Clinical investigations from the RACP

Investigating adults with recurrent nausea and vomiting

Clinical investigations from the RACP

Investigating adults with recurrent nausea and vomiting

Matthew Hall

Figures

Abstract

In investigating the adult with recurrent nausea and vomiting, not only should a gastrointestinal cause be sought but also functional, neurological and psychiatric causes should be considered.

Key Points

  • Recurrent nausea and vomiting is a common clinical problem that is managed by the GP.
  • Often, the pattern of symptoms or associated symptoms will guide investigations and management.
  • If the cause is not clear, screening blood and urine tests may suggest the underlying aetiology.
  • Neurological, psychiatric and functional causes should not be overlooked.
  • Alarm symptoms such as weight loss, bleeding or an abdominal mass should prompt rapid referral.