Dry Heaving: Is It a Sign of Brain Tumor? - Neurology

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The issue of dry heaving?


Hello, doctor.
I occasionally experience dry heaving, where I feel like vomiting but do not actually vomit.
I have heard that brain tumors can cause vomiting, but they do not present with dry heaving or nausea.
Is that correct?

Penguin, 10~19 year old female. Ask Date: 2020/12/10

Dr. Hong Weibin reply Neurology


Hello: Nausea and vomiting are very common symptoms that can be caused by a variety of conditions.
These include gastrointestinal issues, neurological problems, medication side effects, liver and kidney diseases, and infections, among others.
The most common causes are gastrointestinal problems, motion sickness, medication side effects, psychological stress (such as anxiety before an exam), food poisoning, gastroenteritis, intestinal obstruction, and pregnancy, among others.
Less common causes include myocardial infarction and brainstem stroke.
Some brain tumors, if they cause increased intracranial pressure, may present with symptoms of headache, nausea, and vomiting; however, one should not assume that nausea and vomiting in a patient is due to a brain tumor.

Reply Date: 2020/12/10

More Info


Dry heaving, or retching, is a condition where a person feels the urge to vomit but does not actually expel any contents from the stomach. This phenomenon can be distressing and is often associated with various underlying causes. While it is true that brain tumors can lead to nausea and vomiting, the presence of dry heaving alone does not necessarily indicate a brain tumor.

In the context of brain tumors, vomiting typically occurs due to increased intracranial pressure. As a tumor grows, it can exert pressure on surrounding brain structures, leading to symptoms such as headaches, nausea, and vomiting. However, these symptoms are usually accompanied by other neurological signs, such as changes in vision, balance issues, or cognitive changes. If you are experiencing isolated dry heaving without any accompanying symptoms, it is less likely to be related to a brain tumor.

There are several common causes of dry heaving that are not related to brain tumors. These include:
1. Gastrointestinal Issues: Conditions such as gastroesophageal reflux disease (GERD), gastritis, or food intolerances can lead to nausea and dry heaving. These conditions can irritate the stomach lining and lead to the sensation of needing to vomit.

2. Motion Sickness: Some individuals experience dry heaving when traveling by car, boat, or plane due to a disturbance in the inner ear that affects balance and spatial orientation.

3. Anxiety and Stress: Psychological factors can also play a significant role in gastrointestinal symptoms. Anxiety can lead to a heightened state of arousal in the body, which may manifest as nausea and dry heaving.

4. Medications: Certain medications, especially those that affect the central nervous system, can cause nausea and dry heaving as side effects.

5. Dehydration or Hunger: Sometimes, not eating for an extended period or being dehydrated can lead to nausea and the sensation of dry heaving.

If you are concerned about your symptoms, it is essential to consult with a healthcare professional. They can perform a thorough evaluation, including a physical examination and possibly imaging studies, to rule out any serious conditions, including brain tumors.
In summary, while dry heaving can be a symptom associated with various medical conditions, it is not a definitive sign of a brain tumor, especially if it occurs in isolation. It is crucial to consider the full context of your symptoms and seek medical advice for a comprehensive assessment. If you experience additional symptoms such as persistent headaches, changes in vision, or neurological deficits, it would be prudent to seek immediate medical attention.

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