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Peace of Mind,
in 3 easy steps...

Step 1:
Fill out questionnaire

Step 2:
Video-call with a doctor

Step 3:
Get prescriptions to your pharmacy

Peace of Mind,
in 3 easy steps…
Step 1:
Fill out questionnaire
Step 2:
Video-call with a doctor
Step 3:
Get prescriptions to your pharmacy

Nausea and Vomiting

Nausea is the feeling that you may be sick and throw up. On the other hand, vomiting is the act of actually throwing up. If you experience nausea and vomiting symptoms for more than 48 hours, seek medical help.

Dr. Andrea Bernhard
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Nausea and Vomiting

Additionally, seek medical help if you feel extremely weak. Likewise, seek medication attention if you see blood in your vomit. Also, if you experience unexplained weight loss or difficulty in swallowing. Nausea and vomiting symptoms are listed below. 

What you should tell your doctor

Tell your doctor exactly how long you have been experiencing nausea and vomiting symptoms. Also mention any other symptoms that you may have been experiencing. Some other things that you should inform your doctor about are, for example:

  • How did nausea and vomiting start? Also, did it start suddenly or develop gradually over time?
  • Do you feel anything specific caused the nausea and vomiting?
  • How long has nausea and vomiting lasted?
  • Is nausea or vomiting worse at specific times of the day?
  • Does nausea or vomiting get worse if you move your head?
  • Do you have a fever?
  • When you vomit, does it contain blood or bile?
  • Have you experienced weight loss recently?
  • Have you experienced abdominal pains or headaches?
  • How much alcohol do you drink in a day?
  • Are you pregnant? In addition, is it possible that you could be pregnant?
  • Have you started any new medications recently?

Overall, this information will help your doctor determine the cause of nausea and vomiting. Additionally, a detailed abdomen and chest examination will also help determine the cause. Also, depending on your symptoms, you could be asked for a blood or urine test or referred to a specialist. Further, if you suspect a pregnancy, you will therefore need to take a pregnancy test.

What should you do if you develop nausea or experience vomiting?

  • Drink plenty of fluids. This is to replace the lost fluids in the body, avoiding dehydration. For instance, you could use rehydration drinks.
  • Call 911 if the vomiting is severe. Likewise if you feel extremely weak or have severe abdominal pain
  • Seek medical advice if the vomiting lasts for more than 48 hours


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‘Red flag’ symptoms

There are certain red flag symptoms that could state a serious underlying disease. Above all, if you experience any of these you must seek immediate medical attention. These red flag symptoms include, for instance:

  • Vomiting blood or bile
  • Weight loss
  • Severe abdominal pain
  • High fever, stiff neck, rash, and an averseness to light
  • Increasing weakness or loss of consciousness
  • Continuous vomiting for more than 48 hours

Causes of nausea and vomiting

There could be many causes of nausea and vomiting including, for example:

  • Gastroenteritis
  • Food poisoning
  • Excessive intake of alcohol
  • Pregnancy
  • Migraine
  • Problems with the inner ear
  • Motion sickness
  • Certain medications like chemotherapy
  • Urinary tract infections
  • Eating disorders
  • Stomach problems. For example, Gastro-oesophageal reflux disease, stomach ulcers, and pyloric stenosis (in babies). Additionally, people with gastroparesis. It is common in those who have had weight loss surgery.
  • Metabolic conditions including poorly controlled diabetes, Addison’s disease, and hypercalcemia.
  • Other possible causes include, for example:
  • Appendicitis
  • Inflammation of the pancreas
  • Kidney stones
  • Gallstones
  • Blockage of the gut
  • Head injury/brain tumor
  • Liver disease
  • Kidney disease

Ensure that you tell your doctor all your symptoms. Thus, allowing the doctor to make the correct diagnosis.

Acute and persistent nausea and vomiting

Acute nausea/vomiting occurs when nausea and/or vomiting lasts between 24-48 hours. Additionally, it is severe in nature. Food poisoning or gastric infections usually cause this. But, they are self-limiting in nature (stop by themselves). Thus, there is no required medical intervention. One only needs to ensure adequate hydration.

Nausea or vomiting that lasts for more than 48 hours is persistent nausea/vomiting. Also, in some cases the cause may be the same as that of acute nausea/vomiting. But, as the time elapses the presence of some other underlying condition becomes more likely.

Problems caused by persistent nausea

Persistent nausea can be extremely depressing. Thus, making a person feel sick and low all the time.

Problems caused by persistent vomiting

  • Dehydration
  • Disbalance of electrolytes
  • Damage to the tooth enamel due to stomach acid
  • Gastritis
  • Vomiting while unconscious. It can cause the vomit to enter the windpipe and, hence, lead to choking



TelaPets offers medical teleadvice/teletriage with a Hawaii veterinarian, at a time that’s convenient for you. Set up a telemedicine appointment for your pet using TelaPets and get quick help now!