chicken, wash your
hands and utensils before preparing other foods. The U.S.
Department of Agriculture (USDA) recommends you reheat meats to over
140
°F (60
°C) for at least 10
minutes to destroy bacteria. Even then the bacteria may not be destroyed.
Cook all meats to the recommended
temperature. See
cook foods to prevent food poisoning . Cook hamburger well done.
Cook chicken until the juices run clear. Cover meats and poultry
during microwave cooking to heat the surface of the meat. Do not eat raw eggs or uncooked sauces made
with eggs. Keep party foods on ice. When you eat out,
avoid rare and uncooked meats or seafood. Eat salad bar and deli items before
they get warm. Discard any cans or jars with bulging lids or
leaks. Follow home canning and freezing instructions carefully.
Contact your county agricultural extension office for advice.
If you think that food may have been stored in your
refrigerator for too long, don't take the chance. Throw it out. For more information, see the topic
Food Poisoning and Safe Food Handling .
Viral illness Increase your chance of staying
healthy by:
Washing your hands often, especially during winter
months when
viral illnesses like
influenza are most common. Keeping your
hands away from your nose, eyes, and mouth. Viruses are most likely to enter
your body through these areas. Eating a healthy and
balanced diet . Getting regular
exercise. Not smoking. Smoking irritates the lining of your nose,
sinuses, and lungs, which may increase your risk for problems from a viral
illness. You can help prevent influenza by getting
immunized with an influenza vaccine each year, ideally
in October or November. The "flu shot" is given by injection. This form of the
vaccine prevents most cases of the flu.
Even if a flu shot does
not prevent the flu, the vaccine can make your flu symptoms milder and decrease
the risk of problems from the flu.
Preparing For Your Appointment
To prepare for your appointment, see the topic Making the Most of Your Appointment .
You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions:
Describe your nausea and vomiting:
When did it start? How many
times have you vomited? When did you last vomit? What
does the vomit look like (blood, coffee grounds, bile, mucus, undigested
food)? What prescription and nonprescription medicines
are you taking?
Are you taking any new prescription or
nonprescription medicines? Have you recently increased the dose of
a medicine? Are you taking a medicine more frequently? Have you been under an unusual amount of stress
at home, work, or both? Have you recently been exposed to someone
with a similar illness? Did your symptoms start after eating at a
restaurant? Has anyone else who ate there with you become ill? Have
you recently eaten raw or undercooked seafood? Do you think you
have eaten any contaminated food? Have you recently drunk any
untreated lake, stream, or well water? Have you recently gone on a
cruise or traveled outside the country? Have you had any known
exposure to toxic materials, chemicals, or fumes? Do you think that
your vomiting is caused by alcohol or drug use? What home treatment
measures have you tried? How well have they worked? Do you have any
other symptoms, such as diarrhea, fever, headache, urinary problems, or
abdominal pain? Do you ever force yourself to
vomit? Have you ever been diagnosed with an eating disorder, such
as
anorexia or
bulimia ? Does anyone else in your family
have problems with vomiting? Have you or anyone else in your family
been diagnosed with a mental health problem, such as
depression or an
anxiety disorder ? Do you have any
health risks ? Related Information
Abdominal Pain, Age 11 and Younger Abdominal Pain, Age 12 and Older Appendicitis Constipation, Age 11 and Younger Constipation, Age 12 and Older Dehydration Diarrhea, Age 11 and Younger Diarrhea, Age 12 and Older Food Poisoning and Safe Food Handling Gastroesophageal Reflux Disease (GERD) Head Injury, Age 3 and Younger Head Injury, Age 4 and Older Headaches Heartburn Irritable Bowel Syndrome (IBS) Menstrual Cramps Peptic Ulcer Disease Poisoning Pregnancy Shock Urinary Problems and Injuries, Age 12 and Older Vomiting, Age 3 and Younger Credits
Author Jan Nissl, RN, BS Editor Susan Van Houten, RN, BSN, MBA Associate Editor Tracy Landauer Primary Medical Reviewer William M. Green, MD - Emergency Medicine Specialist Medical Reviewer H. Michael O'Connor, MD - Emergency Medicine Last Updated July 6, 2007