Vomiting is the involuntary, forceful expulsion of the contents of one’s stomach through the mouth.
Causes
- Gastric outlet obstruction by Benign or Malignant stricture
- Intestinal obstruction of any aetiology
- Intestinal infarction
- Gastritis and peptic ulcer disease
- Gastroparesis
- Extra intestinal
- Hepatitis
- Pancreatitis
- Cholecystitis
- Appendicitis
- Testicular or ovarian torsio
- Urinary tract infection
- Drugs
- Motion sickness
- Any febrile illness
- Metabolic disorder
- Raised intra cranial tension
- Anorexia nervosa
- Bulimia nervosa
- Functional
Diagnosis
A complete history and meticulous physical examination is essential and provides the clues for appropriate diagnosis and management. Diagnostic testing should be directed by the clinical picture.
Initial investigations include:
- Complete Haematology and biochemistry test
- Abdominal Imaging by ultrasound and Computed Tomography
- UGI Endoscopy