II. Causes: Neurologic
- Migraine Headache
- Vertigo
- Meningitis
- Seizure Disorder
- Demyelinating disease
-
Increased Intracranial Pressure
- Cerebral Lesion (often Projectile Vomiting)
- Congenital malformation
- Hydrocephalus
- Pseudotumor Cerebri
- Intracranial Hemorrhage
- Closed Head Injury
III. Causes: Metabolic
- Renal Failure (Uremia)
- Liver Failure or Cirrhosis
- Metabolic Acidosis
- Adrenal Insufficiency (Addison's Disease)
- Acute intermittent porphyria
- Poisoning or Medication induced
- Thyroid and Parathyroid conditions
- Diabetes Mellitus
- Pregnancy
- Electrolyte Abnormalities
IV. Causes: Gastrointestinal
- Obstruction
- Gastric Outlet Obstruction or Pyloric Stenosis
- Small Bowel Obstruction
- Intussusception
- Strangulated Hernia
- Volvulus
- Functional Conditions
- Acute inflammatory or infectious conditions
- Appendicitis
- Ruptured viscus
- Peritonitis
- Cholecystitis or Biliary Colic
- Acute Pancreatitis
- Peptic Ulcer Disease
- Post-operative gastric surgery changes
- Miscellaneous Conditions
- Syndrome
- Chronic Nausea and Vomiting syndrome
- Cyclic Vomiting Syndrome
- Cannabinoid Hyperemesis Syndrome
V. Causes: Psychogenic
- See Psychogenic Vomiting
- Mood Disorder (e.g. Anxiety Disorder or Depression)
- Eating Disorder (e.g. Anorexia Nervosa or Bulimia)
- Conversion Disorder
VI. Causes: Miscellaneous
- Vomiting in Pregnancy
- Febrile illness
- Myocardial Infarction
- Congestive Heart Failure
- Myocardial Ischemia or infarction
- Otitis Media
- Chronic Obstructive Pulmonary Disease
- Acute Glaucoma
- Sepsis
- Cyclic Vomiting Syndrome
- Cannabinoid Hyperemesis Syndrome
- Abdominal Migraine
- Postoperative Nausea and Vomiting
VII. Causes: Genitourinary
- Acute Nephritis
- Urinary Tract Infection including Pyelonephritis
- Nephrolithiasis
- Testicular Torsion
- Ovarian Torsion
VIII. References
- Degowin (1987) Diagnostic Exam, Macmillan, p. 526-7
- Feldman (1998) Sleisenger Gastrointestinal, p. 117-126
- Friedman (1991) Medical Diagnosis, Little Brown, p. 174
- Heilenbach in Marx (2002) Rosen's Emergency Med, p. 178
- Anderson (2013) Am Fam Physician 88(6): 371-9 [PubMed]
- Quigley (2001) Gastroenterology 120(1):263-86 [PubMed]
- Scorza (2007) Am Fam Physician 76:76-84 [PubMed]
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Related Studies
Definition (CCC) | Distaste for food/fluids and an urge to vomit |
Definition (NCI_CTCAE) | A disorder characterized by a queasy sensation and/or the urge to vomit. |
Definition (NCI_NCI-GLOSS) | A feeling of sickness or discomfort in the stomach that may come with an urge to vomit. Nausea is a side effect of some types of cancer therapy. |
Definition (NCI) | Upper abdominal discomfort associated with an urge to vomit.(NICHD) |
Definition (NAN) | A subjective unpleasant, wavelike sensation in the back of the throat, epigastrium, or abdomen that may lead to the urge or need to vomit |
Definition (MSH) | An unpleasant sensation in the stomach usually accompanied by the urge to vomit. Common causes are early pregnancy, sea and motion sickness, emotional stress, intense pain, food poisoning, and various enteroviruses. |
Definition (CSP) | unpleasant sensation in the stomach usually accompanied by the urge to vomit. |
Concepts | Sign or Symptom (T184) |
MSH | D009325 |
ICD10 | R11.0 |
SnomedCT | 207111007, 422587007, 73879007, 300576004, 158421000, 272043005, 162060000, 139330007, 139334003, 162055004 |
LNC | LP36327-2, MTHU013524, LA15098-9 |
English | Nausea, FEELING QUEASY, Feeling bilious, Feeling queasy, Feeling sick, [D]Nausea, C/O - nausea, Nausea symptoms, [D]Nausea (context-dependent category), Nauseated, Nausea (finding), Observation of nausea, Nauseous, nausea (symptom), nausea, Queasy, Nausea NOS, Nausea [Disease/Finding], rndx nausea, rndx nausea (diagnosis), feeling sick, nausea symptom, feel sick, nausea symptoms, sick feeling, symptom nausea, nauseous, symptoms nausea, nauseated, queasy, nauseas, nauseating, [D]Nausea (situation), Finding of nausea (finding), Nausea (disorder), Finding of nausea, Nausea NOS (finding), NAUSEA |
Dutch | misselijk, onpasselijk gevoel, onpasselijk, nausea, Misselijkheid |
French | Sensation de mal au coeur, Mal au coeur, Nauséeux, NAUSEES, Nausées, GUEULE DE BOIS, Nausée |
