Advertisement
Gastroenterology clinic

Chronic nausea: investigation and management

Anna Foley

Figures

© GEORGERUDY/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© GEORGERUDY/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY

Abstract

Assessment of a patient presenting with bothersome nausea requires knowledge of a broad range of possible causes and overlapping disorders. Investigation aims to determine whether hydration and nutrition are adequate and establish a cause so treatment can be targeted. If functional nausea is diagnosed, dietary measures are the mainstay of management. Supportive approaches, psychological therapies and medication may also help, but long-term use of antiemetics is rarely advised.

Article Extract

Chronic nausea is an ill-defined subjective sensation of the imminent need to vomit that does not necessarily result in emesis. It is recognised as one of the most frustrating and debilitating functional gut symptoms for patients, largely because of its pervasive nature and a lack of effective therapies. 

Figures

© GEORGERUDY/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY
© GEORGERUDY/ISTOCKPHOTO.COM MODEL USED FOR ILLUSTRATIVE PURPOSES ONLY