At GuideTreatments.com we believe that symptomatic treatments should be reserved only for short term. It is vitally important to diagnose the underlying condition with robust assessment and investigations.
Symptomatic treatments:
- Tab. Vomikind-MD 4 (Ondansetron 4mg) – 1 tablet thrice a day
- Tab. Gravol (Dimenhydrinate 50mg) – 1 tablet thrice a day.
Common conditions to consider:
Condition |
Common clinical presentation along with nausea & vomiting |
Gastrointestinal |
|
Amoebic dysentery | Diarrhea, blood and mucus in stool with no fever and positive stool microscopy |
Bacillary dysentery | Diarrhoea, abdominal pain, mucus or blood in stools, dehydration and enterobacterial infections |
Gastroenteritis | Diarrhoea (small bowel or large bowel) and dehydration |
Hepatitis | Fatigue, abdominal pain, jaundice and deranged liver function tests |
Cholecystitis | Right upper quadrant abdominal pain and tenderness, fever and/or bilious vomit |
Worm infestations | Generalised abdominal pain, nausea, history of worm in stools and laboratory confirmation from stool samples |
Coeliac disease | Chronic diarrhoea, abdominal distension, fatigue and weight loss |
Crohn’s disease | Chronic abdominal pain, diarrhoea, weight loss and evidence of chronic inflammatory condition |
Irritable bowel syndrome | Chronic abdominal pain, bloating, flatulence, altered bowel habits but not evidence of infective or inflammatory pathology |
Gastritis | Epigastric burning sensation or pain and early satiety |
Ascites | Distended abdomen with no rigidity, evidence of fluid collection in peritoneum and underlying pathology. |
Infectious diseases |
|
Dengue | High grade fever with chills, patient from endemic area and positive peripheral smear test |
Filariasis | Dry cough associated with groin pain, leg swellings and patient from endemic areas |
Leptospirosis | High grade fever, muscle ache, jaundice, red eyes, history of close association with animals and birds or prolonged exposure to contaminated water |
Lyme disease | Fever, circular skin rash (erythema migrans), arthralgia, fatigue, joint pains, history of tick bites. |
Malaria | High grade fever with chills, patient from endemic area and positive peripheral smear test |
Measles | Rhinitis, red eyes, small greyish-white spots on the buccal mucosa (Koplik spots) and blotchy maculopapular rash |
Typhoid | High grade fever, PR bleeding, loss of appetite, weakness, red spots on abdomen and positive Widal test |
Whooping cough | Prolonged cough (classic whoop sound), low grade fever and apnoeic spells in infants |
Other conditions |
|
Renal stones | Intermittent abdominal or flank pain, increased urinary frequency, burning urination and associated radiological evidence |
Urinary tract infections | Fever, chills, flank pain, burning urination and increased urinary frequency |
Scorpion sting | History of bites, localized swelling, bite marks and evidence to toxicity |
Venomous bites | History of bites, localized swelling, bite marks and evidence to toxicity |
Migraine | Severe headaches, increased sensitivity to light or sound but no evidence of systemic infections |
Diabetic ketoacidosis | Increased thirst, urinary frequency and abdominal pain with high levels of blood sugars, ketones in urine |
Gestational diabetes | Pregnant patients with excessive weight gain, fatigue, increased urinary frequency with abnormal glucose tolerance test |
Note: Any generalised illness can lead to loss of appetite and hence a detailed history, examination and investigations is needed.