Nausea

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Throwing up?

Let's see what to use for nausea and or vomiting over-the-counter.
Pharmacist

Many things can cause nausea. Viral infection such as stomach flu, gallstones, motion sickness, pregnancy or even fear and anxiety to name a few.




Lady about to throw up

Let's determine the best course of action to take with this nausea and vomiting.

Continue

 

 

 

Nausea

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With this nausea and or vomiting do you have any fever (may be low-grade) and or chills?
Pharmacist

Yes No

 

 

 

Nausea/Vomiting

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Stomach flu?

Nausea with fever, may indicate something serious going on.
Pharmacist

Let's navigate this carefully and decide if you need to seek urgent care or if you can ride this out.

 

 

In addition to this nausea and fever, do you also have diarrhea?
Pharmacist

No.

 

Yes?
May be looking at the stomach flu or food poisoning.
Pharmacist

Let's see if that is what you are probably looking at.

 

Anybody else with the same symptoms, but you did not eat the same food?
Pharmacist

In other words do you know if there is a bug going around?

 

Yes?
Probably looking at stomach flu. (viral gastroenteritis)
Pharmacist

Stomach flu starts when you:

  • come in contact with an infected person,
  • were exposed to an infected person through poor sanitation
  • or you ate or drank a contaminated food or water.

Would you like to see the entry for stomach flu or Continue?

Stomach flu

 

Anybody else has the same symptoms and you ate the same food?
Pharmacist

 

Yes?
Probably looking at food poisoning.
Pharmacist

Suspect food poisoning if someone else is sick after you ate the same food and it all started at once.

If you and someone else have the same symptoms but did not eat the same food lately, suspect the stomach flu.

Would you like to see our entry for food poisoning or Continue?

Food
poisoning

 

Do you also have a headache with all these?
Pharmacist

 

Alright.
See the entry for food poisoning or stomach flu if you are suspecting any of them.
Pharmacist

Would you like to Continue or see the nearest urgent care clinic to you?

Urgent Care Continue

 

Was this a nagging headache before the nausea / vomiting and diarrhea started?

Or after the nausea and vomiting?
Pharmacist

 

Before?
If it is before, probably looking at food poisoning.
Pharmacist

Often times, food poisoning start with you feeling a nagging headache, then fever, feeling tired, before you start throwing up with diarrhea and the rest.

Would you like to see our entry on food poisoning or Continue to see other situations associated with nausea and or vomiting?

Food
poisoning
Continue

 

After?
Suspect food poisoning if a nagging headache before the nausea and vomiting.
Pharmacist

If it is after and you know someone else has the same symptoms and you did not eat the same food or you might have come in contact with some one with the stomach bug, then it is probably a stomach flu.

Would you like to see the entry for stomach flu or Continue to check out the other situations that involve nausea and or vomiting with fever?

Stomach flu Continue

 

 

 

Nausea/Vomiting

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appendicitis?

Are you feeling a sharp pain in your lower right or middle abdomen?

With this nausea, vomiting, fever?
Pharmacist

No

 

Let's make sure you are not looking at appendicitis.
Pharmacist

 

Was this a dull aching pain that moved from your navel to the right lower part of you stomach?

And grew sharper with time?
Pharmacist

 

Yes?
This can be a sign of appendicitis.
Pharmacist

Let's make sure you are not looking at one and if so do the right thing.

 

Press on the area of the pain and release the pressure.

Does the pain get sharper?
Pharmacist

 

Yes?

 

Does the pain get worse when you cough or walk and you prefer to lie still?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • This is a sign of appendicitis.

Seek urgent care

Note:
You should only continue if you are not experiencing the question asked.


Hospital

 

Are you shaking with this pain, nausea and/or vomiting?

With chills?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • Possible signs of appendicitis.

Seek urgent care

Note:
You should only continue if you are not experiencing the question asked.


Nearest ER

 


Those were possible signs of appendicitis.
Pharmacist

You should seek emergency room visit if most applied to you.

Know that if your appendix ruptures, you may feel less pain for a short time and even feel better.

But, the lining of the abdomen will get swollen and infected (peritonitis) and then the pain will get worse and you will become very sick.

If you don't think you are looking at appendicitis, let's continue and find out what else may be causing this nausea and vomiting.

Hospital Continue

 

 

 

Nausea/Vomiting

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Gallstones?

With this nausea and fever do you also have upper right or middle abdominal pain?
Pharmacist

No

 

Let's make sure you are not looking at gallstones attack.
Pharmacist

 

Is this like a dull, constant pain?

May also be sharp and cramping.
Pharmacist

 

Yes?
This is a sign of a gallstone attack going on.
Pharmacist

 

Does this pain spread to below the right shoulder blade?

Or your back?
Pharmacist

 

Yes?
This is a sign of gallstone attack.
Pharmacist

You will need to seek emergency room visit or at a minimum urgent care if this apply to you. Would you like to do that or Continue?

Hospital

 

Is your skin turning yellow?

