Symptoms diary for nausea and vomiting

To help you and your health care team deal with any nausea and vomiting caused by chemotherapy, you may want to keep track of how you feel. It may help to keep a written record of how you are feeling each day. Use a printout of this chart or make your own.

Today's date

 
Any nausea today? How long did it last?  
How would you rate the nausea: mild, moderate, or severe? 
How many episodes of vomiting? 
Other side effects of treatment? (diarrhea, constipation, dry mouth, fatigue, other) 
List medicines, vitamins, or herbal therapies you took to treat or prevent your nausea and vomiting today. 


Author: Douglas Dana
Kathe Gallagher, MSW
Last Updated: April 9, 2007
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Joseph O'Donnell, MD - Hematology/Oncology
Donald Sproule, MD, CM, CCFP, FCFP - Family Medicine

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