Nausea/Vomiting

There are many different causes/reasons- it is not always because there is something wrong with the stomach.
Nausea can present as a loss of appetite

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Possible Reasons

Medications - opioids, Ibuprofen/NSAIDs, steroids, antibiotics, vitamins and supplements

Pain can cause the gut to work less well

Anxiety

Gut issues - reflux/heartburn, stomach inflammation, constipation (very common in hospice)

Excess mucous/secretions

Headaches

Medications

There are prescription medications available to control nausea and vomiting
They have been provided in the 'comfort pack'
Discuss with the Hospice Team

Alternate Treatments

Ginger candy or tea

Smaller meals, more frequent meals

Low fat meals

Avoid aggravating smells

Fresh air

Nutritional drinks (eg:Ensure/Boost) in place of solid foods

Relaxation techniques- listening to music, meditation, guided breathing

When to Call the Hospice

  • Vomiting not controlled with available medications

  • Vomiting blood or material that looks like coffee grounds

  • Increasing abdominal pain

  • Fever

  • No urination for more than 8 hours

  • Signs of dehydration such as dry mouth, dizziness, or very dark urine

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