GI Relief Online

Can't keep anything down? Receive a clinical evaluation by a board-certified provider — same-day, from home. Treatment may include medical advice, prescriptions (when appropriate), or referral for in-person care.
Book a Telehealth Visit →
Serving DE · MD · WA | HIPAA-Compliant | Board-Certified FNP-BC

Go to the ER or call 911 if you have:

Blood in your vomit (red or coffee-ground appearance)
No urination for more than 8 hours, sunken eyes, or extreme dizziness (severe dehydration)
Severe, sudden, or worsening abdominal pain
Signs of bowel obstruction (inability to pass gas, abdominal distension)
Altered consciousness, confusion, or difficulty staying awake
Suspected poisoning or toxic ingestion

What We Treat

Common Causes of Nausea & Vomiting

Nausea and vomiting are symptoms, not diagnoses. Our provider takes a thorough history to identify the underlying cause and recommend the most effective treatment plan.

Person with stomach discomfort — nausea and vomiting treatment

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Gastroenteritis ("Stomach Flu")

Viral or bacterial infection of the GI tract causing sudden nausea, vomiting, and often diarrhea. Usually self-limiting but antiemetics greatly improve comfort and prevent dehydration.

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Food Poisoning

Toxins from contaminated food cause rapid-onset nausea and vomiting, typically within 1–6 hours of eating. Most cases resolve with supportive care and antiemetics.

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Medication Side Effects

Many medications — including antibiotics, NSAIDs, opioids, and chemotherapy — cause nausea. We can adjust timing, add antiemetics, or recommend alternatives.

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Vertigo & Inner Ear Disorders

Benign paroxysmal positional vertigo (BPPV) and labyrinthitis cause intense nausea with dizziness. Antiemetics and vestibular suppressants provide relief.

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Migraines

Nausea and vomiting are core features of migraine attacks. Antiemetics like metoclopramide also have anti-migraine properties, making them dual-purpose.

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Pregnancy (Morning Sickness)

Nausea and vomiting affect up to 80% of pregnancies. Safe options include vitamin B6 (pyridoxine), doxylamine, and in some cases ondansetron under provider guidance.

Recognize Your Symptoms

Symptoms We Evaluate

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Persistent Nausea

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Vomiting

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Dry Heaving

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Stomach Cramping

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Loss of Appetite

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Dizziness / Weakness

Treatment Options

Medications We May Prescribe

After evaluating your history, symptoms, and underlying cause, your provider may prescribe one or more of the following antiemetic medications. All prescriptions are sent electronically to your preferred pharmacy.

Ondansetron (Zofran)

A serotonin (5-HT3) receptor antagonist — the most commonly prescribed antiemetic. Highly effective for nausea from gastroenteritis, food poisoning, and post-procedural nausea. Available as dissolvable tablet (ODT) ideal when you can't keep pills down.

Promethazine (Phenergan)

A phenothiazine antihistamine that blocks dopamine and histamine receptors. Effective for nausea with dizziness or vertigo. May cause drowsiness — not recommended for driving.

Metoclopramide (Reglan)

A dopamine antagonist and prokinetic agent that accelerates stomach emptying. Particularly useful for nausea associated with gastroparesis, migraines, and GERD. Short-term use only.

Bismuth Subsalicylate (Pepto-Bismol)

An OTC option with antimicrobial and coating properties — helpful for mild nausea, heartburn-related nausea, and traveler's nausea/diarrhea. Available without prescription but recommended doses vary by situation.

IV Fluids & ER Referral

If you are severely dehydrated (no urination for 8+ hours, rapid heart rate, extreme weakness), we will direct you to an ER for IV fluid rehydration. Telehealth cannot administer IV fluids, and severe dehydration is a medical emergency.

Simple Process

How Your Visit Works

Book Online

Select a same-day or next-day slot. Complete a brief intake form about your symptoms, onset, and medical history.

Video Visit

Meet with our board-certified provider via secure video. Discuss your symptoms — nausea onset, frequency, triggers, and associated symptoms.

Prescription Sent

If appropriate, your prescription is sent electronically to your preferred pharmacy within minutes of your visit ending.

Common Questions

Frequently Asked Questions

After evaluating your symptoms, we can prescribe ondansetron (Zofran), promethazine, or metoclopramide for nausea and vomiting. The choice depends on the underlying cause, your medical history, and any medications you're currently taking. OTC options like bismuth subsalicylate may also be recommended for milder cases.

Go to the emergency room if you see blood in your vomit (red or brown/coffee-ground appearance), if you haven't urinated in 8+ hours (severe dehydration), if you have severe abdominal pain that is worsening, if you are confused or cannot be woken, or if you suspect poisoning. In infants and elderly patients, dehydration can progress rapidly — seek care sooner rather than later.

Yes, ondansetron (Zofran) is a prescription-only medication in the United States. It is not available over the counter. A telehealth visit with Innocre is a fast and convenient way to get a prescription sent directly to your pharmacy — often the same day. Generic ondansetron is widely available and typically affordable.

Yes. Mild to moderate nausea and vomiting of pregnancy (NVP) can be safely managed via telehealth. First-line treatments include vitamin B6 (pyridoxine) with or without doxylamine (Unisom SleepTabs), which is FDA-approved for NVP. For more severe cases, ondansetron may be considered. If you have hyperemesis gravidarum (severe, persistent vomiting with weight loss or dehydration), in-person or ER care may be necessary.