Chronic idiopathic nausea. Pediatr Ann 2014 Apr;43(4):e89-94
Date
04/11/2014Pubmed ID
24716564DOI
10.3928/00904481-20140325-10Scopus ID
2-s2.0-84898912304 (requires institutional sign-in at Scopus site) 1 CitationAbstract
Chronic nausea is a prevalent but poorly described symptom in adolescents. It often co-occurs with other functional gastrointestinal disorders (FGIDs) but may also present in isolation. A multitude of triggers and complex neural pathways underlie the sensation of nausea. These include gastrointestinal and blood-borne insults, dysmotility, vestibular or central nervous system pathways, an aberrant autonomic nervous system, and psychosocial factors. Although clinical algorithms are lacking, diagnosis is typically made on the basis of a thorough clinical history and without extensive testing. Treatment is mainly empiric and may be directed at comorbid symptoms such as migraine, delayed gastric emptying, orthostatic intolerance, and visceral hypersensitivity. Chronic idiopathic nausea is an increasingly prevalent symptom that needs careful clinical assessment and individualized treatment plans.
Author List
Kovacic K, Chelimsky GAuthor
Katja K. Karrento MD Associate Professor in the Pediatrics department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentChronic Disease
Humans
Nausea
Prevalence
