Last reviewed: November 2017
Last updated: November  2017

Summary

Differentials

Common

  • Gastritis
  • Gastro-oesophageal reflux disease
  • Peptic ulcer disease
  • Acute gastroenteritis
  • Food poisoning
  • Chronic post-viral nausea and vomiting
  • Migraine
  • Motion sickness
  • Benign paroxysmal positional vertigo
  • Cerebrovascular (embolic/ischaemic/haemorrhagic) events
  • Hypercalcaemia
  • Hypothyroidism
  • Gastric outlet obstruction
  • Small bowel obstruction
  • Colonic obstruction
  • Choledocholithiasis
  • Cholecystitis
  • Post-GI surgery
  • Severe constipation
  • Irritable bowel syndrome
  • Cyclic vomiting syndrome
  • Gastric dysrhythmias
  • Gastroparesis
  • Bacterial peritonitis
  • Anorexia nervosa
  • Bulimia nervosa
  • Pregnancy
  • Drug-induced
  • Nephrolithiasis
  • Uraemia
  • Idiopathic functional dyspepsia or post-prandial distress syndrome

Uncommon

  • Acute coronary syndrome
  • Postural orthostatic tachycardia syndrome (POTS)
  • Meniere's disease
  • Acoustic neuroma
  • Traumatic brain injury
  • Meningitis
  • Brain abscess
  • Complex partial seizures
  • CNS tumours
  • Primary adrenal insufficiency (acute or chronic)
  • Hyperthyroidism
  • Hypopituitarism
  • Heat stroke
  • Acute pancreatitis
  • Bariatric surgery sequelae
  • Primary pseudo-obstruction
  • Secondary pseudo-obstruction
  • Abdominal abscess
  • Carcinomatous peritonitis
  • Stomach cancer
  • Ovarian cancer
  • Renal cancer
  • Small cell lung cancer
  • Pancreatic cancer
  • Chronic mesenteric ischaemia
  • Cannabinoid hyperemesis
  • Chronic nausea and vomiting after antibiotics or anaesthetics

Contributors

Authors VIEW ALL

Kenneth L. Koch

Professor

Section Head Gastroenterology

Wake Forest University

Health Sciences Center

Winston-Salem

NC

Disclosures

KLK is a consultant for GlaxoSmithKline and a shareholder in 3 CPM Company. He is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Consultant Physician

Liver Unit

Queen Elizabeth Hospital

Birmingham

UK

Disclosures

JN declares that he has no competing interests.

Instructor in Medicine

Harvard Medical School

Director of Clinical Research

The Celiac Center

Beth Israel Deaconess Medical Center

Boston

MA

Disclosures

DL declares that he has no competing interests.

Professor of Medicine

Chief of Clinical Gastroenterology and Hepatology

University of Texas Medical Branch

Galveston

TX

Disclosures

NS declares that he has no competing interests.

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