Nausea & Vomiting 

Nausea is the unpleasant sensation of feeling sick or needing to vomit, while vomiting is the forceful expulsion of stomach contents through the mouth. Although many episodes are short-lived and can be resolved on their own, persistent nausea causes can range from digestive conditions to more complex underlying health issues that may require specialist assessment.


Common Causes of Nausea & Vomiting

  • Stomach bugs and infections 
  • Acid reflux (GORD) 
  • Gastritis 
  • Functional dyspepsia 
  • Food intolerance 
  • Gallstones 
  • Medication side effects 
  • Stress and anxiety 

When to See a Doctor 

  • Symptoms lasting longer than a few days 
  • Recurrent episodes of nausea 
  • Feeling sick after meals 
  • Unexplained changes in appetite 

Urgent Medical Advice 

  • Vomiting blood 
  • Green or yellow vomit (bile) 
  • Severe abdominal pain 
  • Dehydration 
  • Unexplained weight loss 

Relevant Diagnostic Tests 

  • Gastroscopy 
  • Blood tests 
  • Stool tests 
  • Abdominal ultrasound 
  • CT scan 

Understanding the Common Signs of Nausea & Vomiting:

Most people experience nausea and vomiting at some point in their lives. Symptoms can occur suddenly or develop gradually and may be linked to eating, infection, stress or an underlying digestive condition. 

What Does Nausea & Vomiting Feel Like? 

Being in this situation can be very unpleasant, with a mixed range of potential feelings, which include;

  • Feeling sick or queasy 
  • An urge to vomit 
  • Retching without bringing anything up 
  • Feeling sick after meals 
  • A churning sensation in the stomach 
  • Loss of appetite 
  • Nausea that comes and goes throughout the day 
  • Worsening symptoms after eating certain foods 
  • Episodes of vomiting food or fluid 

Some people may also notice green or yellow fluid when vomiting. This is often bile, a digestive fluid produced by the liver and stored in the gallbladder. 

Accompanying Symptoms 

Nausea and vomiting may occur alongside: 

  • Bloating 
  • Upper abdominal pain 
  • Heartburn 
  • Acid reflux 
  • Early fullness after eating 
  • Excessive burping 
  • Diarrhoea 
  • Constipation 
  • Fatigue 
  • Dizziness 

Persistent symptoms should always be assessed, particularly if they interfere with eating, drinking or daily life. 


What Causes Nausea & Vomiting? 

Nausea and vomiting can develop for many different reasons. While some causes are short-term and relatively harmless, others may require medical investigation and treatment. 

Lifestyle & Dietary Triggers 

Certain foods, drinks and lifestyle factors can trigger nausea symptoms. 

Common triggers include: 

  • Rich or fatty foods 
  • Excess alcohol consumption 
  • Large meals 
  • Food poisoning 
  • Certain medications 
  • Stress and anxiety 
  • Travel sickness 
  • Dehydration 

Some people notice they regularly feel sick after meals, particularly after eating fatty, spicy or heavy foods. 


Common Digestive Conditions 

Functional dyspepsia 

Functional dyspepsia can cause chronic nausea, upper abdominal discomfort, bloating and early fullness after eating, even when routine investigations appear normal. 

Gastro-oesophageal reflux disease (GORD) 

Acid reflux can sometimes cause nausea alongside heartburn, regurgitation and upper digestive discomfort. 

Gastritis 

Inflammation of the stomach lining can trigger persistent nausea, vomiting and loss of appetite. 

Gastroenteritis 

Often referred to as a stomach bug, gastroenteritis commonly causes nausea, vomiting and diarrhoea. 

Coeliac disease 

This autoimmune condition can affect digestion and may cause ongoing nausea, bloating and abdominal discomfort. 

Gallstones 

Gallstones can interfere with the normal flow of digestive fluids and may trigger nausea, particularly after eating fatty meals. 


Less Common or More Serious Conditions 

Bile reflux 

Bile reflux occurs when bile flows backwards into the stomach and oesophagus. Symptoms may include upper abdominal pain, chronic nausea and vomiting green or yellow fluid. 

Peptic ulcers 

Stomach or duodenal ulcers can cause nausea, abdominal pain and, occasionally, vomiting. 

Pancreatic conditions 

Inflammation of the pancreas may lead to severe nausea, vomiting and upper abdominal pain. 

Inflammatory bowel disease (IBD) 

Conditions such as Crohn’s disease and ulcerative colitis can sometimes occur with nausea and vomiting alongside other digestive symptoms. 

Digestive tract obstruction 

A blockage affecting the stomach or intestines may prevent food from passing normally and can lead to severe vomiting. 


When Should You See a Doctor for Nausea & Vomiting? 

Most short-term episodes improve without treatment. However, persistent symptoms or certain warning signs should always be assessed. 

When to Seek Urgent Medical Advice 

Seek urgent medical attention if you experience: 

  • Vomiting blood 
  • Black or ground coffee-like vomit 
  • Green or yellow bile in your vomit 
  • Severe abdominal pain 
  • Persistent vomiting preventing you from keeping fluids down 
  • Signs of dehydration 
  • Unexplained weight loss 
  • Difficulty swallowing 
  • Persistent nausea lasting several weeks 

Call 999 or attend A&E immediately if: 

  • You develop severe abdominal pain 
  • You become confused or unusually drowsy 
  • You are unable to keep fluids down for prolonged periods 
  • You experience signs of severe dehydration 
  • You have significant bleeding 

Non-emergency symptoms 

If you are experiencing chronic nausea, regularly feel sick after meals or have recurring vomiting episodes, it’s worth seeking advice from NHS 111, your GP or a gastroenterology specialist. 


