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November 23, 2009
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Nausea and Vomiting (cont.)

Medications and medical treatments

  • Side effects from medications: The side effect of many medications include stomach irritation and/or nausea and vomiting. Anti-cancer dugs are notorious irritants (for example, chemotherapy treatment). Narcotic pain medications, anti-inflammatory medications (including both steroids like prednisone and non-steroidal medications like ibuprofen) and antibiotics all have nausea and vomiting listed as common side effects.

  • Radiation therapy: Nausea and vomiting is associated with radiation therapy.

Bowel obstruction

Abdominal pain and distention, nausea and vomiting, and inability to pass flatus (gas) or have a bowel movement are hallmarks of bowel obstruction. Due to a variety of potential reasons, the small intestine becomes blocked and doesn't allow contents to pass through to the colon. This acts like a dam in which food, fluid, and secretions back up, causing the symptoms of an obstruction.

Pregnancy

Vomiting in pregnancy is especially common in the first trimester and is due to hormone level changes in the bloodstream.

What about vomiting in infants?

It may be hard to decide if an infant is vomiting or spitting up. If the episodes occur shortly after feeding and only a small amount comes up, this may be spitting up.

  • Forceful vomiting: In the first two or three months, if the vomiting is forceful after eating (imagine it flying across the room), this may be a sign of pyloric stenosis, or an abnormal narrowing of the area at which the stomach empties into the small intestine. The vomiting is impressive, and if the healthcare provider suspects this diagnosis, it can be confirmed by ultrasound. The treatment is an operation to open the narrowing.

  • Vomiting associated with pain: if the infant cries uncontrollably, and if the stool is bloody or red, the diagnosis may be an intussusception (the pushing of one segment of the bowel into an adjacent segment). These infants should be evaluated by their healthcare provider.

  • Viral infection: If there is associated diarrhea that is not bloody, then a viral infection is a possibility. Alternatively, there may be an issue with intolerance to the type of baby formula. Infants and children are at greater risk of dehydration if the vomiting episodes last for more than 24 hours. Contact should be made with the healthcare provider for further advice in this situation.


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