Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Palliative cancer care - nausea & vomiting - Management
What should I look for on examination?

  • Perform an appropriate examination for the stage of the person's illness to determine, if possible, the cause of the nausea or vomiting:
    • Perform a general examination (e.g. for signs of dehydration, infection, confusion, drowsiness, weakness).
    • Assess the condition of the oral cavity.
    • Examine the abdomen for tenderness, swelling, or distension; signs of intestinal obstruction; or constipation.
    • Perform a rectal examination if faecal impaction is suspected.
    • Check the fundi for papilloedema if increased intracranial pressure is a possibility (absence of papilloedema does not exclude intracranial pathology).
    • Determine whether anxiety could be contributing to the person's symptoms.

In depth

© NHS Institute for Innovation and Improvement