14th-century illustration of vomiting from the Casanatense Tacuinum Sanitatis
The level of bicarbonate in the blood (HCO3−) determines the severity of acidosis. Bicarbonate measurements are part of routine metabolic panels.
Vomiting
Partially digested food, with man-sized glove for scale
A drunk man vomiting, while a young slave is holding his forehead. Brygos Painter, 500–470 BC
Special bags are often supplied on boats for sick passengers to vomit into.

Symptoms may include palpitations, headache, altered mental status such as severe anxiety due to hypoxia, decreased visual acuity, nausea, vomiting, abdominal pain, altered appetite and weight gain, muscle weakness, bone pain, and joint pain.

- Metabolic acidosis

A less frequent occurrence results from a vomiting of intestinal contents, including bile acids and, which can cause metabolic acidosis.

- Vomiting
14th-century illustration of vomiting from the Casanatense Tacuinum Sanitatis

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