Expert Treatment for Nausea With Vomiting by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He asks when your nausea, vomiting, and epigastric pain began, what makes them better or worse, and any related factors (food, travel, medications, stress). During the exam, he gently presses on your upper abdomen to pinpoint tenderness and assess for bloating or organ enlargement.
Laboratory Tests
Blood work helps rule out infections, check liver and kidney function, and measure pancreatic enzymes. He may also test for H. pylori if ulcers are suspected.
Imaging Studies
- Abdominal ultrasound evaluates your gallbladder, pancreas, and liver for stones, inflammation, or masses.
- CT scan provides a detailed look at organs and can identify complications like pancreatitis or obstruction.
Endoscopy and Motility Testing
- Upper endoscopy (EGD) allows direct visualization of the esophagus, stomach, and duodenum to spot ulcers, reflux damage, or tumors.
- Gastric emptying study measures how quickly food leaves your stomach, useful if gastroparesis is suspected.
Advanced Testing (if needed)
In select cases, Dr. Pothuri may recommend 24-hour pH monitoring for reflux, esophageal manometry for motility disorders, or endoscopic ultrasound to examine the pancreas and surrounding structures in greater detail.
Frequently Asked Questions
What causes sudden nausea and vomiting?
Sudden onset is often due to stomach infections, food poisoning, migraines, or motion sickness.
When should I go to the emergency room?
Seek immediate care if you have severe abdominal pain, persistent vomiting over 24 hours, blood in vomit, signs of dehydration, or confusion.
Can stress cause these symptoms?
Yes. Anxiety and emotional stress can upset the stomach lining and trigger nausea or vomiting.
Is back pain with nausea something to worry about?
Yes. Back or flank pain alongside nausea may indicate a kidney infection or stones and should be evaluated promptly.
How long does intractable vomiting last?
Intractable vomiting that continues for more than 48 hours generally requires medical treatment and sometimes hospitalization.
Can I treat mild nausea at home?
Yes. Remedies like ginger tea, peppermint, clear fluids, and small bland meals often help relieve mild symptoms.
Does gastroparesis cause long-term nausea?
Yes. Gastroparesis slows stomach emptying and can lead to chronic nausea, bloating, and early fullness.