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Vomiting Causes

Vomiting may be due to a large number of causes, and protracted vomiting has a long differential diagnosis.

Digestive tract

Causes in the digestive tract
  • Gastritis (inflammation of the gastric wall, usually by viruses)
  • Gastroenteritis
  • Pyloric stenosis (in babies, this typically causes a very forceful "projectile vomiting" and is an indication for urgent surgery)
  • Bowel obstruction
  • Overeating
  • Acute abdomen and/or peritonitis
  • Ileus
  • Food allergies (often in conjunction with hives or swelling)
  • Cholecystitis, pancreatitis, appendicitis, hepatitis
  • Food poisoning
  • In children, it can be caused by an allergic reaction to cow's milk proteins (Milk allergy or lactose intolerance)

Sensory system and brain

Causes in the sensory system
  • Movement: motion sickness (which is caused by overstimulation of the labyrinthine canals of the ear)
  • Ménière's disease
Causes in the brain
Metabolic disturbances (these may irritate both the stomach and the parts of the brain that coordinate vomiting)
Pregnancy
  • Hyperemesis, Morning sickness
Drug reaction (vomiting may occur as an acute somatic response to)
Illness

Miscellanea

  • Self-induced
    • Eating disorders (anorexia nervosa or bulimia nervosa)
    • To eliminate an ingested poison (some poisons should not be vomited as they may be more toxic when inhaled or aspirated; it is better to ask for help before inducing vomiting)
    • Some people who are engaged in binge drinking will induce vomiting in order to make room in their stomachs for further alcohol consumption.
    • After surgery (postoperative nausea and vomiting)
    • Disagreeable sights, smells or thoughts (such as decayed matter, others' vomit, thinking of vomiting), etc.
    • Extreme pain, such as intense headache or myocardial infarction (heart attack)
    • Violent emotions
    • Cyclic vomiting syndrome (a poorly-understood condition with attacks of vomiting)
    • High doses of ionizing radiation will sometimes trigger a vomit reflex in the victim
    • Violent fits of coughing, hiccups, or asthma
    • Nervousness
    • Performing physical activity (such as swimming) shortly after a meal.
    • Being struck hard in the stomach.
    • Overexertion (doing too much strenuous exercise can lead to vomiting shortly afterwards).
    • Rumination syndrome, an underdiagnosed and poorly understood disorder that causes sufferers to regurgitate food shortly after ingestion.

Further Reading


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