Nausea and Vomiting

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to referral standards and include in particular:

  • Duration of symptoms
  • Pattern and severity of symptoms especially if nocturnal vomiting
  • Weight loss and appetite
  • Current and recently ceased medications especially failed treatments
  • Previous gastric surgery including laparoscopic banding
  • Past history especially previous chemo or radiotherapy
  • Tests

    Initial work up:

    • FBE
    • ESR and CRP
    • Creatinine
    • Electrolytes
    • Calcium
    • LFTs
    • TFT
    • Fasting glucose
    • Urinalysis
    • Pregnancy test
    • Plain x-ray

    Consider:

    • Neurological assessment (raised intracranial pressure)
    • Faeces MC&S

    Interim/GP management

    To refer a patient with this condition, please see the Gastroenterology clinic page for the full referral process and templates.

    Prevention of dehydration.

    For more information please see the Tasmanian Health Pathways website.

    Emergency

    Urgent / category 1

    Presence of alarm symptoms:

    Otherwise referral is treated as semi urgent

    Semi-urgent / category 2

    Other patients with ongoing nausea and vomiting

    Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

    Emergency:

    Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
    LGH ED – Phone: (03) 6777 6405  Fax: (03) 6348 7382
    MCH ED – Phone: (03) 6478 5120  Fax: (03) 6426 5115
    NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6430 6691
    RHH ED - Phone: (03) 6166 6100  Fax: (03) 6222 8919

    Urgent:

    We will endeavour to see these patients within four weeks

    Urgent referrals should be accompanied by a phone call to the clinic and the relevant doctor for urgent assessment, or patient should be directed immediately to the Emergency Department.

    Semi-urgent:

    We will endeavour to see these patients within 12 weeks

    Routine:

    Next available appointment