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Vomiting is the involuntary, forceful expulsion of the contents of one’s stomach through the mouth.


  • Gastric outlet obstruction by Benign or Malignant stricture
  • Intestinal obstruction of any aetiology
  • Intestinal infarction
  • Gastritis and peptic ulcer disease
  • Gastroparesis
  • Extra intestinal
    • Hepatitis
    • Pancreatitis
    • Cholecystitis
    • Appendicitis
    • Testicular or ovarian torsio
    • Urinary tract infection
    • Drugs
    • Motion sickness
    • Any febrile illness
    • Metabolic disorder
    • Raised intra cranial tension
    • Anorexia nervosa
    • Bulimia nervosa
    • Functional


A complete history and meticulous physical examination is essential and provides the clues for appropriate diagnosis and management. Diagnostic testing should be directed by the clinical picture.

Initial investigations include:

  1. Complete Haematology and biochemistry test
  2. Abdominal Imaging by ultrasound and Computed Tomography
  3. UGI Endoscopy