Nausea is the subjective feeling of a need to vomit. Vomiting or emesis is the oral expulsion of the gastrointestinal contents due to gut and thoraco abdominal wall contractions.
Dealing with Nausea and Vomiting
Nausea is the subjective feeling of a need to vomit. Vomiting or emesis is the oral expulsion of the gastrointestinal contents due to gut and thoraco abdominal wall contractions.
Vomiting is contrasted with regurgitation, the effortless passage of gastric contents into the mouth.
Rumination is the repeated regurgitation of food residue, which may be re-swallowed.
In contrast to emesis, these phenomenon exhibit volitional control.
Key Facts:
- Vomiting in young children is common. Causes include reflux, but it can also indicate more serious problem, such as an intestinal obstruction or meningitis.
- Nausea and vomiting are common during pregnancy due to hormonal changes. People often call this morning sickness, although it can happen at any time of the day.
Nausea and Vomiting
Mechanisms
- Vomiting is coordinated by the brainstem and is effected by responses in the gut, pharynx and somatic musculature.
- Mechanisms underlying nausea are poorly understood but likely involve the cerebral cortex, as nausea requires conscious perception.
- This is supported by functional brain imaging studies showing activation of cerebral cortical regions during nausea.
Coordination of Emesis
Brainstem nuclei- including the nucleus tractus solitarious: dorsal vagal and phrenic nuclei: medullary nuclei regulating respiration.
Differential Diagnosis
Nausea and Vomiting are caused by conditions within and outside the gut, by drugs, and by circulating toxins.
Unexplained causes of chronic nausea and vomiting are relatively rare, being reported by 2-3% of the population.
Causes
There are many different illnesses, and underlying conditions, along with medical treatments that could cause nausea.
Intra peritoneal |
Extra peritoneal |
Medications/ Metabolic Disorders |
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Obstructing Disorders |
Cardiopulmonary Disease |
Cancer Chemotherapy |
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Pyloric Obstruction |
Cardiomyopathy |
Antibiotics |
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Small Bowel Obstruction |
Myocardial Infarction |
Cardiac Antiarrhythmics |
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Enteric Infections |
Motion Sickness |
Digoxin |
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Viral |
Malignancy |
Oral Hypoglycemic |
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Bacterial |
Hemorrhage |
Oral Contraceptives |
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Inflammatory Diseases |
Hydrocephalus |
Antidepressants |
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Cholecystitis |
Psychiatric Illness |
Restless Legs/ Parkinson’s Therapies |
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Hepatitis |
Anorexia |
Smoking Cessation Agents |
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GERD |
Bulimia Nervosa |
Pregnancy |
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Chronic Nausea Vomiting Syndrome |
Depression |
Uremia |
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Abdominal Irradiation |
Postoperative Vomiting |
Liver Failure |
Approach to the Patient
History and Physical Examination
Diagnostic Testing
- For intractable symptoms or an elusive diagnosis, selected screening tests can direct clinical care.
- Electrolyte replacement is indicated for Hypokalemia or metabolic alkalosis.
- Iron-deficiency anemia mandates a search for mucosal injury.
- Pancreaticobiliary disease is indicated by abnormal pancreatic or liver biochemistries
- Endocrinologic, rheumatologic, paraneoplastic etiologies are suggested by hormone or serologic abnormalities.
- If obstruction is suspected, supine and upright abdominal radiographs may show intestinal air-fluid levels with reduced colonic air.
Imaging Modalities
- Small- Bowel Barium Radiography or Computed Tomography (CT)
- Colonoscopy or contrast enema radiography
- Abdominal Ultrasound or CT defines intra peritoneal inflammation
- CT and MRI to assess Crohn’s disease
- Brain CT and MRI to delineate any intracranial disease
- Mesenteric Angiography
- CT and MRI for suspected ischemia
Prevention tips from Ganesh Diagnostic & Imaging Center
To help prevent an infection, a person could follow the following steps:
- To cook the shellfish thoroughly
- Wash your hands often
- Rinse your fruits and vegetables
- Avoid preparing food for others when sick for 2 days following symptom relief
- Stay home when feeling sick
- Pregnancy tips from the healthcare professional to manage nausea
- Tips to discuss any change in medical treatment for your disease.
Treatment and management
- Mostly Antihistaminic are consumed to relive nausea and Vomiting Symptoms
- Medication should continue for as long as the (any treatment) is likely to cause the vomiting, which might be different for the different people based on your type of chemo drug given.
To seek Free Consultation from the Doctor:
Contact- Dr. Ravin Sharma, (MBBS, MD in Radiology)
Available: 24*7*365
Phone Number: +919212125996
Why Ganesh diagnostic and Imaging Centre should be your preference to find the underlying cause of Nausea and Vomiting?
At Ganesh Diagnostic and Imaging Centre, we are known for providing excellent service and care to its patients for decades. Lakhs of satisfied patients over the years!
It is an established and renowned diagnostic centre since 2001.
Their excellence is backed by NABH and NABL Accreditations.
NABH accreditation is proof of highest standard of care and service provided to the patients. NABL accreditation reflects the competency of laboratories and equipment based on some national and international standards.
Test report is available digitally too.
Ganesh Diagnostic and Imaging Centre is a one-stop solution for getting all kinds of tests done, as all services are available under one roof.
The aim of GDIC is to provide world’s finest technology at the lowest price.
We are based in Delhi NCR Region, and our branches are in the following regions:
Yamuna Vihar, Mangol Puri, Budh Vihar, Model Town, Hari Nagar, Nagloi
The rates of scans are reasonably priced. Ganesh Diagnostic and Imaging Centre also offer FLAT 50% OFF on many tests.
Tests Conducted at Ganesh Diagnostic and Imaging Center
References:
- https://www.medicalnewstoday.com/articles/269511#treatments
- https://en.wikipedia.org/wiki/Vomiting
- https://www.medicalnewstoday.com/articles/nausea#summary
- Harrison’s Principles of Internal Medicine, 20 th edition, Volume 1 (p253- p256)
Note from Ganesh Diagnostic & Imaging Center
- Early checkups are always better than delayed ones. Safety, precaution & care are depicted in the several health checkups at our center.
- Here, at Ganesh Diagnostic and Imagining Center, we present simple & comprehensive health packages for any kind of testing to ensure the early prescribed treatment to safeguard your health.
- So, visit us at the earliest to ensure good health and to maintain an active immune system.