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Nausea With Vomiting

Experiencing nausea and vomiting can disrupt daily life. Dr. Bharat Pothuri at GastroDoxs in Houston expertly diagnoses causes-from infections and migraines to gastroparesis-and offers personalized treatments, holistic lifestyle guidance, and advanced therapies to restore lasting comfort, hydration, and digestive well-being.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Stomach infections (viral or bacterial)
  • Food poisoning from contaminated foods
  • Migraine headaches
  • Early pregnancy (morning sickness)
  • Medications and chemotherapy
  • Motion sickness or inner ear disorders (vertigo)
  • Gastroesophageal reflux disease (GERD)
  • Metabolic conditions (e.g., diabetes)
  • Kidney disease or urinary tract infections
  • High stress or anxiety levels
  • Neurologic issues (rare causes like increased intracranial pressure)

Signs and Symptoms

  • Sensation of queasiness or need to vomit
  • Actual vomiting episodes
  • Abdominal pain or cramping
  • Sweating or chills
  • Dizziness, lightheadedness, or weakness
  • Increased saliva production or sour taste
  • Dry mouth and reduced urination (signs of dehydration)
  • Lower back pain (may indicate kidney involvement)

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.

Bharat Pothuri
Treatment

Our team offers a comprehensive approach to managing nausea and vomiting.

1. Lifestyle and Diet Modifications

  • Eat small, frequent meals to ease digestion
  • Avoid greasy or high-sugar foods that can trigger symptoms
  • Stay well hydrated with clear fluids
  • Take targeted supplements if additional nutrients are needed

2. Medications

  • Anti-nausea (antiemetic) medications to control symptoms
  • Medications to address underlying causes such as infections or reflux
  • Agents to slow excess hormone release and control symptoms
  • Acid-blocking medications to protect the stomach lining

3. Additional Therapies and Procedures

  • Hydration therapy (oral or intravenous) if dehydration occurs
  • Evaluation and treatment of any underlying conditions contributing to nausea
  • In rare cases, advanced interventions depending on cause and severity
6.8K

Patients Treated

Dr. Pothuri has treated more than 6.8k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

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.

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