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The delay in understanding the cause or causes of nausea and vomiting of pregnancy has been attributed to longstanding beliefs that it reflected psychological conflicts or a woman's inability to respond to excessive stress.
35 The broad differential includes all the usual causes of nausea and vomiting shown in Table 3.
As well-known causes of nausea and vomiting, opioids might also confound the analysis of the efficacy of dexamethasone for preventing PONV [ 42].
In a quasi-experimental prospective study Kennett et al. showed that levomepromazine is an efficient first line antiemetic in indeterminate patho-physiological causes of nausea and vomiting, and second line for all other causes [ 50].
A suggested approach is given in table 7. Clinical experience suggests that gastric bile reflux and small bowel bacterial overgrowth are commonly forgotten causes of nausea in patients during and after cancer therapy.
Similar(54)
Helicobacter pylori infection has been implicated in the cause of nausea and occasional vomiting in early pregnancy.
There is also a conventional perception that fluid or electrolyte imbalances are a cause of nausea, a common symptom during ultramarathons [2 7], and that sodium intake may prevent such symptoms [8].
49, 60 In one study, tropisetron was much more effective than conventional antiemetics (metoclopramide and chlorpromazine) for any cause of nausea in cancer patients.
Another common cause of nausea in women is early pregnancy.
The most common cause of nausea is a viral infection of the stomach called viral gastroenteritis.
This is the cause in 35%45%% cases of nausea and vomiting.
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CEO of Professional Science Editing for Scientists @ prosciediting.com