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Gastric electrical stimulation (GES) represents a new therapy in patients with intractable vomiting and nausea.
We report an 11-year-old girl who initially presented with intractable vomiting and hypertension and later developed a subacute onset of focal neurologic (brainstem) signs.
But this efficacy had come at a cost; the treatment was tough to endure, with intractable vomiting, repeated hospitalisation for infections and multiple blood transfusions.
"The symptoms include intractable vomiting, an inability to hold down food, dizziness or light-headedness, lethargy, headaches and sometimes actually fainting", said Dr Justin Clark, a consultant obstetrician and gynaecologist at Birmingham women's hospital.
He was a regular visitor to the hospital because his older son, who also had disabilities, had been admitted to the hospital with intractable vomiting a couple of weeks earlier.
Synthetic cannabinoids have been linked to intractable vomiting, aggressive behavior and agitation, hallucinations, seizures, strokes, kidney failure, coma and death, according to the CDC.
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The patient with severe side effects had intractable nausea, vomiting and diarrhea.
One month later, she was admitted to a local emergency room with intractable nausea, vomiting, and diarrhea.
This case highlights the importance of recognizing the clinical presentation (intractable sarcinous vomiting) for a potentially serious and deadly Sarcina infection.
The patient may be relatively asymptomatic, being only dehydrated or may present with symptoms of intractable nausea, vomiting and constipation, and altered mental status, all resulting from severe hypercalcemia.
Severe hypercalcemia is known to occur when the corrected serum calcium is above 15 mg/dL (3.74 mmol/L), which may be accompanied by symptoms of intractable nausea, vomiting and constipation, somnolence and coma, electrocardiographic (ECG) finding of shortened QTc interval as well as sudden cardiac arrest.
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