Persistent nausea and vomiting from a bicycle fall on the face may be due to concussion, intracranial hemorrhage, otolithiasis, and the patient needs general treatment, medication, and surgery. 1. Concussion: A fall on the face while riding a bicycle can cause a drastic change in the patient’s position, resulting in a concussion and causing persistent nausea and vomiting. Concussions are usually treated with rest, and patients should stay in bed. When the symptoms are serious, they can be treated with medicines such as Difenidol Hydrochloride tablets and Theophylline tablets under the guidance of doctors. 2. Intracranial hemorrhage: when the intracranial hemorrhage is small, it can be manifested as dizziness, headache, nausea, vomiting, etc. Patients with mild intracranial hemorrhage should carry out intracranial hemostasis in a timely manner, and at the same time prevent epilepsy from occurring, and the patients can be treated with medicines such as diuretic acid tablets, methylcobalamin, mannitol, and so on under the guidance of the doctor. If the bleeding is serious, it is necessary to remove the bruises by means of craniotomy. 3. Otolithiasis: Facial acne may induce otolithiasis, which is self-limiting. If the symptoms are more serious patients can go to the hospital for manipulation of reset treatment, and at the same time under the guidance of the doctor to use fenagragen, flunarizine and other drugs for treatment. Persistent nausea and vomiting after a fall on the face, need to go to the hospital in time to identify the cause, under the guidance of the doctor standardized treatment.