Nausea

Nausea is the uneasy or queasy sensation in the upper stomach often accompanied by an urge to vomit. It has many possible causes and can be short-lived or persistent. The information below outlines common causes, warning signs that need prompt attention, and typical referral paths within healthcare systems.

What nausea feels like and common accompanying symptoms

Nausea may present as a vague stomach discomfort, a sour taste in the mouth, lightheadedness, sweating, or an urge to vomit. It often occurs together with vomiting, abdominal pain, diarrhea, headache, or dizziness. Noting these accompanying symptoms helps clinicians narrow down possible causes.

Frequent causes and triggers

Many conditions can cause nausea. Common triggers include viral or bacterial gastrointestinal infections, food poisoning, reactions to medicines, migraine, inner-ear (vestibular) disorders, early pregnancy, intense anxiety or stress, and metabolic imbalances. Systemic infections or other medical problems can also present primarily with nausea.

When to seek urgent medical evaluation

Seek prompt medical attention if nausea is severe, persistent, or associated with any of the following: inability to stop vomiting; signs of dehydration (markedly reduced urine output, dizziness, very dry mouth); high fever; severe abdominal pain; change in consciousness; chest pain or breathing difficulty; bloody vomit or black, tarry stools. In these situations, emergency services or an urgent care facility should be used.

Home measures and when to follow up with a clinician

For short-lived, mild nausea, simple measures can help: rest, sip clear fluids, eat small bland meals, avoid heavy or fatty foods, and use slow breathing to reduce nausea from anxiety. These are general measures and not a substitute for medical care. If symptoms worsen, recur frequently, or there are red-flag signs, contact a primary care clinician for assessment and possible tests.

Which medical specialties may be involved

Initial assessment usually starts with Primary Care (family medicine). Depending on the suspected cause, referrals may be made to Gastroenterology, Infectious Diseases and Clinical Microbiology, Neurology, Ear–Nose–Throat (ENT)/Vestibular specialists, or Obstetrics/Gynecology for pregnancy-related nausea. Clinicians will decide on appropriate laboratory tests or imaging.

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