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Nausea is considered as a subjective sensation of a gastric discomfort result in aversion to oral intake. Also associated with the behavioural drive to remove the noxious ingesting by vomiting. The cause of above symptom may be due to primary gastro intestinal disorders, central nervous system disorder, endocrine and metabolic disorder, systemic illness, disorder of thorax, as well as adverse reaction to medication. The complicated intra-abdominal process that may present with vomiting include the following. Acute onset of vomiting is associated with fever, myalgias, arthralgias, fatigue, diarrhoea or other features of viral illness suggests a viral gastroenteritis or if symptom have become chronic, viral gastro paresis. Certain intoxication and withdrawal syndrome can present with nausea and vomiting. For any patient who has prolonged or severe vomiting, the initial management should include intravenous hydration, intermittent nasogastric suction determination of base line laboratory values including complete blood count, electrolyte. The nature of vomitus can provide the information about the cause.

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