What causes a feeling of heaviness in the stomach and vomiting?

If you experience any of the following, you need immediate medical attention — call 112 or go to the nearest emergency room.

• Severe or sudden onset abdominal pain, fainting, or altered consciousness.
• Persistent, uncontrollable vomiting or blood in the vomit
• High fever, severe shortness of breath, or excessive sweating/pallor (signs of severe dehydration or shock)
• If pregnancy is suspected and vomiting is severe

If you experience acute symptoms, do not wait; go to the emergency room immediately.

You can consult your family doctor for an initial assessment. The family doctor can refer you to internal medicine or gastroenterology if necessary. If you have sudden and severe symptoms, it's best to go directly to the emergency room.

• Family Medicine: initial assessment and referral
• Internal Medicine/Gastroenterology: persistent vomiting, weight loss, recurrent stomach complaints, or the need for detailed investigations.
• Emergency Medicine: acute findings or severe clinical condition

During the appointment, provide information about the duration of the symptoms, the frequency of vomiting, and any accompanying symptoms (fever, blood, jaundice, dry mouth, etc.).

The following low-risk measures may generally provide relief, but they are not a substitute for diagnosis or treatment. Seek professional help if symptoms worsen.

• Rest and comfortable position in bed
• Drinking small amounts of fluids at frequent intervals may require evaluation if thirst or darkening of urine color occurs.
• Avoid heavy, fatty, or spicy foods; reduce solid foods until vomiting stops.
• Record the symptoms: frequency and duration of vomiting, and any new findings such as blood in the vomit or leakage in the stool.

For medication use or prescription-only advice, consult a doctor or pharmacist; no medication names or dosages are suggested here.

The doctor will take a history and perform a physical examination; blood tests, urinalysis, or imaging studies may be ordered if necessary. This process provides a clearer indication of the cause of the symptoms.

• History: onset of vomiting, frequency, accompanying symptoms, possibility of pregnancy, and history of chronic diseases.
• Physical examination: assessment of vital signs and abdominal examination.
• Further evaluation with laboratory or imaging tests if necessary.

The need for examination and testing varies depending on the individual situation; consult a healthcare professional for evaluation.