Or are you passing clay-colored stools?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Sign of gallstone attack.

Nearest Clinic

 


Those were signs of a gallstone attack.
Pharmacist

If this apply to you, seek emergency room visit. If not, let's see what else may be causing this nausea and or vomiting with fever.

Nearest ER Continue

 

 

 

Nausea/Vomiting

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Meningitis?

Do you also have a stiff neck along with this nausea and fever?
Pharmacist

No

 

Let's make sure you are not looking at meningitis which can be a life threatening emergency.
Pharmacist

 

Do you have a severe headache with this stiff neck and nausea?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • This is a sign of meningitis.

Seek urgent care

Note:
You should only continue if you are not experiencing the question asked.


Hospital

 

Are you more sensitive to light with this stiff neck and nausea with fever?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • Possible sign of meningitis.

Seek urgent care

Note:
You should only continue if you are not experiencing the question asked.


Hospital

 

Do you feel you are breathing rapidly with this stiff neck, nausea and fever?
Pharmacist

 

Go to the Emergency Room.
Pharmacist

Here is why:

  • Possible sign of meningitis

Seek urgent care

Note:
You should only continue if you are not experiencing the question asked.


Hospital

 


We just went through the main signs of meningitis.
Pharmacist

Bacteria meningitis is a medical emergency.

Urgent treatment is required to avoid serious complications and even death. Time is of a factor.

If you don't think it is meningitis you are looking at, let's continue and see what else may be causing this nausea and or vomiting.

Nearest ER Continue

 

 

 

Nausea/Vomiting

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If you have nausea with fever, chances are something serious is going on.
Pharmacist

We will recommend you visit the nearest urgent care clinic.

If any of the discussions does not apply to you, then let's continue.

Urgent Care Continue

 

 

 

Nausea

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No fever

Do you also have diarrhea with this nausea or vomiting?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • Most likely looking at bacterial cause of food poisoning.
  • Risk of dehydration high.

Nearest Clinic

 

Do you have burning pain in the stomach with this nausea and or vomiting?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • You may be looking at peptic ulcer or gastritis
  • If you have a history of ulcer, it is a good time to check with your doctor.

Nearest Clinic

 

What about burning pain in the lower part of the chest?

With a sour or bitter taste in the mouth or throat.
Pharmacist

 

Yes?
Most likely looking at a serious case of heartburn or GERD.
Pharmacist

 

Are you in addition to the nausea and/or vomiting feeling dizzy?
Pharmacist

With these symptoms:

  • Sweating
  • Drooling saliva
  • Feeling cold
  • Headaches
  • Pale skin
  • Fatigue

And you are in a motion situation like a moving boat, train, airplane, car, or amusement park rides?

 

Yes?
Most likely looking at motion sickness.
Pharmacist

Would you like to take a look at the entry for motion sickness or Continue?

Motion
Sickness

 

Do you have a severe headache with this nausea/vomiting?
Pharmacist

Especially with:

  • Sensitivity to light
  • Sensitivity to sounds
  • Sensitivity to smells
  • Blurred vision
  • Headache that has a pulsating, throbbing feel to it
  • Lightheadedness.

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • May be looking at a migraine

Nearest Clinic

 

Are you of child bearing age and if so did you miss a period?
Pharmacist

 

Yes?
Take a pregnancy test especially if it is triggered by food.
Pharmacist

Nausea or vomiting due to pregnancy often occur in the morning or can be triggered by food.

 

Are you diabetic?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • Possible ketoacidosis

Nearest Clinic

 

Did you just start taking a new medication?
Pharmacist

 

Yes?
Most medications will cause nausea and/or vomiting.
Pharmacist

Some medications may also cause nausea or vomiting days after you started taking them. Even Acetaminophen.

 


There are other causes of vomiting not talked about here.
Pharmacist

For instance, you can trigger the vomiting center as a result of being stressed out.

Eating some mushrooms can cause vomiting many days later.

Let's see what a pharmacist recommend you use over-the-counter.

Continue

 

 

 

 

Know this

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How bad is it?

How many times have you thrown up since it all started?
Pharmacist


Pharmacist

Less than 3 times?

Let's see what a pharmacist recommend you use over-the-counter to help with the nausea and vomiting.

This will assume that:

  • No other symptoms are present or nausea and or vomiting is the predominant symptom.

  • You know what is causing the nausea and vomiting.

  • You want to know what is available for nausea and or vomiting over the counter.

More than 3 times?

Watch out for the signs and symptoms of dehydration.

Seek urgent care if other symptoms are present.

Let's see what a pharmacist recommend you use over-the-counter to help with the nausea and vomiting.

Pretty bad?

Have to seek urgent care or give the doctor a call.

Call the doctor or the after hours line. They can always call in a prescription to take care of this nausea and/or vomiting for you. You don't have to wait till the office is opened for business.

Let's see what a pharmacist recommend you use over-the-counter to help with the nausea and vomiting at least until you see a doctor.