Timing and pattern
We review onset, frequency, food intake, hydration and recent illness, travel or medicine changes.
Digestive symptom
Persistent nausea or vomiting
The duration, ability to drink, abdominal symptoms, medicines and possible pregnancy or infection are reviewed first.
Overview
The cause is not always in the stomach
The clinical history helps distinguish infection, medicine effects, obstruction, upper digestive disease and other causes.
Blood tests, ultrasound, gastroscopy or hospital imaging are selected according to the findings.
Urgent signs
Arrange prompt medical assessment if these changes occur
These findings do not identify one diagnosis, but they can change how quickly you should be assessed.
- Inability to keep fluids down or signs of dehydration
- Blood or coffee-ground material in vomit
- Severe abdominal pain, abdominal swelling, high fever or a marked change in consciousness
What we check
What we review during the consultation
We combine the course of the symptom or result with the medical background rather than judging from one finding alone.
Symptoms that occur together
Abdominal pain, diarrhea, constipation, fever, headache, dizziness, jaundice and weight loss are checked.
Medical history and medicines
We review current conditions, operations, family history, alcohol and smoking, prescribed medicines, over-the-counter products and supplements.
Consultation flow
From consultation to the next step
The order may change according to the symptom or result. We first review urgency and then select the appropriate evaluation.
- 01
Organize the symptom
We review when it started, how it changes and its relationship to meals or bowel movements.
- 02
Check urgency
Bleeding, severe pain, fever, dehydration and other findings that affect timing are reviewed.
- 03
Review the background
Medical conditions, medicines, operations, screening results and previous tests are checked.
- 04
Select appropriate tests
Blood, stool, imaging or endoscopy is considered according to the clinical findings.
- 05
Decide the next step
Treatment, observation, additional testing or hospital referral is discussed from the results.
Assessment
How we decide the next step
Clinical review
The consultation begins by organizing the course of the symptom or screening result and checking whether prompt evaluation is needed.
Tests selected for the situation
Blood tests, abdominal ultrasound, gastroscopy and additional imaging are considered according to the suspected cause.
Treatment and follow-up
We explain the findings and decide whether treatment, observation, additional testing or referral to a hospital is appropriate.
FAQ
Frequently asked questions about Nausea and vomiting
These are general principles. Individual testing and treatment are decided during the consultation.
Will I always need an endoscopy?
Not always. Gastroscopy is useful for selected upper digestive causes, while blood tests, ultrasound or other evaluation may be more important first.
Do I need an appointment for the first consultation?
General medical consultations do not require an appointment. Please visit during clinic hours. Gastroscopy and colonoscopy are arranged separately after the required information is reviewed.
Medical references
General medical information is based on public guidance from professional societies and national institutions. Individual care is determined after clinical review.
Related
Related pages
Contact
General consultation for Nausea and vomiting does not require an appointment
Visit during clinic hours. Gastroscopy and colonoscopy requests are handled through the dedicated page.