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Published on: 2/24/2026
Norovirus is a leading cause of sudden, relentless vomiting; key next steps are small, frequent sips of an oral rehydration solution, rest, slowly reintroducing bland foods, and preventing spread with thorough handwashing and bleach-based cleaning while avoiding alcohol, caffeine, and sugary drinks.
Seek urgent care if you cannot keep fluids down for 24 hours, show dehydration, have blood, severe abdominal pain, a fever over 102 F, or symptoms beyond 3 days, especially for infants, older adults, pregnant people, and those with chronic illness. There are several factors to consider beyond norovirus, including food poisoning and cyclic vomiting syndrome; see below for complete details on red flags, isolation timing, when anti nausea medicine may help, and why antibiotics do not.
If you can't stop vomiting, one of the most common causes is norovirus. Often called the "stomach flu" (though it's not related to influenza), norovirus is a highly contagious virus that causes sudden vomiting and diarrhea. It spreads quickly in households, schools, cruise ships, and healthcare settings.
While norovirus is usually short-lived, repeated vomiting can quickly lead to dehydration — especially in children, older adults, and people with underlying health conditions. Here's what you need to know about norovirus, what to do next, and when to seek medical care.
Norovirus is a virus that infects the stomach and intestines, causing inflammation known as acute gastroenteritis. It spreads through:
It only takes a small amount of the virus to make someone sick.
Symptoms usually start 12–48 hours after exposure and can come on suddenly.
Most people feel significantly better within 1 to 3 days, but you may feel weak or tired for a few days after.
With norovirus, your body reacts to infection by triggering inflammation in the stomach and intestines. Vomiting is your body's attempt to clear the virus. While unpleasant, it's part of the immune response.
The concern isn't usually the virus itself — it's dehydration from fluid loss.
Dehydration can happen quickly if vomiting is frequent.
If you notice these signs, you need to increase fluids immediately and may need medical care.
If you suspect norovirus and can't stop vomiting, here's what doctors recommend:
Even small amounts of fluid help.
If vomiting continues, wait 30–60 minutes after the last episode before trying fluids again.
Once vomiting slows:
Do not force food. Hydration is more important in the first 24 hours.
Your body needs energy to fight the infection. Avoid strenuous activity and get plenty of sleep.
Norovirus spreads extremely easily — even after symptoms improve.
You can still spread norovirus for several days after you feel better.
Most cases of norovirus resolve without medical treatment. However, you should speak to a doctor immediately if you experience:
Infants, pregnant individuals, older adults, and people with weakened immune systems should seek care sooner if symptoms are severe.
If symptoms feel life-threatening — such as confusion, chest pain, or difficulty staying conscious — seek emergency medical care right away.
While norovirus is very common, repeated vomiting can also be caused by:
If vomiting happens in repeated episodes over time — especially if you feel completely fine between episodes — it may not be an infection at all. Consider using a free AI-powered Cyclic Vomiting symptom checker to help identify whether your pattern of symptoms might be related to this often-overlooked condition.
In most healthy adults:
If symptoms last longer than 72 hours without improvement, it's important to check in with a healthcare professional.
There is no specific antiviral medication for norovirus. Treatment focuses on supportive care:
Doctors may prescribe medications like ondansetron in severe cases to help control vomiting and prevent dehydration.
Antibiotics do not work against viruses and are not helpful for norovirus.
While most healthy adults recover fully, certain groups are more vulnerable:
In these groups, dehydration can develop quickly and become serious if untreated.
Recovery may feel slow, but most people improve steadily.
If you can't stop vomiting, norovirus is one of the most common causes, especially if symptoms started suddenly and include diarrhea and stomach cramps.
In most cases, norovirus clears on its own within a few days. The most important steps are:
However, persistent vomiting is never something to ignore. If symptoms are severe, last more than a few days, or you're unable to keep fluids down, speak to a doctor promptly. Seek emergency care if you experience signs of severe dehydration, confusion, or any life-threatening symptoms.
Vomiting is exhausting and uncomfortable, but with proper care and attention, most people recover fully from norovirus without lasting problems.
(References)
* Shane AL, Moyer T, Smith M. Acute Gastroenteritis: Diagnosis and Management. Clin Microbiol Rev. 2018 Apr 4;31(2):e00047-17. doi: 10.1128/CMR.00047-17. PMID: 29616807.
* Mahan M, Beck H. Oral Rehydration Therapy. StatPearls. 2023 Jul 17. PMID: 29262228.
* Bellman MH, Smith M. Management of Acute Gastroenteritis in Children and Adults. Am Fam Physician. 2017 Mar 1;95(5):296-303. PMID: 28220863.
* Riddle MS, DuPont HL, Becker SL, Belluschi I, Breban R, Bourgeois AL, et al. Clinical practice guidelines for diagnosis and management of infectious diarrhea. Clin Infect Dis. 2017 May 1;64(8):e1-e124. doi: 10.1093/cid/cix099. PMID: 28427027.
* Malik A, Dhiman D, Ahmad A, Mir M, Rasool O. Norovirus infection in adults requiring hospitalization: A systematic review. Rev Med Virol. 2021 May;31(3):e2182. doi: 10.1002/rmv.2182. Epub 2021 Jan 25. PMID: 33496357.
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