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Nausea Tips

Cyclic Vomiting Syndrome - How To Tackle It In Kids?

Dr. Sushma Narayan (Aiims) 95% (319 ratings)
MBBS, Diploma in Child Health (DCH), Pediatric Gastroenterology
Pediatrician, Delhi
Cyclic Vomiting Syndrome - How To Tackle It In Kids?

Cyclic vomiting syndrome (CVS) is characterized by periodic bouts of nausea and vomiting that happens at cyclical intervals. It affects all ages, but is more common in children. The condition is quite stereotypical in that there are paroxysms or bouts of vomiting that is recurrent and follows days of normal health.

Causes: There is no definite reason identified, but it is said to have a strong hereditary correlation. Studies have shown mitochondrial heteroplasmic (abnormal growth of mitochondria, which is a cellular component) to be one of the factors that can lead to CVS. The genetic correlation, however, is very difficult to establish, specifically because vomiting and nausea are common symptoms that occur with most conditions in children. And CVS is most commonly noted with conditions like infections and emotional excitement. Infection could be either tooth decay or sinusitis or anything else. Lack of sleep, anxiety, holidays, allergies, overeating, certain foods, menstruation - a host of factors have been shown to induce CVS. There is also a strong association with migraine and conditions that lead to excessive production of stress hormones.

Symptoms: The syndrome (a group of symptoms) usually has 4 phases:

1. Symptom-free interval phase: The child is completely normal in this phase, which happens in between bouts.

2. Prodromal phase: Prodrome is an indication that a disease or a condition is about to happen. In CVS, this is usually nausea and abdominal pain that can last from a few minutes to a few hours. Treatment in this phase can curb the disease. However, there could be some children in whom this may not manifest and the child may directly start with vomiting.

3. Vomiting phase: Repeated bouts of paroxysmal vomiting happen associated with nausea, exertion, fatigue, and drowsiness.

4. Recovery phase: As the nausea and vomiting begin to subside, which may take a couple of days, the child returns back to normal slowly. However, the lethargy and energy levels will take a couple of days to return to normal.

Treatment: Treatment again depends on the severity and the phase at which it is being recognized. If a child has repetitive bouts, then the parent and the doctor would have identified a pattern to it.

1. If the causative agent has been identified, for instance, infection or migraine, then managing that takes care of the CVS also.

2. If identified during the prodromal phase, again it can be managed with suitable anti-emetic medications.

3. If identified after full onset, rest and sleep and medications to control nausea and vomiting are required. Adequate hydration with electrolyte replenishment and sedatives can provide additional support.
However, in most cases of childhood CSV, the pattern will be identified and that helps in better management, both the child/parent and the podiatrist.

1319 people found this helpful

Vomiting - How To Put A Check In It While You Are Pregnant?

Dr. Asha Gavade 87% (797 ratings)
DNB - Obstetrics & Gynecology, MBBS
Gynaecologist, Pune
Vomiting - How To Put A Check In It While You Are Pregnant?

While pregnancy is not a pathological condition, it is a happy time that can be marred by various conditions. Debilitating morning or all day sickness, which is usually characterised by nausea, reflux in the gastro esophageal band, heartburn and acidity. This can also turn into vomiting and lead to complications if it does not stop.

Persistent, almost daily vomiting can be termed as excessive vomiting in pregnancy, and this is known as Hyperemesis Gravidarum in medical terms. Let us find out more about this condition.

Routine: Hyperemesis Gravidarum usually strikes as a matter of routine at a set time everyday where the patient will either be in unappetising company of acute and painful acidity and nausea, or will also be vomiting.

Severity: The severity of the condition usually decreases as the patient's pregnancy progresses. Usually, this condition strikes around the fourth or fifth week of pregnancy, before becoming better towards the middle of the second trimester. There are cases, though, where it continues to be just as severe till the very end of the pregnancy.

When to take Action: The patient may have to be hospitalised in case too much vomiting takes place, so as to prevent excess loss of water and salt from the body, and resultant weakness which may affect the growth of the foetus. Also, it is best to call the doctor when you have experienced fainting and dizzy spells.

Causes: Hyperemesis Gravidarum or excessive vomiting during pregnancy cannot be attributed to any specific or single cause. Usually, it is known to be a genetic condition passed down by mothers to their daughters. But in most cases, doctors believe that the condition is due to hormonal changes where an increase in the HCG hormone, or Human Chronic Gonadotropin hormone level during pregnancy may lead to a variety of symptoms such as morning sickness or excessive vomiting. This hormone is known to be at its peak during pregnancy.

