Stomach pain and vomiting like feal in

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Here is a thorough answer based on authoritative medical sources:

Stomach Pain with Constant Nausea (Feeling Like Throwing Up)

What Is It?

The combination of stomach (abdominal) pain and persistent nausea/vomiting is called nausea-vomiting syndrome when it's ongoing. It's one of the most common GI complaints and can come from many different sources.

Common Causes

Stomach/Upper GI Causes (most likely)
  • Gastritis - inflammation of the stomach lining, often from NSAIDs (painkillers), alcohol, or H. pylori infection. Classic symptoms: burning upper stomach pain + nausea
  • Peptic ulcer disease - sores in the stomach or small intestine. Pain is usually worse when the stomach is empty
  • Gastroenteritis ("stomach flu") - viral or bacterial infection. Usually starts with nausea/vomiting BEFORE pain. Can cause fever, diarrhea
  • Food poisoning - similar to gastroenteritis, nausea comes first
  • GERD (acid reflux) - burning feeling rising up, nausea, worse after eating
Gallbladder/Liver Causes
  • Gallstones / cholecystitis - pain in the upper right abdomen, especially after fatty meals, with nausea
Pancreas
  • Pancreatitis - severe upper abdominal pain, often radiating to the back, with nausea/vomiting. Can be a medical emergency
Other Medical Causes
  • Constipation or bowel obstruction
  • Appendicitis (pain starts around the navel, moves to lower right)
  • Kidney stones
  • Pregnancy (if applicable - morning sickness)
  • Anxiety or stress (gut-brain connection)
  • Medications (NSAIDs, antibiotics, iron tablets)

Key Clues That Help Identify the Cause

PatternLikely Cause
Nausea/vomiting BEFORE painGastroenteritis, food poisoning
Pain BEFORE nausea/vomitingSurgical condition (appendicitis, obstruction)
Upper stomach burning + nauseaGastritis, ulcer, GERD
Pain + diarrheaGastroenteritis, IBD
After eating fatty foodsGallbladder problem
Pain going to the backPancreatitis
(Goldman-Cecil Medicine)

What You Can Do at Home (Mild Cases)

  1. Rest your stomach - avoid solid food for a few hours
  2. Stay hydrated - sip clear fluids (water, diluted juice, oral rehydration salts). Small sips frequently are better than large amounts
  3. Eat bland foods when able - toast, rice, bananas, crackers (the BRAT diet)
  4. Avoid spicy foods, alcohol, NSAIDs (ibuprofen, aspirin), caffeine, and fatty/greasy foods
  5. Ginger (ginger tea, ginger ale with real ginger) can help reduce nausea
  6. Over-the-counter antacids (like omeprazole, ranitidine, or Gaviscon) can help if it feels like acidity

When to See a Doctor Urgently

Go to the emergency room or doctor right away if you have:
  • Severe, worsening pain that doesn't go away
  • Vomiting blood or seeing blood in stool (black/tarry stool)
  • High fever (above 38.5°C / 101.3°F)
  • Pain in the lower right abdomen (possible appendicitis)
  • Inability to keep any fluids down for more than 24 hours (risk of dehydration)
  • Dizziness, weakness, or fainting
  • Known pregnancy with severe vomiting
  • Yellowing of eyes/skin (jaundice)

A Note

This information is for general guidance only. Since you're experiencing these symptoms right now, if the pain is severe or not improving, please consult a doctor or visit a clinic. Persistent nausea with stomach pain always deserves proper evaluation to rule out serious causes.
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