Chapter 2. Approach to Vomiting

  1. Tony C. K. Tham MD, FRCP, FRCPI Consultant Gastroenterologist Head of School of Medicine1,2,
  2. John S. A. Collins MD Consultant Gastroenterologist3 and
  3. Roy M. Soetikno MD, MS Chief Associate Professor4,5
  1. Bee Chan Lee MB, MRCP Specialist Registrar in Gastroenterology and
  2. John S. Collins MD Consultant Gastroenterologist

Published Online: 9 FEB 2009

DOI: 10.1002/9781444303292.ch2

Gastrointestinal Emergencies, Second Edition

Gastrointestinal Emergencies, Second Edition

How to Cite

Lee, B. C. and Collins, J. S. (2008) Approach to Vomiting, in Gastrointestinal Emergencies, Second Edition (eds T. C. K. Tham, J. S. A. Collins and R. M. Soetikno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303292.ch2

Editor Information

  1. 1

    The Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK

  2. 2

    Northern Ireland deanery, UK

  3. 3

    Royal Victoria Hospital, Belfast, Northern Ireland, UK

  4. 4

    GI Section, VA Palo Alto Health Care System, USA

  5. 5

    Stanford University, USA

Author Information

  1. Royal Victoria Hospital, Belfast, Northern Ireland, UK

Publication History

  1. Published Online: 9 FEB 2009
  2. Published Print: 28 NOV 2008

ISBN Information

Print ISBN: 9781405146340

Online ISBN: 9781444303292



  • acute vomiting;
  • acute nausea with or without vomiting;
  • visceral (gut and peritoneum);
  • abdominal examination for signs of peritonism;
  • blood count, urea, electrolytes and inflammatory markers;
  • management of acute nausea and vomiting;
  • clinical use of antiemetics;
  • antiemetic drugs


This chapter contains sections titled:

  • Definition

  • Etiology

  • History

  • Examination

  • Investigations

  • Management of acute nausea and vomiting