Risk Factors: It has mostly been seen that women who are carrying twins are at risk of suffering from this condition. Also, women who have suffered from chronic motion sickness in the past report excessive vomiting during pregnancy.

Treatment: The best way to treat this issue is to prevent too much of nausea and vomiting with the help of a bland diet that does not have heavy to digest ingredients. Also, it is best to take small and frequent meals.

Working your way around excessive vomiting during pregnancy is a matter of ensuring that you take rest, fluids and other precautions. 

8567 people found this helpful

Vomiting - What Can Cause It In Excess During Pregnancy?

Dr. Sumati Saxena 89% (21 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Allahabad
Vomiting - What Can Cause It In Excess During Pregnancy?

While pregnancy is not a pathological condition, it is a happy time that can be marred by various conditions. Debilitating morning or all day sickness, which is usually characterised by nausea, reflux in the gastroesophageal band, heartburn and acidity. This can also turn into vomiting and lead to complications if it does not stop. Persistent, almost daily vomiting can be termed as excessive vomiting in pregnancy, and this is known as Hyperemesis Gravidarum in medical terms. Let us find out more about this condition.

Routine: Hyperemesis Gravidarum usually strikes as a matter of routine at a set time every day where the patient will either be in the unappetising company of acute and painful acidity and nausea or will also be vomiting.

Severity: The severity of the condition usually decreases as the patient's pregnancy progresses. Usually, this condition strikes around the fourth or fifth week of pregnancy, before becoming better towards the middle of the second trimester. There are cases, though, where it continues to be just as severe till the very end of the pregnancy.

When to Take Action: The patient may have to be hospitalised in case too much vomiting takes place, so as to prevent excess loss of water and salt from the body and resultant weakness which may affect the growth of the foetus. Also, it is best to call the doctor when you have experienced fainting and dizzy spells.

Causes: Hyperemesis Gravidarum or excessive vomiting during pregnancy cannot be attributed to any specific or single cause. Usually, it is known to be a genetic condition passed down by mothers to their daughters. But in most cases, doctors believe that the condition is due to hormonal changes where an increase in the HCG hormone or Human Chronic Gonadotropin hormone level during pregnancy may lead to a variety of symptoms such as morning sickness or excessive vomiting. This hormone is known to be at its peak during pregnancy.

Risk Factors: It has mostly been seen that women who are carrying twins are at risk of suffering from this condition. Also, women who have suffered from chronic motion sickness in the past report excessive vomiting during pregnancy.

Treatment: The best way to treat this issue is to prevent too much nausea and vomiting with the help of a bland diet that does not have heavy to digest ingredients. Also, it is best to take small and frequent meals.

Working your way around excessive vomiting during pregnancy is a matter of ensuring that you take rest, fluids and other precautions. 

1202 people found this helpful

Symptoms Of Stomach Cancer!

MCh - Surgical Gastroenterology/G.I. Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Surgical Gastroenterologist, Delhi
Symptoms Of Stomach Cancer!

Are you suffering from persistent indigestion? unexplained weight loss, nausea and vomiting need further evaluation. Don't ignore these warning signs!

2 people found this helpful

Surgical Causes Of Vomiting In Children!

Dr. Rishavdeb Patra 89% (97 ratings)
MBBS, MS - General Surgery, MCh - Paediatric Surgery
Pediatric Surgeon, Kolkata
Surgical Causes Of Vomiting In Children!

Vomiting in infants and kids are very common. Most of the vomiting cases do not require patients to see a doctor. But there are some conditions that cause forceful vomiting in babies and infants leading to dehydration.

One such condition is called Infantile Hypertrophic Pyloric Stenosis. Infantile Hypertrophic Pyloric Stenosis is a problem that affects infants and requires the immediate attention of a Pediatric Surgeon. In this disease, the lower portion of the stomach known as Pylorus is blocked. Due to the blocked Pylorus, the food in the stomach cannot enter the small intestine. Due to this obstruction, the child experiences vomiting persistently.

Risks Prone to Pyloric Stenosis -

  • The disease is more common in boys than girls.

  • Children from white race are more prone to Pyloric Stenosis.

  • There is evidence of genetic predisposition.

Symptoms - 

The most common symptom of Pyloric Stenosis is frequent and projectile non-bilious vomiting in kids. Whatever feed they take from mothers is vomited after few hours. However, the vomiting is different than that of wet burps which are very common among infants.

Diagnosis -

In addition to the physical examination the following investigations are done:

  • Blood tests to evaluate dehydration and electrolyte imbalance.

