To prevent nausea (sickness), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Spoiled food Pleasure food consumption Alcohol – Excessive alcohol consumption Psycho-social situation Psychogenic nausea – caused by psychological stress. Environmental stress – intoxications (poisonings). Alcohol intoxication
The following symptoms and complaints may indicate nausea (sickness): Pathognomonic (characteristic of a disease). Dull feeling in the stomach area Nausea Chemotherapy-induced nausea and vomiting (CINE) This is divided into three phases Acute-onset CINE: onset of nausea and/or vomiting within the first 24 h after administration of a chemotherapeutic agent; often occurs after only a … Nausea (Sickness): Symptoms, Complaints, Signs
Therapy for nausea depends on the cause. General measures Phytotherapy: herbal remedies that have proven effective for nausea include fennel, ginger, chamomile, peppermint and caraway, in the form of tea or as a spice Alcohol restriction (abstaining from alcohol). Review of permanent medication due topossible effect on the existing disease. Avoidance of psychosocial stress: Stress … Nausea (Sickness): Therapy
Medical history (history of illness) represents an important component in the diagnosis of nausea (sickness). Family history Is there a history of frequent cardiovascular disease in your family? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological … Nausea (Sickness): Medical History
Eyes and eye appendages (H00-H59). Acute glaucoma (glaucoma attack). Respiratory system (J00-J99) Upper respiratory tract infection (in children; especially with a severe cough). Pneumonia (pneumonia) Endocrine, nutritional and metabolic diseases (E00-E90). Diabetes mellitus (diabetes). Diabetic coma Fructose intolerance (fruit sugar intolerance) Hyperglycemia (hyperglycemia) Hyperthyroidism (hyperthyroidism) Hypothyroidism (hypothyroidism) Lactose intolerance (lactose intolerance). Ketoacidosis – shift of … Nausea (Sickness): Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? … Nausea (Sickness): Examination
Laboratory parameters of 1st order – obligatory laboratory tests. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Urine status (rapid test for: pH, leukocytes, nitrite, protein, glucose, ketone, urobilinogen, bilirubin, blood), sediment, if necessary urine culture (pathogen detection and resistogram, that is, testing suitable antibiotics for … Nausea (Sickness): Test and Diagnosis
Therapeutic target Elimination of symptomatology Therapy recommendations Elimination of the underlying disorder Symptomatic therapy: antiemetics (depending on the indication): Kinetoses (motion sickness): Scopolamine (anticholinergics), as a transdermal therapeutic system. Dimenhydrinate, diphenhydramine, meclozine (antihistamines). Domperidone (dopamine antagonists) antiemetic and increase gastrointestinal transit. Cytostatic-induced nausea and vomiting (synonym: chemotherapy-induced nausea and vomiting, CINE), postoperative nausea/vomiting: Prophylaxis Serotonin … Nausea (Sickness): Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. X-ray abdominal voiding – especially if stenosis (narrowing) in the gastrointestinal tract (gastrointestinal tract), ileus (intestinal obstruction) is suspected. Electrocardiogram (ECG; recording of the electrical activity of the heart … Nausea (Sickness): Diagnostic Tests
A symptom of deficiency may indicate that there is an insufficient supply of vital nutrients (micronutrients). The complaint nausea indicates a vital nutrient deficiency for: Vitamin B3 Vitamin B5 A risk group indicates the possibility that the disease may be associated with the risk of vital substance deficiency. The complaint nausea indicates a vital substance … Nausea (Sickness): Micronutrient Therapy
