The medical history represents an important component in the diagnosis of emesis (vomiting).
Family history
- What is the general health of your family members?
- Are there any diseases of the gastrointestinal tract in your family that are common?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
Current medical history/systemic history (somatic and psychological complaints).
- When did you first vomit and when did you last vomit? How often did you vomit?
- When did the vomiting occur?
- Did it occur suddenly?
- Predominantly in the morning?
- In connection with food intake?
- What does the vomit look like? Bilious, slimy, bloody* , coffee grounds-like* ?
- Do they have to acid regurgitation?
- Did you feel better after you vomited?
- Did any other symptoms occur along with it?
- Diarrhea?
- Increased bowel sounds?
- Abdomen with pressure pain* ?
- Do you have a headache* ?
- Have you noticed uncontrollable, rhythmic movements of the eye (eye tremor)* ?
Vegetative anamnesis incl. nutritional anamnesis.
- Please tell us your body weight (in kg) and height (in cm).
- Have you lost body weight unintentionally?
- Has your appetite changed?
- Have you eaten food that may have spoiled?
- Are you pregnant?
- Have you noticed any changes in urination?
- Do you smoke? If so, how many cigarettes, cigars, or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self history incl. medication history.
- Pre-existing conditions (diseases of the eyes / gastrointestinal tract / liver, gall bladder and bile ducts / pancreas / genitourinary system (kidneys, urinary tract – reproductive organs); cardiovascular diseases; diseases of the nervous system / psyche; infections; metabolic diseases, tumor diseases).
- Operations
- Radiotherapy
- Allergies
- Pregnancies (currently pregnant?)
Medication history
- For a comprehensive list of medications that can cause gastrointestinal symptoms, see the topic “Gastrointestinal symptoms caused by medications”.
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)