  • Abdominal ultrasound is diagnostic to know the presence of pyloric mass and the length of pyloric canal

Treatment -

The only practical course for treating Pyloric Stenosis is to operate the infant. However, first doctors administer the infant with the medicines and IV fluid to treat dehydration and electrolyte imbalances. Once the baby is hydrated and ready to get operate, surgery is performed.

TAKE AWAY -

Consult a Pediatric Surgeon if your child is vomiting after feeds. He needs evaluation to know the cause of vomiting and treat accordingly.

1540 people found this helpful

Sudden Loss Of Consciousness - How To Handle It?

Dr. Rajiv Agarwal 90% (74 ratings)
MBBS, MD - Medicine, DM - Cardiology, Fellowship in Interventional Cardiology
Cardiologist, Delhi
Sudden Loss Of Consciousness - How To Handle It?

When you see someone faint all of a sudden, it leads to chaos around, and you are perplexed not knowing the reason. The sudden fainting or loss of consciousness is Syncope. Syncopal episodes are generally prompted by an unexpected, momentary fall in the flow of blood to the brain, leading to a person passing out and losing muscle control.

Falling causes blood flow to return to the brain, resulting in the person regaining consciousness. The duration of Syncopal episodes is generally for a few seconds or minutes, and it can happen to anyone regardless of age. It does sound scary to lose consciousness suddenly but educating yourself about the signs and symptoms, and the possible causes are the best ways to cope with Syncope.

Symptoms
The trademark sign of syncope is that the patient regularly passes out. The symptoms leading to such a blackout episode include:

  1. Legs feeling heavy
  2. Blurry vision
  3. Being puzzled
  4. Rising body temperature
  5. Dizziness and the person going pale
  6. Epigastric distress
  7. Nausea
  8. Sweating
  9. Vomiting
  10. Drop in blood pressure
  11. Weak pulse

However, the extreme symptoms include exertion, chest pains, laboured breathing, lower back pain, heart palpitations, constant headaches, central neurologic shortfalls, diplopia and slurred speech.

Causes
Syncope can be triggered by an unresolved medical ailment or from sudden changes in the environment. Falling unconscious can also be caused by emotional stress. Other causes include severe pain or an uncharacteristically low blood sugar. Many people faint when they see blood. Syncope can also be prompted by extreme dehydration coupled with low blood sugar. Syncope can be due to a genetic disorder and can also be caused by a medicinal side-effect.

Ways to cope with Syncope
A person who has had syncopal episodes earlier must know a few things especially when he/she lives alone or while at work or outside. A few tips to manage when you feel a syncope episode is approaching:

  1. When you start feeling the symptoms react with anti-gravity approaches instantly. Either sit down with your head in between knees or lie down so that the blood flow to the brain is recovered.
  2. Seek for a safe and secure place to faint. This is crucial so that you are least hurt in case you fell unconscious.
  3. If you had fainted, when you regain consciousness take time to get on foot. Lie down for some more time and ensure that the blood flow is restored.
  4. Stay hydrated after the episode and it is a good practice to stay well-hydrated always.

Syncope is fairly common, but it is generally people above eighty face a larger risk of being hospitalized due to it the problem. In case one thinks that he or she is facing syncopal episode, they must consult a doctor immediately and get all the necessary tests done to handle it properly.

1700 people found this helpful

Diarrhoea - Is It Associated With Tonsillitis!

Dr. G.R. Agrawal 96% (28314 ratings)
DHMS (Hons.)
Homeopathy Doctor, Patna
Diarrhoea - Is It Associated With Tonsillitis!

There are two tissue masses (oval shaped) at the backside of the throat and those are known as tonsils. Tonsils trap airborne germs that enter the windpipe through the nostril and such germs can cause infections. So, tonsils don’t just trap the germs, they fight the germs by producing antibodies targeted to the germs.

However, tonsils themselves can also get infected if there is an overwhelming presence of viruses or bacteria. In such a situation, the tonsils swell up and become inflamed. This condition is known as tonsillitis.

If the tonsillitis is caused due to the flu virus, it can also cause stomach infection which can lead to ‘Diarrhea’.

Diarrhea is a watery, loose, and more frequent bowel movement problem which causes dehydration and weakness.

Sometimes, both tonsillitis and Diarrhea, are not considered an illness, but these can be symptoms of some other diseases. For example, if a person is suffering from fever, there are chances that he/she may experience tonsillitis and Diarrhea.

Causes -

What Cause Tonsillitis?

Infections from bacteria and viruses are responsible for tonsillitis. The most common bacteria that can precipitate tonsillitis is Streptococcus. And among the viruses that can cause tonsillitis, there are many, such as Influenza virus, adenovirus, Epstein-Barr virus, Enteroviruses, Parainfluenza viruses, Herpes simplex virus, etc.

