VHOSPITAL.CLINIC · Medical Q&A

What Causes Headache and Vomiting Together?

Medical causes of headache and vomiting occurring simultaneously — 9 conditions share both symptoms, with red flags and when to seek care.

Quick Answer

The most common causes of headache and vomiting together include Migraine and Brain Tumor.

What It Means

When headache and vomiting occur at the same time, a shared underlying condition is usually responsible. 9 medical conditions are known to produce this symptom combination.

Key Factors

  • Subarachnoid hemorrhage: thunderclap headache + vomiting
  • Bacterial meningitis: progressive headache + vomiting + fever + neck stiffness
  • Increased intracranial pressure from any mass lesion
  • Migraine with nausea and vomiting
  • Hypertensive crisis with Cushing response (headache + vomiting + bradycardia)

Common Causes

  • Subarachnoid hemorrhage: thunderclap headache + vomiting
  • Bacterial meningitis: progressive headache + vomiting + fever + neck stiffness
  • Increased intracranial pressure from any mass lesion
  • Migraine with nausea and vomiting
  • Hypertensive crisis with Cushing response (headache + vomiting + bradycardia)

Red Flags — When to Act

  • Thunderclap headache + vomiting — subarachnoid hemorrhage until proven otherwise
  • Worsening headache over days with projectile vomiting (ICP)
  • Morning headaches that are worst on waking with vomiting (mass lesion)
  • Sixth nerve palsy or papilloedema with headache + vomiting
  • Neck stiffness + photophobia + headache + vomiting (meningitis)

When to See a Doctor

  • CT head non-contrast immediately for thunderclap headache + vomiting
  • LP if CT negative and SAH is suspected (xanthochromia)
  • Blood pressure measurement — hypertensive emergency must be treated
  • Ophthalmoscopy to assess for papilloedema

Related Conditions

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Related Resources

Symptom Guides

Three-Symptom Patterns

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Medical Review— vHospital Editorial Team · 2024–2025
Sources:WHOPubMedUpToDateNICE