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Last updated: October 23, 2025View editorial policy

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Differential Diagnosis for Vomiting for a Week

Single Most Likely Diagnosis

  • Gastroenteritis: This is often the most common cause of vomiting that lasts for a week, typically caused by a viral or bacterial infection leading to inflammation of the stomach and intestines.

Other Likely Diagnoses

  • Food poisoning: Similar to gastroenteritis, food poisoning can cause prolonged vomiting due to the consumption of contaminated food.
  • Viral gastroenteritis (e.g., norovirus): Highly contagious and can lead to severe vomiting.
  • Gastritis: Inflammation of the stomach lining, which can be caused by infection, medication, or other factors.
  • Peptic ulcer disease: Ulcers in the stomach or duodenum can cause vomiting, especially if they bleed or perforate.

Do Not Miss Diagnoses

  • Appendicitis: Although vomiting is not the primary symptom, it can occur, especially if the appendix ruptures, making it a critical diagnosis not to miss.
  • Intestinal obstruction: A blockage in the intestines can cause severe vomiting and is a medical emergency.
  • Pancreatitis: Inflammation of the pancreas can cause vomiting and is a serious condition requiring prompt treatment.
  • Diabetic ketoacidosis: A complication of diabetes that can cause vomiting among other severe symptoms.

Rare Diagnoses

  • Brain tumors or cysts: Rarely, increased intracranial pressure from a brain tumor or cyst can cause vomiting.
  • Addison's disease: A rare disorder of the adrenal glands that can lead to vomiting among other symptoms.
  • Porphyrias: A group of rare genetic disorders that can cause abdominal pain, vomiting, and other neurological symptoms.
  • Superior mesenteric artery syndrome: A rare condition where the duodenum is compressed, leading to vomiting and other gastrointestinal 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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