Possible Causes for persistent vomiting Pyloric Obstruction Persistent vomiting may lead to dehydration, electrolyte and acid–base derangements: Chronic symptoms may lead to weight loss, malnutrition, failure to thrive Hypokalemic [emergency.unboundmedicine.com] Patient had complaints of persistent vomiting with significant weight loss. [bhj.org.in] Persistent vomiting can quickly lead to dehydration and electrolyte imbalance, which can be life-threatening. Babies will fail to gain weight (or will lose weight). [health.state.mn.us] Cannabinoid Hyperemesis Syndrome Vomiting during this phase can be overwhelming and may persist until the patient stops their cannabis use. [remedycolumbia.com] Patients experience persistent vomiting, which can last for hours. Abdominal discomfort turns into severe pain, and can lead to dehydration and ultimately weight loss. [dinafem.org] Felton, D, Zitomersky, N, Manzi, S, et al. 13-year-old girl with recurrent, episodic, persistent vomiting: out of the pot and into the fire. [cambridge.org] Partial Small Bowel Obstruction Metabolic alkalosis can be seen in patients with persistent vomiting. Hematocrit may be elevated in severe dehydration. [saem.org] Operative management VS Non operative management Patients without the signs of strangulation or peritonitis or history of persistent vomiting or combination of CT scan signs [wjes.biomedcentral.com] Recommendations In absence of signs of strangulation and history of persistent vomiting or combined CT-scan signs (free fluid, mesenteric edema, small-bowel feces sign, devascularization [wjes.biomedcentral.com] Basilar Migraine Ophthalmoplegic migraine begins with a headache felt in the eye and is accompanied by vomiting. [healthcommunities.com] PPPD actually is an acronym for a psychiatric diagnosis, " Persistent postural perceptive Dizziness ". [dizziness-and-balance.com] Children with cyclic vomiting syndrome rarely require evaluation by a gastroenterologist to exclude other gastrointestinal (GI) disorders. [emedicine.medscape.com] Brain Neoplasm Common symptoms include: new, persistent headaches seizures (epileptic fits) persistent nausea, vomiting and drowsiness mental or behavioural changes, such as changes in personality [nhs.uk] Common symptoms include: severe, persistent headaches seizures (fits) persistent nausea, vomiting and drowsiness mental or behavioural changes, such as memory problems or [nhs.uk] […] or when bending over or coughing persistent nausea and vomiting drowsiness vision problems – such as blurred vision, floaters and loss of vision that may come and go seizures [nhsinform.scot] Congenital Pyloric Stenosis Due to the loss of hydrochloric acid in the gastric contents from persistent vomiting, patients are at risk of electrolyte imbalance, specifically the characteristic hypochloremic [radiopaedia.org] The infant may present with failure to retain feeds, persistent non-bilious vomiting after feeds, a palpable epigastric mass [which is the thickened pylorus] and dehydration [sonoworld.com] Persistent vomiting is most often a result of esophagitis or gastritis and is managed by stopping the feedings for several hours, and then restarting feedings at low volume [basicmedicalkey.com] Porphyria Megan Railling "Megan was a typical healthy teenager until, for no explainable reason, she became ill with persistent vomiting, abdominal symptoms, bowel dysfunction and major [web.archive.org] It is caused by autonomic nerve dysfunction and frequently is accompanied by nausea, vomiting, and constipation. [cghjournal.org] Autonomic neuropathy affecting the cardiovascular system is manifest by tachycardia and systemic arterial hypertension, which may persist after the attack resolves. [cghjournal.org] Acute Hepatic Porphyria vomiting, hyponatraemia, convulsions, psychosis or neuropathy. [journals.sagepub.com] Case 3 A 27-year-old woman developed abdominal pain, nausea, and vomiting attributable to hyperemesis gravidarum as she was 7 weeks pregnant. [karger.com] It is caused by autonomic nerve dysfunction and frequently is accompanied by nausea, vomiting, and constipation. [cghjournal.org] Acute Intermittent Porphyria vomiting, hyponatraemia, convulsions, psychosis or neuropathy. [doi.org] Read more about Megan Meet Ariel Learn how Ariel’s persistence took her from surgery for a broken