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Vomiting

Description

Vomiting is forceful expulsion of the contents of stomach through mouth. Vomiting can be voluntary or involuntary and projectile or non-projectile. Vomiting is not a disease in itself but rather, it is a symptom of other underlying disorders. Vomiting can be a one-time event or can occur repeatedly at regular intervals. The contents of a vomit vary from person to person.

Causes

Common causes of vomiting include: 

  1. Infections: influenza, pertussis, urinary tract infection, food poisoning
  2. Diseases of central nervous system: raised intracranial pressure, migraine
  3. Metabolic causes: raised blood urea levels, diabetic ketoacidosis, delayed emptying of stomach (gastro paresis), and increased blood calcium.
  4. Drugs: levodopa, opiates, antibiotics, digoxin therapy, chemotherapy, immunotherapy.
  5. Excess alcohol intake
  6. Pregnancy related morning sickness
  7. Sea sickness or motion sickness
  8. Severe pain due to kidney stone, gall stones, appendicitis
  9. Injury to brain 
Risk factors

Prominent risk factors of vomiting are:

  • Female gender,
  • Obesity,

  • Family history,

  • Emotional distress,
  • Mental health problems,

  • Gastrointestinal disorders.
Symptoms

Common symptoms of vomiting are:

  • Nausea,
  • Stomach cramps,
  • Heartburn,
  • Diarrhea,
  • Fever,
  • Lightheadedness,
  • Dry mouth,
  • Vertigo,
  • Excessive sweating,
  • Rapid pulse,
  • Decreased urination,
  • Fainting,
  • Confusion.
Diagnosis

If there have been just a few bouts of vomiting, investigations are generally not required. If the complaint persists then following routine tests are done:

  • Lab tests:
  1. Complete blood count with differential counts
  2. Blood electrolyte levels- sodium, chloride, potassium
  3. Liver function tests
  4. Complete urine examination  
  • Imaging tests:
  1. X-ray of the abdomen 
  2. CT scan of the abdomen
Management

Depending on the cause of vomiting, the treatment may differ.

  • Homecare includes:
  1. Sipping clear fluids.
  2. Gradually drinking larger quantities of clear liquids to prevent dehydration.
  3. Avoid solid food till the episodes of vomiting have subsided
    Oral rehydration solution (ORS) is recommended to prevent chances of dehydration.
  4. Vomiting due to morning sickness in pregnant women can be prevented by eating some crackers before getting out of bed or having a high protein snack before sleeping.
  5. If vomiting is due to a bacterial infection, the doctor will prescribe antibiotics to clear the infection.
When to consult a doctor?

If vomiting persists, it may lead to following complications:

  1. Entering of vomit into wind pipe an individual may choke and die or suffer from pneumonia.
  2. Dehydration and electrolyte imbalance
  3. Oral health  
  4. Mallory- Weiss tear: Erosions in the esophagus or small tears in its mucosa 
  5. Continuous vomiting during pregnancy can lead to a serious condition called hyperemesis gravidarum due to which the mother suffers from fluid and mineral imbalance that can endanger her life or of her unborn child.

 

Seek immediate medical help if:

  1. Blood in vomit 
  2. Vomit is after a head injury (even if the head injury didn’t seem serious) 
  3. Severe headache or stiffness of neck, 
  4. Severe abdominal pain, 
  5. You cannot keep any fluids down for more than 12 hours or 
  6. You have been vomiting longer than 24 hours.

 

