The Diagnosis and Management of Nausea and Vomiting: A Review

Hanson, John S.; McCallum, Richard W.
March 1985
American Journal of Gastroenterology;Mar1985, Vol. 80 Issue 3, p210
Academic Journal
Nausea and vomiting can result from a wide variety of organic and psychogenic disorders. In evaluating these symptoms, a thorough history with careful attention to their duration and relation to meals, as well as to concomitant drug use and underlying chronic medical problems, often will point to the correct diagnosis. A wide variety of diagnostic modalities exist, including radiographic studies, endoscopy, radionuclide methods of assessing gastrointestinal motility, and imaging studies of the central nervous system. These techniques must be used wisely and are not all required to elucidate the etiology in every patient. Treatment can be symptomatic but is directed at the underlying pathological process whenever possible. Recently developed gastrointestinal "prokinetic" agents have helped to improve the course of patients with identifiable motility disorders.


Related Articles

  • Neurenteric Cyst of the Area Postrema. Miller, Claire M.; Wang, Bonnie H.; Seong-Jin Moon; Chen, Eric; Huan Wang // Case Reports in Neurological Medicine;2014, p1 

    Neurenteric cysts are CNS lesions most frequently occurring in the spinal cord. Intracranial neurenteric cysts are rarer, typically presenting with headache, mass effect, or location-specific symptoms. The area postrema is known as the emetic center of the brain; lesions can cause nausea and...

  • nausea. Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p533 

    An encyclopedia entry for "nausea" is presented. It refers to the sensation of needing to vomit. Despite the same causes, nausea may not necessarily be accompanied by vomiting.

  • Nausea and Vomiting in Early Pregnancy. Jewell, David // American Family Physician;7/1/2003, Vol. 68 Issue 1, p143 

    Provides information on nausea and vomiting in early pregnancy. Effects of treatments for nausea and vomiting in early pregnancy; Discussion on the effects of treatments for hyperemesis gravidarum; Incidence and prevalence of nausea and vomiting; Etiology and risk factors of nausea and vomiting...

  • Desmoid Tumors. Roy, Amitabha Ghosh // American Surgeon;Feb2012, Vol. 78 Issue 2, pE79 

    The article provides information on desmoid tumors (DT) which are common, benign tumors of unknown etiology. The physical factors considered in the growth and development of DT are discussed. The goal of the treatment for DT are also described. Detailed as well are two cases of DT. One involves...

  • Symptom clusters: myth or reality? Aktas, Aynur; Walsh, Declan; Rybicki, Lisa // Palliative Medicine;Jun2010, Vol. 24 Issue 4, p373 

    Clinical experience suggests that many symptoms occur together. In this paper, we examine the rationale and evidence base for symptom clusters in different medical fields, particularly the cluster phenomenon in cancer. Cancer symptom clusters are a reality. Various symptoms that cluster...

  • Oesophageal haematoma and associated Mallory-Weiss tear. Lim, C. H.; Everett, S. M. // Postgraduate Medical Journal;Dec2004, Vol. 80 Issue 950, p734 

    Intramural oesophageal haematoma is a rare condition that may present as vomiting or hoematemesis. Mallory-Weiss tear has: been proposed as a possible aetiology but the evidence to support this is circumstantial. A case of oesophageal haematoma associated with evidence of Mallory-Weiss tear on...

  • Evaluation of small-bowel transit for solid and liquid test meal in healthy men and women. Bennink, Roelof; Peeters, Marc; Van den Maegdenbergh, Vera; Geypens, Benny; Rutgeerts, Paul; De Roo, Michel; Mortelmans, Luc // European Journal of Nuclear Medicine;1999, Vol. 26 Issue 12, p1560 

    Abstract. Evaluation of severe functional gastrointestinal motility disorders requires an investigation of the entire gastrointestinal tract. This should be possible with a single radionuclide imaging study. The purpose of this study was (1) to define normal values of small-bowel transit in men...

  • TREATMENT OPTIONS FOR PATIENTS WITH SEVERE GASTROPARESIS. Abrahamsson, Hasse // Gut;Jun2007, Vol. 56 Issue 6, p877 

    The article discusses basic information on gastroparesis, and describes treatment options for the disease. Chronic gastroparesis is a motility dysfunction often associated with severe symptoms, like nausea and vomiting. It is defined as delayed gastric emptying in the absence of an obstruction...

  • A rare cause of acute vomiting. Al Hadi, H. I.; Ramanand, B. S. // Gut;Oct2008, Vol. 57 Issue 10, p1359 

    The article provides an answer to a question about diagnosing the cause of acute vomiting in a 39-year-old woman with severe learning disability.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics