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Approach to Nausea and Vomiting

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Essential Medical Disorders of the Stomach and Small Intestine

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Abstract

Nausea and vomiting are common symptoms that develop due to a variety of different etiologies. In this chapter, we will review the pathophysiology and epidemiology of nausea and vomiting, describe the broad differential of this common disorder, review the steps of a basic diagnostic evaluation, and discuss treatment options.

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References

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Essential Reading

  • Quigley EMM, Hasler WL, Parkman HP. AGA technical review on nausea and vomiting. Gastroenterology. 2001;120(1):263–86. This article provides an overview on nausea and vomiting and sets the framework for other papers

    Article  CAS  Google Scholar 

  • Lacy BE, Parkman HP, Camilleri M. Chronic nausea and vomiting: evaluation and treatment. Am J Gastroenterol. 2018. This article provides a recent update on nausea and vomiting with up-to-date diagnostic and treatment strategies.;113:647.

    Article  Google Scholar 

  • Hasler WL. Newest drugs for chronic unexplained nausea and vomiting. Curr Treat Options Gastroenterol. 2016;14(4):371–85. This article provides insight on the newer drugs for treatment of nausea and vomiting.

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Author information

Authors and Affiliations

  1. Gastroenterology Section, Department of Medicine, Temple University School of Medicine, Philadelphia, PA, USA

    Zubair Malik & Henry P. Parkman

Authors
  1. Zubair Malik
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  2. Henry P. Parkman
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Corresponding author

Correspondence to Zubair Malik .

Editor information

Editors and Affiliations

  1. Mayo Clinic, Jacksonville, FL, USA

    Brian E. Lacy

  2. Mayo Clinic, Scottsdale, AZ, USA

    John K. DiBaise

  3. Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Mark Pimentel

  4. Leeds Teaching Hospitals NHS Trust, Leeds Gastroenterology Institute, Leeds, UK

    Alexander C. Ford

Self-Test

Self-Test

  • Question 1. Where is the vomiting center located?

    1. A.

      Posterior lateral reticular formation of the medulla

    2. B.

      Dorsal lateral reticular formation of the medulla

    3. C.

      Posterior lateral reticular formation of the somatosensory cortex

    4. D.

      Doral lateral reticular formation of the somatosensory cortex

  • Question 2. All of the following are causes of nausea and vomiting except for:

    1. A.

      Cisplatinum

    2. B.

      Metoprolol

    3. C.

      Tetracycline

    4. D.

      Aprepitant

    5. E.

      Sulfasalazine

  • Question 3. In a patient with symptoms of nausea and vomiting, after ruling out a life threating illness, what is the next step in the approach?

    1. A.

      Remove offending agents

    2. B.

      Check blood work

    3. C.

      Check obstruction series

    4. D.

      Treat with antiemetics

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Cite this chapter

Malik, Z., Parkman, H.P. (2019). Approach to Nausea and Vomiting. In: Lacy, B., DiBaise, J., Pimentel, M., Ford, A. (eds) Essential Medical Disorders of the Stomach and Small Intestine. Springer, Cham. https://doi.org/10.1007/978-3-030-01117-8_1

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  • DOI: https://doi.org/10.1007/978-3-030-01117-8_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-01116-1

  • Online ISBN: 978-3-030-01117-8

  • eBook Packages: MedicineMedicine (R0)

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