Diagnosing the Cause of Nausea & Vomiting 

A thorough assessment can help identify the cause of persistent nausea symptoms and guide the most appropriate treatment. 

Diagnostic Pathway 

Specialist Consultation → Initial Investigations → Imaging or Endoscopic Testing → Personalised Treatment Plan


Initial Clinical Consultation 

Your consultant gastroenterologist may ask: 

  • When symptoms started 
  • Whether symptoms occur after eating 
  • Whether vomiting occurs regularly 
  • Whether bile is present in vomit 
  • Any associated abdominal pain 
  • Any recent weight loss 
  • Current medications 
  • Previous digestive conditions 

A physical examination may also be performed. 


Diagnostic Tests & Procedures 

Gastroscopy 

A gastroscopy uses a thin flexible camera to examine the oesophagus, stomach and upper digestive tract. 

It may help diagnose: 

  • Gastritis 
  • Peptic ulcers 
  • Acid reflux 
  • Bile reflux 
  • Structural abnormalities 

Blood tests 

Blood tests can help identify: 

  • Infection 
  • Anaemia 
  • Inflammation 
  • Nutritional deficiencies 
  • Liver and pancreas problems 

Stool tests 

These may be used to investigate infection, inflammation and digestive disorders. 

Abdominal ultrasound 

Ultrasound imaging is commonly used to assess the gallbladder, liver and pancreas. 

CT scan 

A CT scan may help identify inflammation, obstruction or other abdominal abnormalities when symptoms are persistent or severe. 


How is Nausea & Vomiting Treated? 

Treatment depends on identifying and managing the underlying cause. 

Self-Care & Home Remedies 

Simple measures may help reduce symptoms: 

  • Drinking fluids regularly 
  • Eating smaller, more frequent meals 
  • Avoiding rich or fatty foods 
  • Avoiding known nausea triggers 
  • Resting when symptoms are severe 
  • Keeping hydrated during episodes of vomiting 

Some people find bland foods easier to tolerate while recovering. 

Medical & Prescription Treatments 

Anti-sickness medication 

Medicines known as antiemetics may help control nausea and vomiting. 

Acid-reducing medication 

Proton pump inhibitors (PPIs) may be recommended if reflux, gastritis or ulcers are contributing to symptoms. 

Treating Underlying Conditions 

Depending on the diagnosis, treatment may include: 

  • Antibiotics for infection 
  • Medication for acid reflux 
  • Treatment for gallbladder conditions 
  • Management of inflammatory bowel disease 
  • Nutritional support 

Surgical & Specialist Interventions 

Endoscopic treatment 

Some digestive conditions can be treated during endoscopy procedures. 

Gallbladder surgery 

Gallstones causing recurrent nausea and vomiting may require surgical removal of the gallbladder. 

Specialist medical management 

More complex conditions such as pancreatic disease or digestive tract obstruction may require hospital-based treatment and specialist care. 


Private Digestive Care at Clarity 

Living with persistent nausea or recurrent vomiting can be distressing and may have a significant impact on your quality of life. At Clarity, our experienced gastroenterology team provides rapid access to specialist assessment, advanced diagnostics and personalised treatment plans. 

Why Choose Clarity? 

✅ Fast access to experienced consultant gastroenterologists 

✅ Modern endoscopy and diagnostic facilities 

✅ Comprehensive digestive investigations on-site 

✅ Personalised treatment plans tailored to your symptoms 

✅ Comfortable private environment with minimal waiting times 

Clarity Consult is a free consultation

Introducing Clarity Consult:

Your Free Digestive Health Consultation


As the first step in your private digestive health journey, Clarity Consult is an entirely FREE consultation.

This is designed to be a clear, consultant-led private pathway for patients experiencing digestive symptoms, with fast access, transparent costs and flexible appointments.

Book Your Free Consultation Today

Frequently Asked Questions About Nausea & Vomiting 

How do I prepare for a private gastroenterology appointment?

Keeping a symptom diary, recording when nausea occurs and noting any food-related triggers can help your consultant assess your symptoms more effectively. 

When should nausea become a concern?

Seek medical advice if symptoms persist for several weeks, are becoming more frequent, interfere with eating and drinking, or occur alongside weight loss or severe abdominal pain. 

Can stress cause chronic nausea?

Stress and anxiety can affect the digestive system and may contribute to chronic nausea, bloating and abdominal discomfort. 

What does green or yellow vomit mean?

Green or yellow vomit is often caused by bile. Bile reflux symptoms can include chronic nausea, upper abdominal discomfort and the vomiting of green or yellow fluid. 

Why do I feel sick after meals?

Feeling sick after meals can occur due to indigestion, gastritis, gallstones, functional dyspepsia or food intolerances. A specialist assessment can help identify the underlying cause. 

What are the most common persistent nausea causes?

Common causes of nausea include acid reflux, gastritis, functional dyspepsia, gallstones, medication side effects and digestive infections. Ongoing symptoms should be investigated if they persist. 

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