Nausea / vomiting

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Nausea / vomiting

Could be caused by stomach flu, stomach upset, motion sickness, fear, anxiety to name a few.
Pharmacist

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


Girl feeling nauseated

Continue

 

 

 

Nausea

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With this nausea and or vomiting any fever?
(may be low-grade)


And or chills?
Pharmacist

Yes No

 

 

 

Nausea/Vomiting

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Fever

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

Let's navigate this carefully and decide if your child need to seek urgent care or if he or she can ride this out.

 

 

In addition to this nausea and fever...

...does the child also have diarrhea?
Pharmacist

No.

 

Yes?
Possible stomach flu or food poisoning.
Pharmacist

Let's see if that is what your child is probably looking at.

 

Anybody else with the same symptoms...

...and your child 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 one come in contact with an infected person, were exposed to an infected person through poor sanitation or 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 your child ate the same food?
Pharmacist

 

Yes?
Probably looking at food poisoning.
Pharmacist

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

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

Would you like to seek urgent care for this or Continue?

Nearest Clinic

 

Any headache with all these?
Pharmacist

 

OK.
Possible stomach flu or virus.
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?
More likely looking at food poisoning.
Pharmacist

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

Would you like to seek urgent care for this or Continue to see other situations associated with nausea and or vomiting?

Nearest Clinic 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 your child did not eat the same food or your child may 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?

Is the child feeling a sharp pain in the lower right or middle abdomen?

With this nausea, vomiting, fever?
Pharmacist

No

 

Let's rule out possible appendicitis.
Pharmacist

 

Ask the child:
Was this a dull aching pain that moved from the navel...

...to the right lower part of you stomach?
Pharmacist

This would have grown sharper with time?

 

Yes?
Possible sign of appendicitis.
Pharmacist

Let's make sure your child is not looking at one and if so do the right thing.

 

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

Ask if the pain got sharper?
Pharmacist

 

Yes?

 

Does the pain get worse when your child cough or walk

And he or she 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 your child is not experiencing the question asked.

Children's ER

 

Is the child 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 your child is not experiencing the question asked.

Children's ER

 


Those were possible signs of appendicitis.
Pharmacist

You should seek emergency room visit if most applied to your child.

Know that if the appendix ruptures, your child 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 he or she will become very sick.

If you don't think your child is 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 does the child also have...

...Upper right or middle abdominal pain?
Pharmacist

No

 

Let's rule out gallstones attack.
Pharmacist

 

Ask the child:
Is this like a dull, constant pain?

May also be sharp and cramping.
Pharmacist

 

Yes?
Possible gallstone attack going on.
Pharmacist

 

Ask the child:
Does this pain spread to below the right shoulder blade?

Or the child's back?
Pharmacist

 

Yes?
Sign of possible gallstone attack.
Pharmacist

Will need to seek emergency room visit or at a minimum urgent care if this apply.

Would you like to do that or Continue?

Hospital

 

Is the skin turning yellow?

Or is the child passing clay-colored stools?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Sign of gallstone attack.

Hospital

 


Those were signs of a gallstone attack.
Pharmacist

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

Hospital Continue

 

 

 

Nausea/Vomiting

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Meningitis?

Does the child also have a stiff neck with this nausea and fever?
Pharmacist

No

 

Let's rule out possible life threatening emergency like meningitis.
Pharmacist

 

Is there 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 your child is not experiencing the question asked.

Children's ER

 

Is the child more sensitive to light with this stiff neck, nausea and fever?
Pharmacist

 

Seek Emergency Room.
Pharmacist

Here is why:

  • Possible sign of meningitis.

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 

Do you feel the child is breathing rapidly with this stiff neck, nausea and fever?
Pharmacist

 

Seek Emergency Room.
Pharmacist

Here is why:

  • Possible sign of meningitis.

Seek urgent care

Note:
You should only continue if your child is not experiencing the question asked.

Children's ER

 


Those were possible 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 your child is looking at, let's continue and see what else may be causing this nausea and or vomiting.

Hospital Continue

 

 

 

Nausea/Vomiting

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If nausea with fever, something serious is going on.
Pharmacist

We recommend your child visit the nearest children's urgent care clinic.

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

Urgent Care Continue

 

 

 

Nausea

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No fever

Assuming no fever.

Any diarrhea with this nausea or vomiting?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Probable bacterial cause of food poisoning.
  • Risk of dehydration high.

Nearest Clinic

 

Any burning pain in the stomach with this nausea and or vomiting?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Possibly looking at peptic ulcer or gastritis.
  • If a history of ulcer, it is a good time to check with the 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

 

With the nausea and/or vomiting, is the child feeling dizzy?
Pharmacist

 

Yes?
Possibly looking at vertigo.
Pharmacist

Motion
Sickness

 

Is there a severe headache with this nausea/vomiting?
Pharmacist

No

 

Let's rule out possible migraine going on.
Pharmacist

Continue

 

 

 

 

Fever

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Is it migraine?

Would your child describe this headache as throbbing, pulsating?

Or pounding?
Pharmacist

 

Yes?
Looking at a possible migraine going on.
Pharmacist

 

Can he or she feel the pain in the back of the head or neck?

Or behind the eye?
Pharmacist

 

Yes?
This is a symptom of a migraine headache.
Pharmacist

Usually, one would feel the headache pain in the back of the head, behind the eye or in the back of the neck.

 

Would your child say the headache started on one side of the head?
Pharmacist

 

Yes?
Migraine headache usually start on one side of the head.
Pharmacist

 

Ask the child:
Did it start as a dull ache that got worse as time went on?
Pharmacist

 

Yes?
This is a symptom of migraine headache.
Pharmacist

 

Is the child feeling tingling sensations?

Or numbness?
Pharmacist

 

Yes?
This is a symptom of migraine headache.
Pharmacist

The numbness typically start in one hand and spread to the arm and face.

 

Is the child experiencing visual problems like sensitivity to light?

Or blurring?
Pharmacist

 

Yes?

 

What about seeing bright zig-zag lines or stars?

Or arcs of lights?
Pharmacist

 

Yes?

 

Is the child looking for a quiet, dark and peaceful place?

To just lay the head?
Pharmacist

 

Yes?
Possible migraine going on.
Pharmacist

 


Those were possible signs and symptoms of a migraine headache.
Pharmacist

If you suspect your child is having a migraine, seek urgent care. Especially if the child has been diagnosed with migraine before or there is a family history of migraines.

If you don't think this is a migraine headache going on, let's continue and check out a few other things.

Urgent Care Continue

 

 

 

 

Fever

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One more question

Is the child diabetic?
Pharmacist

 

Seek urgent care or call the pediatrician.
Pharmacist

Here is why:

  • Need to rule out Ketoacidosis.

Nearest Clinic

 

Is the child 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 a child started taking them. Even Acetaminophen.

 

Did the child eat mushrooms within the past week or so?
Pharmacist

 

Yes?
Eating some mushrooms can cause vomiting many days later.
Pharmacist

 


There are other causes of vomiting not discussed.
Pharmacist

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

Let's see what a pharmacist recommend you use over-the-counter to take care of this child's vomiting.

Continue

 

 

 

 

Nausea / vomiting

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How many times has the child thrown up since it all started?
Pharmacist


Pharmacist

Discuss what to do if no other symptoms are present.

Discuss what to do if you know what is causing the nausea and vomiting

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

 

More than 3 times?

Advice to watch out for the symptoms of dehydration.

Seek urgent care if other symptoms are present

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

 

Have to seek urgent care.

You would have to see a doctor.

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