Nausea and Vomiting
Definitions Nausea - feeling like vomiting Vomiting - Forceful expulsion of gastric contents through the mouth. Regurgitation - involuntary backflow of gastric contents. Retching - forceful contraction of abdomen but no content comes out. Common causes Gastritis, Gastroenteritis, Infection with fever, food poisoning Motion Sickness Pregnancy Migraine, MI, Appendicitis, Biliary Colic. Differential diagnosis Loose motions Alcohol,NSAID, steroid, spicy food Fever - Meningitis Amenorrhea Pain in Abdomen Vertigo, Headache Severe Diabetes Surgical Abdoemen - Peritonitis, Perforation, etc. General Treatment General - Cardamom, Ginger and Crushed Ice. Prokinetic - PERINORM 10MG (Metoclopramide), DOMSTAL 10mg TDS (Domeperidone), Cisapride,Mosapride, Itopride. For drug induced vomiting and post op vomiting (Chemo,HCQ,Levofloxacin, Antiviral) - ONDANSETRON 4MG TDS Motion Sickness - PROMETHAZINE 25mg 1/2 tab before travel (Phenargan) and Dicyclomine. Treatment of different case scenar...