tailieunhanh - Chapter 039. Nausea, Vomiting, and Indigestion (Part 3)

Disordered gut sensorimotor function also commonly causes nausea and vomiting. Gastroparesis is defined as a delay in emptying of food from the stomach and occurs after vagotomy, with pancreatic adenocarcinoma, with mesenteric vascular insufficiency, or in systemic diseases such as diabetes, scleroderma, and amyloidosis. Idiopathic gastroparesis occurring in the absence of systemic illness may follow a viral prodrome, suggesting an infectious etiology. Intestinal pseudoobstruction is characterized by disrupted intestinal and colonic motor activity and leads to retention of food residue and secretions, bacterial overgrowth, nutrient malabsorption, and symptoms of nausea, vomiting, bloating, pain, and altered defecation. . | Chapter 039. Nausea Vomiting and Indigestion Part 3 Disordered gut sensorimotor function also commonly causes nausea and vomiting. Gastroparesis is defined as a delay in emptying of food from the stomach and occurs after vagotomy with pancreatic adenocarcinoma with mesenteric vascular insufficiency or in systemic diseases such as diabetes scleroderma and amyloidosis. Idiopathic gastroparesis occurring in the absence of systemic illness may follow a viral prodrome suggesting an infectious etiology. Intestinal pseudoobstruction is characterized by disrupted intestinal and colonic motor activity and leads to retention of food residue and secretions bacterial overgrowth nutrient malabsorption and symptoms of nausea vomiting bloating pain and altered defecation. Intestinal pseudoobstruction may be idiopathic or inherited as a familial visceral myopathy or neuropathy or it may result from systemic disease or as a paraneoplastic complication of a malignancy such as small cell lung carcinoma. Patients with gastroesophageal reflux may report nausea and vomiting as do some individuals with functional dyspepsia and irritable bowel syndrome. Three other functional disorders without organic abnormalities have been characterized in adults. Chronic idiopathic nausea is defined as nausea without vomiting occurring several times weekly whereas functional vomiting is defined as one or more vomiting episodes weekly in the absence of an eating disorder or psychiatric disease. Cyclic vomiting syndrome is a rare disorder of unknown etiology that produces periodic discrete episodes of relentless nausea and vomiting. The syndrome shows a strong association with migraine headaches suggesting that some cases may be migraine variants. Cyclic vomiting is most common in children although adult cases have been described in association with rapid gastric emptying and with chronic cannabis use. Extraperitoneal Disorders Myocardial infarction and congestive heart failure are cardiac causes of .

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