Assessment of nausea and vomiting, adults

最后审阅: 15 Jun 2025
最后更新: 28 Jan 2025

小结

鉴别诊断

常见

  • 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
  • Stroke (embolic/ischaemic/haemorrhagic)
  • Hypercalcaemia
  • Hypothyroidism
  • Gastric outlet obstruction
  • Small bowel obstruction
  • Colonic obstruction
  • Choledocholithiasis
  • Cholecystitis
  • Post-gastrointestinal surgery
  • Severe constipation
  • Irritable bowel syndrome
  • Cyclic vomiting syndrome (CVS)
  • Gastric dysrhythmias
  • Gastroparesis
  • Bacterial peritonitis
  • Anorexia nervosa
  • Bulimia nervosa
  • Pregnancy
  • Drug-induced
  • Nephrolithiasis
  • Uraemia
  • Idiopathic functional dyspepsia or post-prandial distress syndrome
完整详情

不常见

  • Acute coronary syndrome
  • Postural orthostatic tachycardia syndrome
  • Meniere's disease
  • Acoustic neuroma
  • Traumatic brain injury
  • Meningitis
  • Brain abscess
  • Complex partial seizures
  • Central nervous system 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
完整详情

撰稿人

作者

Thomas L Abell, MD

Professor of Medicine

Arthur M. Schoen, MD, Chair in Gastroenterology

Gastrointestinal Motility Clinic

Louisville

KY

利益声明

TLA receives funding from the National Institutes of Health (NIH) Gastroparesis Clinical Research Consortium (GpCRC), and the NIH Gastric Dysrhythmias. He is an investigator for Cindome, Vanda, Neurogastrx, and Processa; a consultant for Nuvaira, Takeda, Medtronic, and Enterra Medical; a speaker for Takeda and Enterra Medical; a reviewer for UpToDate; the Gastric Electrical Stimulation editor for Neuromodulation, Wikistim; and the founder of ADEPT-GI which has intellectual property for autonomic/enteric and bioelectric diagnosis and therapies. TLA is an author of a number of references cited in this topic.

Prateek Mathur, MD

University of Louisville

Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine

Louisville

KY

利益声明

PM declares that he has no competing interests.

鸣谢

Professor Thomas L Abell and Dr Prateek Mathur would like to gratefully acknowledge Dr Kenneth L Koch, a previous contributor to this topic.

利益声明

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 topic.

同行评议者

James Neuberger, BM, BCh

Consultant Physician

Liver Unit

Queen Elizabeth Hospital

Birmingham

UK

利益声明

JN declares that he has no competing interests.

Daniel Leffler, MD, MS

Instructor in Medicine

Harvard Medical School

Director of Clinical Research

The Celiac Center

Beth Israel Deaconess Medical Center

Boston

MA

გაფრთხილება:

DL declares that he has no competing interests.

Ned Snyder, MD, FACP

Professor of Medicine

Chief of Clinical Gastroenterology and Hepatology

University of Texas Medical Branch

Galveston

TX

გაფრთხილება:

NS declares that he has no competing interests.

წყაროები

ჩვენი მტკიცებულებებისა და სარედაქციო ჯგუფები თანამშრომლობენ საერთაშორისო ექსპერტებსა და რეცენზენტებთან, რათა უზრუნველვყოთ თქვენი წვდომა კლინიკურად ყველაზე მნიშვნელოვან ინფორმაციაზე.

ძირითადი სტატიები

Quigley EM, Hasler WL, Parkman HP. AGA technical review on nausea and vomiting. Gastroenterology. 2001 Jan;120(1):263-86.სრული ტექსტი  აბსტრაქტი

Intagliata N, Koch KL. Gastroparesis in type 2 diabetes mellitus: prevalence, etiology, diagnosis, and treatment. Curr Gastroenterol Rep. 2007 Aug;9(4):270-9. აბსტრაქტი

American College of Gastroenterology. Clinical guideline: gastroparesis. Aug 2022 [internet publication].სრული ტექსტი

გამოყენებული სტატიები

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