Medical College of Wisconsin
CTSIResearch InformaticsREDCap

Childhood chronic nausea: is it just a queasy stomach? Curr Gastroenterol Rep 2014;16(7):395

Date

05/21/2014

Pubmed ID

24842276

DOI

10.1007/s11894-014-0395-z

Scopus ID

2-s2.0-84901365488 (requires institutional sign-in at Scopus site)   15 Citations

Abstract

Chronic nausea is an increasingly acknowledged complaint in children. It is commonly encountered in association with functional gastrointestinal (GI) disorders but can also occur in isolation. As such, there is no pediatric diagnostic classification for chronic idiopathic nausea. The pathophysiology appears complex, from foregut motor and sensory disturbances to autonomic imbalance and CNS influences. Also, there is scarcity of specific treatments that target this highly bothersome symptom. Treatment is mainly empiric or aimed at other functional complaints. Our retrospective data indicate a high prevalence of comorbid conditions in children with chronic nausea. These include migraines, autonomic disturbances, sleep problems, fatigue, and anxiety. Identifying specific features and targeting these therapeutically may be essential for improved treatment outcomes.

Author List

Kovacic K, Li BU

Author

Katja K. Karrento MD Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Antiemetics
Child
Chronic Disease
Comorbidity
Gastric Emptying
Humans
Nausea
Phenotype