My wife is 63 years old, and a smoker. She awakes maybe a half dozen time a month with nausea and vomits. Tired all the time. No other health issues that I know of. Hasn't been to a Dr. in years. She has had carpel tunnel surgery on both wrists that did nothing to solve the pain. She take numerous pain pills daily and has for 10-12 years. No blood in vomit. Bowel habits normal. Only other medication she takes is an over the counter allergy pill every day.