German | an Uebelkeit leidend, sich uebel fuehlen, uebel, an Uebelkeit leiden, UEBELKEIT, UNBEHAGLICHKEITSGEFUEHL, Uebelkeit, Nausea, Übelkeit |
Italian | Sentirsi nauseato, Nauseante, Nauseato, Nausea |
Portuguese | Sensação de má disposição, Mal disposto, Nauseado, Nauseoso, Náusea, NAUSEAS, SENTIR-SE NAUSEADO, Náuseas, Enjoo, Ânsia de Vômito |
Spanish | Nauseoso, Sentirse mareado, náuseas, nauseoso, [D]náuseas (categoría dependiente del contexto), observación de náuseas, náuseas (hallazgo), Náusea, NAUSEAS, SENSACION DE DEBILIDAD, Ansia nauseosa, náusea, SAI, náusea, SAI (hallazgo), hallazgo de náusea, hallazgo de náusea (hallazgo), Nausea NOS, [D]náuseas, [D]náuseas (situación), Náuseas, Ganas de Vomitar |
Japanese | 悪心, 嘔気, 吐き気, オウキ, オシン, ハキケ |
Swedish | Illamående |
Czech | nauzea, Nevolnost, Pocit nevolnosti |
Finnish | Pahoinvointi |
Russian | TOSHNOTA, ТОШНОТА |
Polish | Mdłości, Nudności |
Hungarian | Nausea, Émelygésérzés, Hányinger, Émelygés, Nauzea |
Croatian | MUČNINA |
Norwegian | Kvalme |
Ontology: Vomiting (C0042963)
Definition (ICF-CY) | Functions of moving food or liquid in the reverse direction to ingestion, from stomach to oesophagus to mouth and out, such as in gastro-esophegeal reflux, recurrent vomiting, pyloric stenosis. |
Definition (CCC) | Expulsion of stomach contents through the mouth |
Definition (NCI_CTCAE) | A disorder characterized by the reflexive act of ejecting the contents of the stomach through the mouth. |
Definition (NCI_NCI-GLOSS) | To eject some or all of the contents of the stomach through the mouth. |
Definition (NCI) | Forceful ejection of the contents of the stomach through the mouth.(NICHD) |
Definition (MSH) | The forcible expulsion of the contents of the STOMACH through the MOUTH. |
Definition (CSP) | forcible expulsion of stomach contents through the mouth. |
Concepts | Sign or Symptom (T184) |
MSH | D014839 |
ICD10 | R11.1 , R11.10 |
SnomedCT | 207113005, 207112000, 422400008, 249497008, 15387003, 162063003, 236082001, 139342002, 139335002, 158423002, 162061001, 139337005, 158422007, 162067002, 300359004 |
LNC | LP75931-3, MTHU013530, LA15099-7 |
English | Emesis, Vomiting, EMESIS, Being sick, Throwing up, Vomiting NOS, [D]Emesis, [D]Vomiting, [D]Emesis (context-dependent category), [D]Vomiting (context-dependent category), Vomiting disorder, Vomiting symptoms, Vomiting (disorder), vomiting (symptom), vomiting, vomiting (physical finding), vomiting was observed, Vomited, Vomiting, unspecified, Vomiting [Disease/Finding], vomited, vomits, symptoms vomiting, throw up, vomiting symptoms, Vomiting NOS (finding), Vomiting disorder (disorder), [D]Vomiting (situation), Vomiting NOS (disorder), Vomiting (finding), [D]Emesis (situation), VOMITING, emesis, vomit, Observation of vomiting, Finding of vomiting (finding), Finding of vomiting, gastric contents; regurgitation, regurgitation; gastric contents, Vomiting, NOS, throwing up, Vomiting symptoms (disorder), Vomiting symptom (finding), Vomiting symptom |
French | VOMISSEMENT, Vomi, Vomissement SAI, Vomissement |
German | ERBRECHEN, erbrach, Erbrechen NNB, EMESIS, Emesis, Erbrechen, Vomitus |
Spanish | síntoma de vómito (hallazgo), síntoma de vómito, Vómitos NEOM, emesis, síntomas de vómito, síntomas de vómito (trastorno), vómitos, [D]emesis (categoría dependiente del contexto), vómitos (trastorno), [D]vómitos (categoría dependiente del contexto), EMESIS, VOMITOS, hallazgo relacionado con el vómito, vómito - hallazgo, hallazgo relacionado con el vómito (hallazgo), vómito - hallazgo (hallazgo), vómito - observación, [D]vómitos, Vomiting NOS, [D]vómitos (situación), vómitos, SAI (trastorno), [D]emesis, vómito, vómitos, SAI, vómito (trastorno), [D]emesis (situación), vómitos, SAI (hallazgo), descompostura con vómitos, vómito, SAI, Emesis, Vómitos |
Dutch | braken NAO, emesis, gebraakt, maaginhoud; regurgitatie, regurgitatie; maaginhoud, braken, Braken, Emesis |
Italian | Vomitato, Vomito NAS, Emesi, Vomito |
Portuguese | Vómitos NE, Emese, Vomitado, EMESIS, VOMITOS, Vómito, Vômito, Êmese |
Japanese | 嘔吐NOS, オウトNOS, オウト, 嘔吐 |
Swedish | Kräkning |
Czech | zvracení, Zvracení, Zvracení NOS |
Finnish | Oksentaminen |
Russian | FARINGEAL'NYI REFLEKS, RVOTA, РВОТА, ФАРИНГЕАЛЬНЫЙ РЕФЛЕКС |
Croatian | POVRAĆANJE |
Polish | Wymiotowanie, Wymioty |
Hungarian | Vomitus, Hányt, Hányás k.m.n., Emesis |
Norwegian | Oppkast, Vomitus, Emesis |