Emesis, (Vomiting) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Emesis (Vomiting), Diagnosis and Treatment and Related Diseases

The brain, not the stomach, informs the body when to vomit.
Vomiting is often the body’s way of getting rid of a contaminated substance.
It is also possible to feel queasy and not vomit.
In some cases, nausea goes away after vomiting.
When pathogens attack the human body, the body’s mechanism of ridding itself of the pathogen is either by vomiting it out or passing it out from the intestines through loose stools (diarrhea)
Recently I have a patient who came to my clinic with a history of vomiting and diarrhea.
She was very pale and was brought to my clinic by her sister because of her general weakness.
While at the clinic she could not control herself and rushed to the restroom to vomit.
Luckily she had the assistance of her sister to clean her up and help her into the consultation room.
I quickly administered an anti-emetic injection and anti spasmodic to relieve her abdominal discomfort.
Then after 15 minutes I gave her an anti-emetic pill (stemetil) and lomotil for her abdominal discomfort and diarrhea.
As she was able to swallow the pills with a small amount of water, she gradually becomes better with the face being less pale and tired.
After another 15 minutes she was well enough to return home.

In any treatment of vomiting the main purpose is try to avoid any too much food, drink or medicine.
If the patient can keep the medicine down for some time, he or she should be able to keep small amount of drink or food down after the medicines.

The patient should close the eyes and watch out for motion sickness when traveling back in a car to home.

Nausea is an discomfort of the stomach that often appears before vomiting.
Nausea is used when the patient feels sick to the stomach, as if the patient is going to throw up.
Emesis (Vomiting) is the forcible voluntary or involuntary expulsion ("throwing up") of stomach contents through the mouth.
Emesis (Vomiting or puking) is when the patient actually throws up.
Causes
Nausea and Emesis (vomiting) can be symptoms of many different disorders, such as
1. Morning sickness during pregnancy
(Nausea happens in about 50%-90% of all pregnancies; vomiting in 25%-55%)
2. Gastroenteritis (infection of the intestines) and other infections
3. Migraines
4. Motion sickness or seasickness
5. Food poisoning
6. Medicine-induced vomiting, including those for cancer chemotherapy
7. GERD (acid reflux) and ulcers
8. Intestinal obstruction
9. Emotional stress (such as fear)
10. Gallbladder disease
11. Appendicitis
12. Overeating
13. A reaction to certain smells or odors
14. Heart attack
15. Concussion or brain injury
16. Brain tumor
17. Some forms of cancer
18. Bulimia or other psychological illnesses
19. Gastroparesis or slow stomach emptying (a disorder that can be seen in people with diabetes)
20. Ingestion of toxins or excessive amounts of alcohol

The causes of vomiting differ according to age.
The timing of the nausea or vomiting may determine the cause.
When occurring shortly after a meal, nausea or vomiting may be produced by food poisoning, gastritis (inflammation of the stomach lining), an ulcer, or bulimia.
Nausea or vomiting 1 to 8 hours after a meal may also suggest food poisoning.
Some food- borne bacteria, such as salmonella, may take a longer time to produce symptoms.
Nausea and Emesis (vomiting) are frequent.
They are normally not serious.
Some serious disorders that may cause nausea or vomiting are:
1. Concussions,
2. Meningitis (infection of the membrane linings of the brain),
3. Intestinal blockage,
4. Appendicitis, and
5. Brain tumors.
The main complication of vomiting is dehydration which is an emergency.

TABLE OF CONTENT
Introduction
Chapter 1 Emesis (V

• Language: English
• Publisher: Kenneth Kee
• Release date: Jun 27, 2019
• ISBN: 9780463506066

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Emesis,

(Vomiting)

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Emesis (Vomiting), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Emesis (Vomiting))

This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.

This autobiographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Emesis (Vomiting)

The brain, not the stomach, informs the body when to vomit.

Vomiting is often the body’s way of getting rid of a contaminated substance.

It is also possible to feel queasy and not vomit.

In some cases, nausea goes away after vomiting.

When pathogens attack the human body, the body’s mechanism of ridding itself of the pathogen is either by vomiting it out or passing it out from the intestines through loose stools (diarrhea)

Recently I have a patient who came to my clinic with a history of vomiting and diarrhea.

She was very pale and was brought to my clinic by her sister because of her general weakness.

While at the clinic she could not control herself and rushed to the restroom to vomit.

Luckily she had the assistance of her sister to clean her up and help her into the consultation room.

I quickly administered an anti-emetic injection and anti spasmodic to relieve her abdominal discomfort.

Then after 15 minutes I gave her an anti-emetic pill (stemetil) and lomotil for her abdominal discomfort and diarrhea.

As she was able to swallow the pills with a small amount of water, she gradually becomes better with the face being less pale and tired.

After another 15 minutes she was well enough to return home.

What are nausea and emesis (vomiting)?

Nausea is a discomfort of the stomach that often appears before vomiting.

Nausea is used when the patient feels sick to the stomach, as if the patient is going to throw up.

Emesis (Vomiting) is the forcible voluntary or involuntary expulsion (throwing up) of stomach contents through the mouth.

Emesis (Vomiting or puking) is when the patient actually throws up.

What are the causes of nausea and emesis (vomiting)?

Causes

Nausea and Emesis (vomiting) can be symptoms of many different disorders, such as

1. Morning sickness during pregnancy

(Nausea happens in about 50%-90% of all pregnancies; vomiting in 25%-55%)

2. Gastroenteritis (infection of the intestines) and other infections

3. Migraines

4. Motion sickness or seasickness

5. Food poisoning

6. Medicine-induced vomiting, including those for cancer chemotherapy

7. GERD (acid reflux) and ulcers

8. Intestinal obstruction

9. Emotional stress (such as fear)

10. Gallbladder disease

11. Appendicitis

12. Overeating

13. A reaction to certain smells or odors

14. Heart attack

15. Concussion or brain injury

16. Brain tumor

17. Some forms of cancer

18. Bulimia or other psychological illnesses

19. Gastroparesis or slow stomach emptying (a disorder that can be seen in people with diabetes)

20. Ingestion of toxins or excessive amounts of alcohol

The causes of vomiting differ according to age.

For children, it is frequent for vomiting to happen from:

1. A viral infection,

2. Food poisoning,

3. Milk allergy,

4. Motion sickness,

5. Overeating or feeding,

6. Coughing, or blocked intestines and

7. Illnesses in which the child has a high fever.

The timing of the nausea or vomiting may determine the cause.

When occurring shortly after a meal, nausea or vomiting may be produced by food poisoning, gastritis (inflammation of the stomach lining), an ulcer, or bulimia.

Nausea or vomiting 1 to 8 hours after a meal may also suggest food poisoning.

Some food- borne bacteria, such as salmonella, may take a longer time to produce