Coughing with nausea and a desire to vomit?
Hello doctor, I have suddenly started coughing in the past few days.
Each cough comes on suddenly and makes me feel nauseous, and I have vomited a few times.
What could these symptoms indicate? I don't have a runny nose, which is not typical for a cold.
Which specialty should I see?
hueiyy, 20~29 year old female. Ask Date: 2014/07/11
Dr. Chen Zonglin reply Family Medicine
I'm not sure how long you've been coughing, but based on the situation you've described, it's difficult to make an effective assessment.
You may want to first visit a gastroenterology clinic to evaluate for possible acid reflux issues, or you could see a family medicine clinic for further assessment.
Reply Date: 2014/07/11
More Info
Coughing and nausea can be distressing symptoms, and understanding their potential causes is crucial for determining the appropriate course of action. Based on your description, it seems that you are experiencing sudden coughing fits accompanied by nausea and vomiting, without the presence of other typical cold symptoms like a runny nose. This combination of symptoms can arise from various underlying conditions, and it is essential to consider several possibilities.
Firstly, one potential cause of your symptoms could be related to respiratory issues. Conditions such as bronchitis, asthma, or even gastroesophageal reflux disease (GERD) can lead to coughing and nausea. In cases of bronchitis, inflammation of the bronchial tubes can cause persistent coughing, which may trigger a gag reflex, leading to nausea or vomiting. Asthma can also cause sudden coughing fits, especially if there is an underlying allergic trigger or exposure to irritants. GERD, on the other hand, can cause stomach acid to flow back into the esophagus, leading to irritation and coughing, often accompanied by nausea.
Another possibility is that your symptoms could be related to an infection, such as a viral or bacterial respiratory infection. While you mentioned that you do not have a runny nose, some infections can present with atypical symptoms, including a dry cough and gastrointestinal upset. Infections like pneumonia or even COVID-19 can sometimes manifest with gastrointestinal symptoms, including nausea and vomiting, alongside respiratory symptoms.
Given the sudden onset of your symptoms and the combination of coughing and nausea, it is advisable to seek medical attention. The appropriate specialist to consult would typically be a primary care physician or an internist, who can evaluate your symptoms in detail. They may perform a physical examination, take a thorough medical history, and possibly order diagnostic tests such as a chest X-ray, blood tests, or pulmonary function tests to determine the underlying cause of your symptoms.
In the meantime, there are a few self-care measures you can consider to alleviate your symptoms. Staying hydrated is essential, especially if you are experiencing nausea and vomiting. Drinking clear fluids can help prevent dehydration. Additionally, avoiding irritants such as smoke, strong odors, or allergens may help reduce coughing. If you find that certain positions exacerbate your symptoms, try to remain upright, as this can sometimes alleviate pressure on the stomach and reduce coughing.
If your symptoms worsen or if you experience additional concerning signs such as difficulty breathing, chest pain, or persistent vomiting, it is crucial to seek immediate medical attention. These could be signs of a more serious condition that requires prompt evaluation and treatment.
In summary, while coughing and nausea can arise from various causes, it is essential to consult a healthcare professional to determine the underlying issue and receive appropriate treatment. Your primary care physician or an internist would be the best starting point for evaluation and management of your symptoms.
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