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Fundoplication
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Douglas C. Barnhart, Robert A. Cina
An immediate postoperative complication is dysphagia, which, if sufficiently symptomatic, can be relieved with an early flexible endoscopy or, if not responding, by performing single balloon dilatation. Retching postoperatively can occur, particularly in children with neurological impairment. Complication management is similar to that described in “Open fundoplication: Complications.”
Missed Opportunities? Beneficial Uses of Illicit Drugs
Published in Ross Coomber, The Control of Drugs and Drug Users, 2020
Lester Grinspoon, James B. Bakalar
But the most promising use of cannabis in cancer treatment is the prevention of nausea and vomiting in patients undergoing chemotherapy. About half of patients treated with anticancer drugs suffer from severe nausea and vomiting, and for 30% to 40% of them, the commonly used antiemetics do not work (Roffman, op. cit., pp. 82–83). The nausea and vomiting are not only unpleasant but a threat to the effectiveness of the therapy. Retching can cause tears of the esophagus and rib fractures, prevent adequate nutrition, and lead to fluid loss. Some patients find the nausea so intolerable they say they would rather die than go on.
The Excessive Gagging Reflex
Published in Eli Ilana, Oral Psychophysiology, 2020
Apparently, while gagging is a relatively brief, passing phenomenon associated with an immediate stimulus (it is impossible to cease respiration for a long period), retching is a more continuous act, associated with longer-lasting stimuli. Gagging, if prolonged, is usually followed by vomiting, whereas retching is usually “less productive” in this respect.
Current understanding of the etiology of cyclic vomiting syndrome and therapeutic strategies in its management
Published in Expert Review of Clinical Pharmacology, 2022
Rosita Frazier, Thangam Venkatesan
Patients with CVS usually have four phases which were first described by Fleisher [13] and are shown in Figure 1. The inter-episodic or the well phase is the time between episodes when patients are usually asymptomatic and when lifestyle modifications, and prophylactic medications are used to prevent future episodes. The prodromal phase occurs before the emesis starts and patients can sense an impending CVS attack. Symptoms include nausea, sweating, abdominal pain, fatigue, weakness, feeling hot or cold, shivering, and interrupted sleep. Often, patients experience an impending sense of doom and exhibit symptoms of panic. This phase can last from a few minutes to several hours and medications to abort or terminate progression to a full-blown CVS episode or attenuate symptoms are usually recommended as early as possible in this phase. This is then followed by the vomiting phase, which is characterized by severe nausea, vomiting, and retching. Symptomatic treatment with IV fluids, anti-emetics, and anxiolytics is usually administered during this phase. This is then followed by recovery when patients slowly resume oral intake and return to baseline. This period of recovery is variable and can last from several hours to days. If CVS is left untreated or poorly managed, this episodic pattern can be lost over time when episodes become longer, and periods of normalcy are shortened and is referred to as coalescence of symptoms. A careful history and chronological account will help establish the diagnosis and initiate therapy.
Recalling the severity of nausea and vomiting of pregnancy – a study using Pregnancy-Unique Quantification of Emesis Questionnaire
Published in Journal of Obstetrics and Gynaecology, 2023
Linda Laitinen, Miina Nurmi, Mari Koivisto, Päivi Rautava, Päivi Polo-Kantola
The continuous PUQE scores and the points of each PUQE questions were similar in women answering ≤20 gwks and >20 gwks. For women answering ≤20 gwks and ≥24 gwks, the continuous PUQE scores were similar, as well. However, in this comparison, the women answering ≤20 gwks reported longer duration of nausea (higher mean points in question 1). Instead, the frequency of both vomiting (question 2) and retching (question 3) episodes were similar. Alike, when comparing the women answering in ≤16 gwks and ≥24 gwks, the continuous PUQE scores were similar, but the women answering ≤16 gwks had higher mean points in question 1 (longer duration of nausea) than women answering ≥24 gwks. Otherwise, the answers to PUQE questions 2 and 3 were similar also in this comparison (Table 2).
Ciguatera fish poisoning in the age of discovery and the age of enlightenment
Published in Clinical Toxicology, 2022
The symptoms at first were universal lassitude and weakness, followed by retching; and in some by gripings [abdominal cramping] and looseness [diarrhea]. To these succeeded a flushing heat and violent pains in the face and head, with a giddiness and increase of weakness; also a pain, or, as they expressed it, a burning heat in the mouth and throat. Some had the mouth affected in such a manner, that they imagined their teeth were loose; which might really be the case, as a considerable spitting attended this symptom. The pulse all this time was rather slow and low. The retching and looseness did not last long; but the pain and heat of the head were extended to the arms, hands, and legs.