nose, to vomiting, pain, and dangerously high blood pressure, to five misdiagnoses [isitaip.com] These symptoms resolve after the attack, though anxiety may persist. [ncbi.nlm.nih.gov] Cardiac Glycoside Poisoning Even though all symptomatic patients had persistent vomiting, severe yellow oleander induced cardiotoxicity was associated with hyperkalaemia. [heart.bmj.com] Abdominal Migraine Some short-term illnesses, like the flu, can cause persistent vomiting that results in weight loss. [livestrong.com] This helped with the persistent vomiting, but he is still experiencing intractable nausea. [health.heraldtribune.com] Alarm symptoms (see above) : Alarm symptoms more likely: Vomiting generally equally likely but beware persistent or significant vomiting. Chronic severe diarrhoea. [patient.info] Zinc Chloride Poisoning Even small quantities can cause poisoning, with the symptoms of increased salivation, persistent vomiting, abdominal pain, and diarrhea. Fatal cases have been reported. [britannica.com] Acetaminophen Overdose […] tolerate oral NAC but delay in treatment will result in a decrease in the efficacy of NAC (eg, beyond 10 hours post ingestion); Has persistent vomiting in spite of attempted [calsprogram.org] Jaundice Confusion Blurred vision Changes in skin color Persistent headache Fast heart beat Fever accompanied by light headedness Passing out blood in urine Experiencing [symptoma.com] If the child has a sore throat (especially with high fever, headache, or nausea/vomiting), consult the doctor promptly. [webmd.com] Cicuta Maculata Poisoning Toxicon. 2011 Jan;57(1):157-61. doi: 10.1016/j.toxicon.2010.11.009. Epub 2010 Nov 20. Author information 1 USDA ARS Poisonous Plant Research Laboratory, 1150 E. 1400 N., Logan, UT 84341, USA. Kip.panter@ars.usda.gov Abstract It is well understood that water hemlock tubers are highly toxic to animals and to humans. However,[…] [ncbi.nlm.nih.gov] Suppurative Labyrinthitis It may be associated with nausea, vomiting, and eye nystagmus. The cause is often not clear. [en.wikipedia.org] Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby [americandragon.com] Neuronitis Vestibular Neuronitis is characterized by the sudden onset of disabling vertigo often associated with nausea and vomiting without auditory symptoms. [michiganear.com] Variegate Porphyria Attacks can persist for several weeks and manifest as intense abdominal pain, and neurological and psychological symptoms. [orpha.net] The abdominal pain is often associated with lumbago irradiating to the thighs, and with nausea, vomiting and constipation. [orpha.net] Vomiting of Pregnancy However, persistent vomiting and severe nausea can progress to hyperemesis gravidarum. [patient.info] […] cause persistent vomiting, such as hepatitis, pancreatitis, pyelonephritis, peptic ulcer disease, thyroid disease and adrenocortical insufficiency. [bpac.org.nz] Extreme, persistent nausea and vomiting during pregnancy (hyperemesis gravidarum) can lead to dehydration. [my.clevelandclinic.org] Reye Syndrome Homepage Rare diseases Search Search for a rare disease Reye syndrome Disease definition A rare, systemic disease characterized by persistent vomiting with confusion, lethargy [orpha.net] The persistent vomiting classically seen with Reye's syndrome can result in electrolyte abnormalities and dehydration, especially in young children. [ebmconsult.com] Symptoms of Reye Syndrome include: Unusual sleepiness or lack of energy Diarrhea and rapid breathing in infants and toddlers Persistent vomiting in children and teenagers [healthlinkbc.ca] Colloid Cyst of the Third Ventricle Giant or huge colloid cysts of the third ventricle up to of more than 3 cm in diameter are extremely rare. The patient presented with symptoms of increased intracranial pressure, including headache, vomiting, and papilledema. Computerized tomographic (CT) scan revealed a hypodense, huge colloid cyst of the third[…] [ncbi.nlm.nih.gov] Acute Gastroenteritis Two days later, the patient returned with severe dehydration, resolving diarrhea and persistent vomiting. She was admitted to the pediatric intensive care unit. [ncbi.nlm.nih.gov] Oral rehydration therapy remains the best means of rehydrating, and ondansetron is a safe and effective adjunct to help children with persistent vomiting. [ncbi.nlm.nih.gov] vomiting (leading to dehydration) Difficulty breathing If you or a family member experience any combination of these severe symptoms, medical attention should be sought immediately [convenientmd.com] Pylorospasm Always have to think of increased ICP, subdural hematoma Systemic infections can also cause persistent vomiting. 