Available Medicine for Vomiting

Stugeron Tablet 25mg

Rs.32.27

Aspin Pharma

Stugeron Forte 75mg

Rs.130

Aspin Pharma

Marzine 12.5mg|5ml

Rs.17.14

GlaxoSmithKline

Medizine 12.5mg|5ml

Rs.12

Mediceena

Nausin 50mg

Rs.101.81

Siza

Migril

Rs.56.52

GlaxoSmithKline

Cayminate 50mg

Rs.5.5

Caylex

Demax 12.5mg|4ml

Rs.15

Delux

Devinate 12.5mg|4ml

Rs.15

Polyfine

Dimate 12.5mg|4ml

Rs.11

Rock PhARMA

Divonate 50mg

Rs.4

Isis

Gravinate 12.5mg|4ml

Rs.24.5

Searle

Hydrate 50mg

Rs.35

Miracle

I-Menate 12.5mg|4ml

Rs.15

Irza

I-Menate 50mg

Rs.5.5

Irza

Minate 50mg

Rs.6

Akson

Cayminate 50mg

Rs.161

Caylex

Demax 12.5mg|4ml

Rs.15

Delux

Devom 50mg

Rs.192

Siza

Devom 50mg

Rs.37

Siza

Dimate 12.5mg|4ml

Rs.11

Rock PhARMA

Dimenic 12.5mg|4ml

Rs.15

Leama Chemi

Dimetil 50mg

Rs.34.12

Munawar Pharma

Diomine 50mg

Rs.3

Venus

Dirinate 50mg

Rs.6

E-Lite

Divonate 50mg

Rs.55

Isis

Dymin 12.5mg|4ml

Rs.40

Stanely

Dymin 12.5mg|4ml

Rs.40

Stanely

Dymin 50mg

Rs.100

Stanely

Ephadryl 50mg

Rs.150

Epharm

Gravinate 50mg

Rs.17.18

Searle

Gravinate 60ml 12.5mg/4ml

Rs.67.89

Searle

Gravinate 12.5mg/4ml

Rs.24.5

Searle

Gravinate 50mg

Rs.18.67

Searle

Hydrinate 12.5mg|4ml

Rs.30

Lisko

Hydrinate 12.5mg|4ml

Rs.15

Lisko

I-Menate 50mg

Rs.4.4

Irza

Lawrvinate 50mg

Rs.3.6

Lawrence

Emetus 10mg

Rs.43

Lotus

Emidone 5mg|5ml

Rs.107

Pharmix

Emidone 10mg

Rs.66.67

Pharmix

Emolium 5mg|5ml

Rs.84

Basil

Emolium 10mg

Rs.42.8

Basil

Emorip 5mg|5ml

Rs.84

Caylex

Emorip 10mg

Rs.30

Caylex

Entevigor 5mg|5ml

Rs.52

Helicon

Entevigor 5mg|5ml

Rs.26

Helicon

Entevigor 10mg

Rs.167

Helicon

Evdon 10mg

Rs.28.8

Everest

Gastrocure 10mg

Rs.28.8

Grays

Gerin 5mg|5ml

Rs.84

Akson

Gerin 10mg

Rs.43

Akson

H-Done 10mg

Rs.160

Healthtek

Jperidon 5mg|5ml

Rs.55

Jawa

Jperidon 10mg

Rs.43

Jawa

Kinetic 5mg|5ml

Rs.0

Nexus

Kinetic 10mg

Rs.0

Nexus

Kinetic 10mg

Rs.0

Nexus

Maldom 5mg|5ml

Rs.136

Semos

Maprid 10mg

Rs.27

Valor

Medidone 10mg

Rs.215

Medisearch

Milium 5mg|5ml

Rs.84

English Pharma

Milium 10mg

Rs.43

English Pharma

Motilium 5mg/5ml

Rs.160

Aspin Pharma

Molium 5mg|5ml

Rs.42

Alliance

Molium 10mg

Rs.215

Alliance

Moperium 10mg

Rs.43

Genome Pharma

Motedone 5mg|5ml

Rs.84

Lowitt

Motedone 10mg

Rs.170

Lowitt

Motidil 10mg

Rs.43

Caraway

Motil 5mg|5ml

Rs.84

Medicraft

Motil 5mg|5ml

Rs.42

Medicraft

Motil 10mg

Rs.35

Medicraft

Motil 10mg

Rs.215

Medicraft

Motilium 10mg

Rs.86

Aspin Pharma

Motireg 10mg

Rs.32

Pharmacare

Nendone 5mg|5ml

Rs.84

Nenza

Nendone 5mg|5ml

Rs.42

Nenza

Nendone 10mg

Rs.43

Nenza

Neoperi 5mg|5ml

Rs.84

Neo Medix

Neoperi 5mg|5ml

Rs.40

Neo Medix

Neoperi 10mg

Rs.43

Neo Medix

Nomit 5mg/5ml

Rs.42

Le Mendoza

Nomit 10mg

Rs.30

Le Mendoza

Nv-Nil 10mg

Rs.43

Saydon

Olidon 5mg|5ml

Rs.50

Olive Health Care

Olidon 5mg|5ml

Rs.25