What Cause Diarrhea

Usually, Diarrhea is caused due to an infection in the gastrointestinal tract. The microorganisms that can cause this infection include:

  • Viruses

  • Bacteria

  • Parasites

Symptoms -

Symptoms of Tonsillitis -

Symptoms of tonsillitis include swelling and inflammation of the tonsils. If the swelling is severe, it may even block airways causing severe distress. Other symptoms include:

  • Throat tenderness or pain

  • Redness of tonsils

  • A yellowish or whitish coating on tonsils

  • Painful blisters in throat

  • Headache

  • Loss of appetite

  • Ear-ache

  • Fever and chills

Symptoms of Diarrhea

How Diarrhea is Associated with Tonsillitis? 

Since both, Tonsillitis and Diarrhea can be caused due to the attack of virus or bacteria, so both of these can be associated with each other. This case or condition is most common in young children. Young children who suffer from tonsillitis due to the flu virus may also experience the problem of Diarrhea. They can also experience stomach infection which causes vomiting, stomach ache, dehydration, nausea, etc.

Treatment -

To treat any problem, doctors first identify the cause. In most cases, limiting the causes can help to get rid of the problem. This is also true in the case of Diarrhea associated with Tonsillitis. Doctors first diagnose the problem performing different tests and if both the conditions are caused by the flu virus, doctors will prescribe a few medicines. If the condition is not too severe, then within a week you can see the changes and results.

Take Away -

Though the problem of having both tonsillitis and Diarrhea at the same time might not seem to be associated, it is possible. If this happens due to the attack of the flu virus or any other disease, it is advisable to consult a doctor as soon as possible and get rid of it.

5269 people found this helpful

Morning Sickness - How To Manage It During Pregnancy?

Dr. Chintan Gandhi 91% (61 ratings)
Diploma in Obstetrics & Gynaecology
Gynaecologist, Ahmedabad
Morning Sickness - How To Manage It During Pregnancy?

Although, morning sickness is a common phenomenon in pregnant women, severe symptoms along with loss of weight and electrolyte disturbance may indicate hyperemesis gravidarum. This condition cannot be prevented from occurring. However, you can use several steps to manage the condition, but if you are thinking of dextrose for treating hyperemesis gravidarum, you should avoid using the remedy.

Causes behind it

Hyperemesis gravidarum commonly occurs when there is a rise in your hormone levels during pregnancy. The affected hormone is hCG or human chorionic gonadotropin. It is produced during pregnancy from the placenta and in early pregnancy stages, it is produced at a rapid rate. This hormone triggers severe nausea.

The symptoms of hyperemesis gravidarum are as follows:

  1. Intense nausea and vomiting
  2. Aversion towards food
  3. Loss of appetite and weight loss
  4. A reduced urge for urination
  5. Possible dehydration
  6. Headaches and confusion
  7. Extreme tiredness or fatigue that can cause fainting
  8. Jaundice
  9. Increased heart rate
  10. Losing skin elasticity

Treatment
There are different modes of treatment for hyperemesis gravidarum. Dextrose is one of the methods which should be abstained from unless the need is urgent.

  1. Intravenous fluids or IV is used for restoring the hydration of vitamins, nutrients, and electrolytes.
  2. Tube feeding is another treatment method.
  3. Nasogastric treatment incorporates nutrient restoration through a tube, which goes into the stomach via your nose.
  4. Percutaneous endoscopic gastrostomy is also applied where a tube passing through the abdomen goes into the stomach.
  5. Several medications are used for treatment.

Dextrose and Hyperemesis gravidarum

Dextrose is a simple sugar made from corn. Chemically, it is identical to glucose or blood sugar. It is used for several medical purposes. It is dissolved in many solutions which are given intravenously, combined with other medicines. Solutions which contain dextrose should not be given to patients suffering from hyperemesis gravidarum. This is because dextrose increases your body’s need for thiamine. Hence, the chances of precipitating Wernicke encephalopathy gets higher in women who already suffer from thiamine deficiency.

However, dextrose infusion can be used when the patient is very hypoglycemic and oral toleration becomes difficult. In such cases, the dextrose needs to be supplemented with thiamine. IV thiamine may be used before the dextrose infusion. Dextrose is a carbohydrate and solutions which contain dextrose provide calories. They are often given in combination with fat and amino acids.

3007 people found this helpful

Gall Bladder Attack - Know Signs Of It!

