Internist Questions Vomiting

Is puking without any other health concern serious?

Since yesterday, I have been unable to retain my food. I do not have any other symptom and I don't recall eating anything that upset my stomach, so I'm not sure what is really wrong. Is this a health concern or should I just wait for it to settle in?

3 Answers

The vomit is violent exposure through the mouth of the contents of the stomach, you must distinguish between vomit and regurgitation, the latter is expelled through the mouth without effort. The main causes of vomiting are secondary to medications, gastrointestinal infections or outside the digestive tract, pregnancy (in case of being female) motion sickness, slow intestinal transit, it is necessary to address this symptom through 3 steps: The first step is to evaluate and treat the harmful consequences of nausea and vomiting, such as dehydration or altered levels of blood chemicals (electrolyte imbalance). Then, the cause for nausea and vomiting should be investigated. Finally, if it is not possible to determine the cause, therapy is started to improve the symptoms; so it is recommended that you visit a doctor.


Miguel Alejandro Benítez Sanfeliz MD.
Hello -
Responding to your question and concern about repeated throw up - - A sudden onset of such a problem is unusual - you are right to wonder why -- And to have no other symptoms is also unusual as well - - So, possibilities include:

1. A partial obstruction in your upper GI tract -
1. Locations that are more common are:
1. Stomach - duodenum junction - - where strictures can occur without much pain
2. Esophageal - stomach junction - - where strictures can also occur without much pain
3. A "pouch" at the end of the esophagus, which is a wall-weakness - and food gets "stuck" - then upchucked -
4. Upper small bowel - from forming ulcer or from a growth - -
2. Then, we would worry about a change in your smooth muscle functions of the esophagus and/or stomach - -
1. Esophagus can become weak - and soft - and bloated - and dilated - and not propel food down - -
2. Stomach muscle can also become weak - and soft and bloated - called gastroparesis - -
3. The causes vary - - diabetes/hiatal hernia/chronic reflux of acid - -
4. And, rarely - some diseases do produce lining changes of the stomach - - and gastroparesis
3. Common causes with other symptoms include:
1. Acid reflux - heartburn - vomiting
2. Stomach gastritis from acid - vomiting
3. Duodenal ulcer from acid - vomiting
4. Gall stones and bile duct inflammation - vomiting
5. Pancreatitis - vomiting
6. These typically have other symptoms - - pain, discomfort, spasms - -
7. Irritable bowel syndrome - which features discomfort and rare vomiting - and irregular BM -
8. Inflammatory bowel syndrome - which only rarely features vomiting
4. Rare causes
1. Growths - benign tumors or malignant tumors
2. Intestinal blockage from adhesions -
3. Twisted intestine - volvulus
4. Constipation - lower down - - - stomach weakens - -
5. Central Nervous System changes - - inner ear changes - - vertigo - - postural vertigo -

Hoping this helps - -

Next steps are important - - either wait it out - - see if resolution happens - - or think these through - and have testing done to evaluate - -

Dr. Rex M
If in the next couple of days it does not settle you need to see a doctor and have some basic labs drawn