TAILIEUCHUNG - Chapter 039. Nausea, Vomiting, and Indigestion (Part 7)

Other Causes Alkaline reflux esophagitis produces GERD-like symptoms in patients who have had surgery for peptic ulcer disease. Opportunistic fungal or viral esophageal infections may produce heartburn or chest discomfort but more often cause odynophagia. Other causes of esophageal inflammation include eosinophilic esophagitis and pill esophagitis. Biliary colic is in the differential diagnosis of dyspepsia, but most patients with true biliary colic report discrete episodes of right upper quadrant or epigastric pain rather than chronic burning discomfort, nausea, and bloating. Intestinal lactase deficiency produces gas, bloating, discomfort, and diarrhea after lactose ingestion. . | Chapter 039. Nausea Vomiting and Indigestion Part 7 Other Causes Alkaline reflux esophagitis produces GERD-like symptoms in patients who have had surgery for peptic ulcer disease. Opportunistic fungal or viral esophageal infections may produce heartburn or chest discomfort but more often cause odynophagia. Other causes of esophageal inflammation include eosinophilic esophagitis and pill esophagitis. Biliary colic is in the differential diagnosis of dyspepsia but most patients with true biliary colic report discrete episodes of right upper quadrant or epigastric pain rather than chronic burning discomfort nausea and bloating. Intestinal lactase deficiency produces gas bloating discomfort and diarrhea after lactose ingestion. Lactase deficiency occurs in 15-25 of Caucasians of northern European descent but is more common in African Americans and Asians. Intolerance of other carbohydrates . fructose sorbitol produces similar symptoms. Small-intestinal bacterial overgrowth may produce dyspepsia often with bowel dysfunction distention and malabsorption. Pancreatic disease chronic pancreatitis and malignancy hepatocellular carcinoma celiac disease Menetrier s disease infiltrative diseases sarcoidosis and eosinophilic gastroenteritis mesenteric ischemia thyroid and parathyroid disease and abdominal wall strain cause dyspepsia. Extraperitoneal etiologies of indigestion include congestive heart failure and tuberculosis. Approach to the Patient Indigestion History and Physical Examination Care of the patient with indigestion requires a thorough interview. GERD classically produces heartburn a substernal warmth in the epigastrium that moves toward the neck. Heartburn often is exacerbated by meals and may awaken the patient. Associated symptoms include regurgitation of acid and water brash the reflex release of salty salivary secretions into the mouth. Atypical symptoms include pharyngitis asthma cough bronchitis hoarseness and chest pain that mimics angina. Some patients .

• Y học thường thức
• Nausea
• Vomiting
• Indigestion
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• BMC Pharmacology and Toxicology
• Dexamethasone against nausea
• Moderately emetogenic chemotherapy
• Gynecological cancers
• Acute nausea
• Postoperative nausea and vomiting
• Intravenous patient controlled analgesia
• Double blind trial
• 5 hydroxytryptamine3
• Meta analysis
• Prophylactic ondansetron
• Unique properties
• 5 HT3 receptor antagonists
• Chemotherapy induced nausea and vomiting
• Quality of life
• Chemotherapeutic agents
• BMC Cancer
• Pediatric patients
• Emetogenic chemotherapy
• Chemotherapy induced nausea
• Antiemetic prophylaxis
• Non interventional observation study
• Bone metastases
• Radiation induced nausea and vomiting
• Lung cancer
• Aggressive antiemetic prophylaxis
• Multivariate analysis
• Colorectal cancer
• Moderate emetic risk
• Female patients
• BMC Anesthesiology
• Oculocardiac reflex
• Strabismus surgery
• Anticholinergic agent
• Postoperative ileus
• Gastric ultrasound
• Gastric emptying
• Acute care surgery
• Emetic neuronal pathway
• Neurobiological mechanism
• Non vagotomy patients
• Clinical trial
• Selective outcome reporting
• Systematic review
• Trial registration
• Spinal blockade
• Perioperative factors
• Suboptimal prophylaxis
• Laparoscopic surgery
• Patient controlled analgesia
• High risk patient population
• Cross sectional studies
• Machine learning
• Cannabis legalization
• Spinal anesthesia
• Neuraxial anesthesia
• General anesthesia
• Overall incidence of PONV