Dr. Ritesh Gehlot 92% (17 ratings)
MD PHYSICIAN
General Physician, Udaipur
Gall Bladder Attack - Know Signs Of It!

The gall bladder, which sits just below the rib cage to the right of the stomach, is very tender to touch. It is a little sac or storage compartment for bile, which is produced by the liver. The gallbladder emits bile into the small intestines via a duct referred to as the cystic duct. The entire process is meant to break down foods (namely fatty foods). 

Gallbladder attack symptoms may include one or more of the following:

-Pain in the back right shoulder blade:

Sometimes, pain radiates through to the back shoulder blade on the right side or in the middle between the shoulder blades. This is pain from the gallbladder affecting the back of the shoulder. This back shoulder blade chest pain is one of the most common yet unknown symptoms of a gallbladder disorder. This can come and go or be constant. It may be sharp, excruciating or dull. It may also occur especially at night. A gallbladder attack will typically last for one to four hours.

-Pain in the stomach

The most common symptom of a gallbladder problem is pain. This pain usually occurs in the mid to upper-right section of your abdomen. It can be mild and intermittent, or it can be quite severe and frequent. In some cases, the pain will begin to radiate to other areas of the body, including the back and chest.

-Nausea or Vomiting

Nausea and vomiting are common symptoms among all types of gallbladder problems. But only a chronic gallbladder disease may cause digestive problems, such as acid reflux, gas, nausea, and vomiting.

-Diarrhea:

Having more than four bowel movements a day for at least three months may be a sign of chronic gallbladder disease.

-Fever or Chills:

An unexplained fever may signal that you have a bile duct infection. If you have an infection, you need treatment before it worsens and becomes dangerous. The infection can become life-threatening if it's allowed to spread to other parts of the body.

-Unusual Stools or Urine

Lighter-colored stools and dark urine are possible signs of a common bile duct block.
 

5854 people found this helpful

Heart Attack - Is There A Cautious Signs To Be Watchful For?

Dr. Siddhartha Mani 88% (30 ratings)
MBBS, MD - General Medicine, DM - Cardiology
Cardiologist, Kolkata
Heart Attack - Is There A Cautious Signs To Be Watchful For?

A heart attack can wreak havoc, throwing a person's life completely off balance. The condition, also known as Myocardial Infarction, often catches a person unawares. As per a survey, close to 7.35 lakhs people (both men and women) suffer from cardiac arrest and associated disorders in the US every year. Early diagnosis and preventive measures can make a world of difference. Unfortunately, many people ignore or tend to miss out on the early symptoms characteristic of a heart attack.

A heart attack can be very much averted. All you need to do is, listen to your body and pay attention to the following warning signs. Act before it is too late.

  1. Indigestion, nausea: Nausea, vomiting or indigestion is important, yet most commonly ignored early symptoms of a heart attack. More common in women than their male counterparts, the symptoms are often mistaken for over exhaustion or stomach upset. Nausea, in particular, can be triggered by many conditions and hence the negligence. A person may also complain of stomach ache or heart burns. Though the symptoms may appear to be nothing serious, seeking immediate medical assistance will not hurt either. A little alertness will only help you in the long run.
  2. Pain and discomfort in the chest: This is a warning that should be taken seriously by all means. The symptom can be an indication of a condition as serious as a blocked artery, an important trigger for a heart attack.
  3. Dizziness: Seldom will you find people losing their sleep over something as common as dizziness. While the lack of a sound sleep can make a person feel dizzy and light-headed, the symptom (often accompanied by chest pain) could also be an outcome of a low BP (triggered by improper functioning of the heart). Look for the symptoms carefully and act accordingly.
  4. Sharp pain episodes: Many people experience a sharp pain that originates in the chest and gradually spreads outward towards the arms. The symptom is a clear indication of a heart problem, ignoring which will only spell doom. Sometimes the pain can also spread to the jaw or the throat. The symptom is a strong warning that your heart needs immediate care and attention.
  5. Sudden and unexplained sweating: Sweating due to hot and scorching summer is understood but unexplained sweating can be dangerous.
  6. Over exhaustion: If small or regular chores that you could do in the wink of an eye are suddenly leaving you tired and exhausted (climbing the stairs for instance), it is time for you to consult a doctor.
  7. Irregular heartbeat: The irregular beating of the heart can also be an indication of a heart problem.
  8. Swollen feet: A heart problem can interfere with the ability of the heart to pump blood. As a result, the affected person may have swollen feet, ankles, and legs.
  9. Cough: A cough that lingers for long (often accompanied by a pink mucus) is an important indication of a damaged or diseased heart.
1337 people found this helpful
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