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Acid Reflux, GERD & Upper GI Health • ICD-10-CM R11.10

Nausea and Vomiting

Also known as: Emesis

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM R11.10 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Nausea and Vomiting Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Nausea and Vomiting?

What are nausea and vomiting? Nausea is when you feel sick to your stomach, as if you are going to throw up. Vomiting is when you throw up. What causes nausea and vomiting? Nausea and vomiting can be symptoms of many different conditions, including: Morning sickness during pregnancy Gastroenteritis (infection of your intestines) and other infections Migraines Motion sickness Food poisoning Medicines, including those for cancer chemotherapy GERD (reflux) and ulcers Intestinal obstruction When do I need to see a health care provider for nausea and vomiting? Nausea and vomiting are common. They are usually not serious.

Pathophysiology, Underlying Causes & Clinical Presentation

Biological expression of Nausea and Vomiting (R11.10, GERD & Stomach) reflects visceral hypersensitivity [Nausea and Vomiting R11.10]. Cross-referenced with NIH MeSH (Vomiting, Nausea), longitudinal control is benchmarked via Serum Vitamin B12 in Nausea and Vomiting (R11.10: & Magnesium (chronic).

Common Symptoms & Clinical Signs

  • • Morning sickness during pregnancy
  • • Gastroenteritis (infection of your intestines) and other infections
  • • Presentation of Nausea and Vomiting (R11.10): nausea, belching, or in Nausea and Vomiting (R11.10: discomfort relieved or)
  • • Secondary Nausea and Vomiting clinical sign: post-meal retrosternal heartburn in Nausea and Vomiting (R11.10: or sour acid)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Nausea and Vomiting Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code R11.10 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Acid Reflux, GERD & Upper GI Health NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Serum Vitamin B12 in Nausea and Vomiting (R11.10: & Magnesium (chronic) B12 > 450 pg/mL; Mg >= 2.0 mg/dL (R11.10) Clinical Reference Target Range
Diagnostic / Lab Marker: H. pylori Stool in Nausea and Vomiting (R11.10: Antigen or Urea) Negative (R11.10) Clinical Reference Target Range
Diagnostic / Lab Marker: Hemoglobin & Serum in Nausea and Vomiting (R11.10: Ferritin) Ferritin > 50 ng/mL (no occult loss) (R11.10) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Nausea and Vomiting

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Sancuso (Granisetron) Sancuso • RxCUI 825005 Serotonin-3 Receptor Antagonist 79% $655.3031 $ 640.00 /mo
Wal-Dram 2 Quick-Dissolving (Meclizine Hydrochloride) Wal-Dram 2 Quick-Dissolving • RxCUI 1663815 Antiemetic 93% $0.0306 $ 10.70 /mo
Sustol (Granisetron) Sustol • RxCUI 310599-B47426101 Serotonin-3 Receptor Antagonist 74% $1.2117 $ 95.74 /mo
Doxylamine Succinate and Pyridoxine Hydrochloride Diclegis, Bonjesta • RxCUI 1375948 Antihistamine 92% $1.0916 $ 52.71 /mo
Amisulpride Barhemsys • RxCUI 2284232 Dopamine-2 Receptor Antagonist 93% $1.0900 $ 52.65 /mo
Palonosetron Posfrea • RxCUI 1728050 Serotonin-3 Receptor Antagonist 84% $1.6100 $ 73.71 /mo
Ondansetron Zofran ODT • RxCUI 104894 Serotonin-3 Receptor Antagonist 85% $0.1759 $ 6.29 /mo
Droperidol Droperidol Generic • RxCUI 282485 Dopamine-2 Receptor Antagonist 93% $2.7100 $ 118.26 /mo
Netupitant and Palonosetron Akynzeo • RxCUI 1552343 Substance P/Neurokinin-1 Receptor Antagonist 81% $2.5000 $ 109.75 /mo
Dimenhydrinate Motion Sickness, Motion Sickness Relief • RxCUI 309914 Histamine-1 Receptor Antagonist 91% $0.0478 $ 10.44 /mo
Granisetron Sancuso, Sustol • RxCUI 825003 Serotonin-3 Receptor Antagonist 92% $655.3031 $ 25.87 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Nausea and Vomiting)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Olanzapine With or Without Fosaprepitant for Preventing Chemotherapy Induced: What a 690-Participant Study Found

This trial did not provide sufficient evidence to support that deletion of the NK-1 receptor antagonist was as good as keeping it, as a part of a 4-drug antiemetic regimen for highly emetogenic chemotherapy.

The oncologist • 2023-08-03 • Phase III Randomized Trial
N = 690 93/100 PMID 37284847 ↗
Can This Approach Help? Inside the Latest Research on Phase III randomized compared against a dummy pill (placebo) trial on repurposing

Adding olanzapine 5 mg with standard antiemetics significantly reduced RINV during abdominal-pelvic radiation therapy.

Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology • 2026-08-15 • Phase III Randomized Trial
N = 153 88/100 PMID 42119640 ↗
Can This Approach Help? Inside the Latest Research on Olanzapine combined with standard antiemetics for the prevention of nausea and

Conclusion This trial provides the first high-level evidence supporting the olanzapine-based four-drug combination to prevent CINV in GCT patients undergoing 5-day cisplatin-based chemotherapy.

European journal of cancer (Oxford, England : 1990) • 2025-06-03 • Phase III Randomized Trial
N = 77 88/100 PMID 40311506 ↗
New Insights on Pooled Analysis of Studies Evaluating Fosnetupitant and Risk Factors for: What a 980-Participant Study Found

This analysis revealed that fosnetupitant could have long-acting antiemetic potency (> 120 h) and indicated the importance of antiemetic therapy at 0-120 h for CINV up to 168 h after chemotherapy.

Advances in therapy • 2023-11-15 • Phase III Randomized Trial
N = 980 87/100 PMID 37715851 ↗
Can This Approach Help? Inside the Latest Research on Dexamethasone-sparing regimens with NEPA (netupitant/palonosetron) for the

Among the 228 patients in the parent study, 107 were > 65 years.

Journal of geriatric oncology • 2023-07-15 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 37290207 ↗
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