Olive Health Care

Olidon 10mg

Rs.135

Olive Health Care

Omperin 5mg|5ml

Rs.84

Bio Labs

Optilium 10mg

Rs.30

Pakheim

Otatone 5mg|5ml

Rs.57

Orta

Otatone 10mg

Rs.34

Orta

Pelton 5mg|5ml

Rs.146.47

Global-Vision

Pelton 10mg

Rs.57.34

Global-Vision

Pentex 10mg

Rs.43

Pearl

Pericid 10mg

Rs.37.53

LCPW

Perid 5mg|5ml

Rs.29

Medisure

Perid 10mg

Rs.29.6

Medisure

Peridone 5mg|5ml

Rs.147

Sami

Peridone 5mg|5ml

Rs.42

Sami

Peridone 10mg

Rs.225.74

Sami

Perilium 5mg/5ml

Rs.98

Adamjee Pharmaceuticals

Perilium 5mg/5ml

Rs.60.5

Adamjee Pharmaceuticals

Perilium 10mg

Rs.61.94

Adamjee Pharmaceuticals

Perill 5mg|5ml

Rs.70

Polyfine

Perill 5mg|5ml

Rs.42

Polyfine

Perill 10mg

Rs.35

Polyfine

Perill 10mg

Rs.32

Polyfine

Peristal 5mg|5ml

Rs.41.12

Zaynoon

Prokin 10mg

Rs.29.6

Global-Vision

Puridon 10mg

Rs.28.8

Pulse

Qilium 10mg

Rs.6

Fynk

Qilium 5mg|5ml

Rs.84

Fynk

Qilium 5mg|5ml

Rs.42

Fynk

Qilium 10mg

Rs.29.6

Fynk

Rapidon 10mg

Rs.32

Usawa

Razim 5mg|5ml

Rs.29

Fozan

Ridon 10mg

Rs.49.45

Bloom Pharma

Sevidon 5mg|5ml

Rs.84

Bloom Pharma

Solium 5mg|5ml

Rs.124

Medicaids

Solium 10mg

Rs.373

Medicaids

Stardone 5mg|5ml

Rs.42

Star

Stardone 10mg

Rs.28

Star

Stomacol 10mg

Rs.75.26

High-Q

Stomeze 5mg|5ml

Rs.57.2

Werick

Stomeze 10mg

Rs.29.12

Werick

Sydidon 5mg|5ml

Rs.84

Sayyed

Sydidon 5mg|5ml

Rs.42

Sayyed

Talsis 5mg|5ml

Rs.65

Amarant

Talsis 10mg

Rs.41.4

Amarant

Typeridon 5mg|5ml

Rs.0

Karachi Chemical

Typeridon 5mg|5ml

Rs.0

Karachi Chemical

Typeridon 10mg

Rs.0

Karachi Chemical

Unidon 5mg|5ml

Rs.84

Paramount

Unidon 5mg|5ml

Rs.42

Paramount

Unidon 10mg

Rs.43

Paramount

Visdom 5mg/5ml

Rs.55

Macter

Visdom 10mg

Rs.150

Macter

Vomax 5mg|5ml

Rs.84

Rock PhARMA

Vomax 5mg|5ml

Rs.42

Rock PhARMA

Vomax 10mg

Rs.43.6

Rock PhARMA

Vomi 5mg|5ml

Rs.84

Irza

Vomi 5mg|5ml

Rs.42

Irza

Vomi 10mg

Rs.42

Irza

Vomilux 5mg|5ml

Rs.73.51

Atco

Vomilux 10mg

Rs.53.21

Atco

Vomisac 5mg|5ml

Rs.135

Noa Hemis

Vomistop 10mg

Rs.29.6

Danas

Vomitil 5mg|5ml

Rs.84

Davis Pharma

Vomitil 10mg

Rs.30.8

Davis Pharma

Vomnil 10mg

Rs.29

Leama Chemi

Vomson 10mg

Rs.165

Obasons

Zelium 5mg|5ml

Rs.70

Z-jans

Zelium 10mg

Rs.175

Z-jans

Zotrium 5mg|5ml

Rs.57

Hataf Pharma

Zotrium 10mg

Rs.28.8

Hataf Pharma

Act-On 10mg

Rs.43

Qintar Pharma

Al-Pridone 5mg|5ml

Rs.57

Macquins

Al-Pridone 5mg|5ml

Rs.57

Macquins

Al-Pridone 10mg

Rs.28.8

Macquins

Almedon 5mg|5ml

Rs.42

Alina

Almedon 5mg|5ml

Rs.63

Alina

Almedon 10mg

Rs.43

Alina

Ambrilium 5mg|5ml

Rs.75

Ambrosia

Ambrilium 10mg

Rs.28.8

Ambrosia

Appdom 5mg|5ml

Rs.84

Delux

Appdom 10mg

Rs.144

Delux

Ardilium 10mg

Rs.30

Ardin

Do-Ge 10mg

Rs.6

Ipharm

Do-One 5mg|5ml

Rs.84

Global-Vision

Dolium 5mg|5ml

Rs.42

swiss pharma

Domec 5mg|5ml

Rs.80

Hisun

Domilium 10mg

Rs.43

Jinnah Pharma

