Unexplained nausea and vomiting

@article{Koch2000UnexplainedNA,
  title={Unexplained nausea and vomiting},
  author={Kenneth L Koch},
  journal={Current Treatment Options in Gastroenterology},
  year={2000},
  volume={3},
  pages={303-313}
}
  • K. Koch
  • Published 1 August 2000
  • Medicine
  • Current Treatment Options in Gastroenterology
Opinion statementNausea and vomiting are debilitating symptoms for patients, and can be challenging problems in diagnosis and management for physicians. Initial efforts must be made to establish a specific diagnosis that represents the pathophysiological cause of the nausea and vomiting. If a specific diagnosis is made (for example, antral ulceration), then specific therapy for the lesion will usually eradicate the nausea and vomiting associated with the specific disease. When standard… 
Sickness and satiety: Physiological mechanisms underlying perceptions of nausea and stomach fullness
TLDR
A better understanding of the gastric neuromuscular and neurohormonal influences on perceptions arising from the viscera may prove invaluable in the development of novel treatments for such conditions as unexplained nausea, functional dyspepsia, and obesity.
The medical complications associated with purging.
TLDR
Recognizing the link between purging and medical complications can aid in identifying potential eating disorders, particularly those that often elude detection such as purging disorder.
A Case Report: Effect of Korean Medicine Including Distilled Form of Bosaeng-tang Gagambang on Moderate to Severe Hyperemesis Gravidarum.
TLDR
A case report on the effect of Korean Medicine Including Distilled Form of Bosaeng-tang Gagambang on Moderate to Severe Hyperemesis Gravidarum, also known as ‘morning sickness’, on pregnant women.
Gastrointestinal Manifestations of Diabetes
Gastrointestinal (GI) disorders are exceedingly common in diabetics and are reported by as many as 75% of patients.1 Symptoms may be underappreciated by patients and their physicians, as they are
Electrogastrography: a non-invasive measurement of gastric function
TLDR
Electrogastrography is a reliable and accurate technique for the measurement of gastric myoelectrical activity providing information about the frequency and regularity of the gastric slow wave.
Gastrointestinal Manifestations of Diabetes
TLDR
Some gastrointestinal symptoms of diabetes may be under-reported by diabetic patients and physicians because they appear minor compared to retinopathy, nephropathy and other complications of diabetes.

References

SHOWING 1-10 OF 17 REFERENCES
Functional disorders of the stomach.
TLDR
Treatment approaches are limited and include dietary counseling and gastroprokinetic agents such as metoclopromide, cisapride, and erythromycin for the treatment of symptoms related to functional disorders of the stomach.
Gastroesophageal Reflux Disease Presenting with Intractable Nausea
TLDR
Ten patients who had been referred to the gastroenterology division of the Milton S. Hershey Medical Center from September 1991 to August 1995 for evaluation of chronic idiopathic nausea presented with chronic nausea, and it was found that any medication was causing the nausea.
Risk indicators of delayed gastric emptying of solids in patients with functional dyspepsia.
TLDR
Female sex, relevant and severe postprandial fullness, and severe vomiting are independently associated with delayed gastric emptying of solids in patients with functional dyspepsia seen in a referral center.
Gastric emptying and subjective symptoms of nausea: lack of effects of a 5-hydroxytryptamine-3 antagonist ondansetron on gastric emptying in patients with gastric stasis syndrome.
TLDR
Treating 9 patients shown to have gastric stasis syndrome and further 3 patients with diabetic gastroparesis with ondansetron, a highly selective antagonist of 5-hydroxytryptamine-3-receptors, resulted in a gastric emptying rate which was not statistically faster than after placebo (p = 0.11).
Improvement of gastric emptying in diabetic gastroparesis by erythromycin. Preliminary studies.
TLDR
Preliminary results suggest that erythromycin may have therapeutic value in patients with severe diabetic gastroparesis, and shortened the prolonged gastric-emptying times for both liquids and solids to normal.
Metoclopramide: pharmacology and clinical application.
TLDR
Metoclopramide's effect on the medullary chemoreceptor trigger zone makes it useful as a routine anti-emetic and in preventing vomiting induced by antineoplastic drugs, particularly cisplatin.
Domperidone. A review of its pharmacological activity, pharmacokinetics and therapeutic efficacy in the symptomatic treatment of chronic dyspepsia and as an antiemetic.
TLDR
Alleviation of the dose-limiting peripheral side effects of the anti-Parkinsonian drugs bromocriptine and levodopa, enables a higher optimum dose, with consequent improvement in Parkinsonian symptoms.
Cisapride. An updated review of its pharmacology and therapeutic efficacy as a prokinetic agent in gastrointestinal motility disorders.
TLDR
In placebo-controlled trials, cisapride improved healing rates and symptoms in both adults and children with reflux oesophagitis, and was at least as effective as cimetidine and ranitidine in patients withReflux disease.
Gastric emptying and gastric myoelectrical activity in patients with diabetic gastroparesis: effect of long-term domperidone treatment.
TLDR
Establishment of normal 3-cpm gastric myoelectric activity and resolution of dysrhythmias, not normalization of emptying rates, was associated with improvement in upper gastrointestinal symptoms in these diabetic patients.
Suppression of pregnancy-induced nausea and vomiting with sensory afferent stimulation.
TLDR
SAS applied to the wrist can effectively improve pregnancy-induced nausea and vomiting as compared to a placebo device.
...
1
2
...