15. [slideshare.net] Due to the loss of hydrochloric acid in the gastric contents from persistent vomiting, patients are at risk of electrolyte imbalance, specifically the characteristic hypochloremic [radiopaedia.org] The most common cause of gastric outlet obstruction in newborns is Pylorospasm, the repeated or persistent contraction of pylorus muscles. [childhealth-explanation.com] Heavy Metal Poisoning Clinical presentation • Nausea, persistent vomiting, diarrhea, and abdominal pain are the hallmark of most acute metal ingestions. • Dehydration is common. [slideshare.net] Encephalopathy can then begin suddenly and worsen over the next several days, resulting in persistent, forceful vomiting; poor coordination and difficulty walking; confusion [merckmanuals.com] Pyloric Stenosis A 24-year-old woman presented with a history of persistent vomiting for at least 3 months. This resulted in severe dehydration with risk of acute kidney injury. [ncbi.nlm.nih.gov] Symptoms include forceful vomiting, being hungry after vomiting and weight loss or poor weight gains. If your baby has persistent vomiting, see your GP immediately. [rch.org.au] Persistent vomiting can quickly lead to dehydration and electrolyte imbalance, which can be life-threatening. Babies will fail to gain weight (or will lose weight). [health.state.mn.us] Veratrum Album Two new cases of Veratrum poisoning are described. Clinical symptoms occurred quickly, within 30 min. Vomiting, a fall in blood pressure and bradycardia were observed. The outcome was favourable in both cases, producing a cure without sequellae. Examination of the literature showed that such cases are nearly always[…] [ncbi.nlm.nih.gov] Jamaican Vomiting Sickness Jamaican vomiting sickness is an acute illness caused by the toxins hypoglycin A and hypoglycin B, which are present in fruit of the ackee tree. While in the fully ripened arils, hypoglycin A is at levels of less than 0.1 ppm, in unripe arils it can be over 1000 ppm; and cause vomiting and even death. Some countries in[…] [en.wikipedia.org] Toxic Effect of Chlorine Gas ICD-10-CM Codes › S00-T88 Injury, poisoning and certain other consequences of external causes › T51-T65 Toxic effects of substances chiefly nonmedicinal as to source › T59- Toxic effect of other gases, fumes and vapors › Toxic effect of chlorine gas, undetermined, initial encounter 2016 2017 2018 2019[…] [icd10data.com] Labyrinthine Fistula Abstract The management of labyrinthine fistula is a controversial issue. Hearing preservation represents a major challenge. Retrospective study of 31 patients with labyrinthine fistula confirmed intra-operatively during cholesteatoma surgery. In all cases, total matrix removal was performed, and the fistula covered[…] [ncbi.nlm.nih.gov] Zollinger Ellison Syndrome Persistent severe vomiting in pregnancy may be caused by underlying disease and should be investigated. [ncbi.nlm.nih.gov] Heartburn Nausea Vomiting Persistent weakness Gastrointestinal bleeding Unintentional weight loss Poor appetite Presence of anemia How Is Zollinger-Ellison Syndrome Diagnosed [epainassist.com] Symptoms of Zollinger-Ellison Syndrome Include: Pain in the abdomen Persistent diarrhea Burning and aching discomfort in the upper part of the abdomen Presence of acid reflux [epainassist.com] Lead Poisoning Encephalopathy can then begin suddenly and worsen over the next several days, resulting in persistent, forceful vomiting; poor coordination and difficulty walking; confusion [merckmanuals.com] A 48-year-old man, on 2nd day after the exposure to TEL complained of chills, tremors, marked nausea and vomiting which persisted all night. [doi.org] Brain Stem Herniation Abstract Patients with terminal brain stem herniation experience global physiological consequences and represent a challenging population in critical care practice as a result of multiple factors. The first factor is severe depression of consciousness, with resulting compromise in airway stability and lung ventilation.[…] [ncbi.nlm.nih.gov]