Domipar 5mg|5ml

Rs.42

Libra

Dompedone 10mg

Rs.27

Harmann

Domptillium 5mg|5ml

Rs.40

Rakahposhi

Dompyrax 5mg|5ml

Rs.35

Mediceena

Emetus 5mg|5ml

Rs.84

Lotus

Appdom 10mg

Rs.144

Delux

Avifix 5mg|5ml

Rs.84

Radium

Avifix 10mg

Rs.215

Radium

D-Done 10mg

Rs.29.4

Flow Pharma

Do-One 10mg

Rs.215

Global-Vision

Dodon 10mg

Rs.28.8

Honig

Doliricin 5mg|5ml

Rs.57

Dr.Raza

Doliricin 5mg|5ml

Rs.28.5

Dr.Raza

Dolium 5mg|5ml

Rs.84

swiss pharma

Dolium 10mg

Rs.40

swiss pharma

Domact 5mg|5ml

Rs.65

Neutro

Domact 10mg

Rs.168

Neutro

Dome-One 5mg|5ml

Rs.103.3

Shrooq

Dome-One 5mg|5ml

Rs.42

Shrooq

Domec 5mg|5ml

Rs.40

Hisun

Domec 10mg

Rs.43

Hisun

Domflash 10mg

Rs.303.38

Nexpharm

Domflash 5mg|5ml

Rs.129

Nexpharm

Domid 5mg|5ml

Rs.55

Miracle

Domid 10mg

Rs.180

Miracle

Domipar 10mg

Rs.215

Libra

Domofit 5mg|5ml

Rs.84

Synchro

Domotin 10mg

Rs.33

Benson

Domozat 5mg|5ml

Rs.57

Hizat

Domozat 5mg|5ml

Rs.30

Hizat

Dompedone 5mg|5ml

Rs.60

Harmann

Dompedone 5mg|5ml

Rs.35.29

Harmann

Dompro 5mg|5ml

Rs.84

U nison

Domptillium 5mg|5ml

Rs.57

Rakahposhi

Domptillium 10mg

Rs.36

Rakahposhi

Dompyrax 5mg|5ml

Rs.60

Mediceena

Dompyrax 10mg

Rs.29

Mediceena

Domsave 5mg|5ml

Rs.84

Medisave

Domsave 10mg

Rs.215

Medisave

Domycare 5mg|5ml

Rs.30.59

CareForHealth

Dopin 10mg

Rs.36

CSH

Edom 5mg|5ml

Rs.84

Epharm

Edom 10mg

Rs.28.8

Epharm

Domflash 5 mg

Rs.59.27

Next Pharmaceutical

Motilium-V 10mg

Rs.104

Aspin Pharma

Dome-One Maleate 10mg

Rs.52.8

Shrooq

Domel 10mg

Rs.90.2

Barrett

Dompro Maleate 10mg

Rs.215

U nison

Domwis 5mg|5ml

Rs.84

Wise Pharma

Domwis 10mg

Rs.52

Wise Pharma

Donald 10mg

Rs.29.6

Batala Pharma

Emiset 5mg|5ml

Rs.147

Platinum

Emiset 10mg

Rs.75.17

Platinum

Evdon V 10mg

Rs.34

Everest

Gastrocure-V 10mg

Rs.34

Grays

H-Done Maleate 5mg|5ml

Rs.84

Healthtek

H-Done Maleate 5mg|5ml

Rs.42

Healthtek

Makdone-M 10mg

Rs.29.6

Makson

Maldom 10mg

Rs.50

Semos

Mendon 5mg|5ml

Rs.55

Metro

Mendon 10mg

Rs.43

Metro

Milium V 10mg

Rs.52

English Pharma

Moticol 10mg

Rs.29.6

Novins

Motilite 10mg

Rs.59

Candid

Olidon-M 10mg

Rs.135

Olive Health Care

Omperin 10mg

Rs.43

Bio Labs

Pelton V 5mg/5ml

Rs.105

Global-Vision

Pelton V 12.72mg

Rs.49

Global-Vision

Peptimax-V 10mg

Rs.34

Aries

Perid-M 10mg

Rs.27.2

Medisure

Remato 5mg|5ml

Rs.0

Laurus Therapeutics

Sevidon-V 10mg

Rs.215

Bloom Pharma

Unidon-V 10mg

Rs.129

Paramount

Unidon-V 10mg

Rs.215

Paramount

Domel 5mg/5ml 5mg/5ml

Rs.88.2

Barrett

Navidoxine 25mg/50mg

Rs.35.24

AGP

Maxolon 10mg

Rs.43.4

GlaxoSmithKline

Onset 8 Mg

Rs.450

Pharmadic

Zofran 8mg

Rs.650

GlaxoSmithKline

Onset 4mg

Rs.72

Pharmadic

ONSET 8mg

Rs.185

Pharmadic

Onseron 4mg/5ml

Rs.460

Indus Pharma

Onseron

Rs.260

Indus Pharma

Danset 2 mg

Rs.150

CCL

Danset 8 mg

Rs.360

CCL

Ongene 8mg

Rs.380

High-Q