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Last updated: October 23, 2025View editorial policy

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Differential Diagnosis for Recurrent Vomiting

Single Most Likely Diagnosis

  • Gastroenteritis: This is often the most common cause of recurrent vomiting, typically resulting from a viral or bacterial infection that inflames the stomach and intestines, leading to symptoms like vomiting, diarrhea, and abdominal cramps.

Other Likely Diagnoses

  • Food poisoning: Similar to gastroenteritis, food poisoning from consuming contaminated or spoiled food can lead to recurrent vomiting, along with other symptoms such as diarrhea and stomach cramps.
  • Gastritis: Inflammation of the stomach lining can cause recurrent vomiting, often accompanied by abdominal pain and nausea.
  • Pregnancy: Morning sickness is a common symptom of early pregnancy, characterized by recurrent vomiting, especially in the morning.
  • Medication side effects: Certain medications can cause vomiting as a side effect, including chemotherapy drugs, antibiotics, and pain relievers.

Do Not Miss Diagnoses

  • Appendicitis: Although less common, appendicitis can present with vomiting, especially if the appendix ruptures, leading to peritonitis, a life-threatening condition.
  • Intestinal obstruction: A blockage in the intestines can cause severe vomiting, constipation, and abdominal pain, requiring immediate medical attention.
  • Pancreatitis: Inflammation of the pancreas can lead to recurrent vomiting, along with severe abdominal pain and potentially life-threatening complications.
  • Meningitis: In some cases, especially in children, meningitis can present with vomiting, along with symptoms like headache, fever, and stiff neck.

Rare Diagnoses

  • Brain tumors: Certain brain tumors, especially those in the posterior fossa or cerebellum, can cause increased intracranial pressure, leading to recurrent vomiting.
  • Cyclic vomiting syndrome: A rare condition characterized by recurring episodes of severe vomiting, often without an identifiable cause.
  • Gastroparesis: A condition where the stomach muscles are weakened, leading to delayed stomach emptying and recurrent vomiting.
  • Addison's disease: A rare endocrine disorder where the adrenal glands do not produce enough cortisol and aldosterone, potentially causing vomiting among other symptoms.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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