Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/24545
Title: Chronic nausea and vomiting: a diagnostic approach
Authors: Niriella, M.A.
Jayasena, H.
Withanage, M.
Devanarayana, N.M.
de Silva, A.P.
Keywords: Chronic
Diagnostic approach
Issue Date: 2022
Publisher: Future Drugs Ltd.
Citation: Expert Review of Gastroenterology & Hepatology.2022:16(4):311-320.[Epub 2022 Mar 22]
Abstract: INTRODUCTION: Chronic nausea and vomiting (CNV) are commonly encountered symptoms in medical practice. CNV is the presenting symptom in a variety of gastrointestinal and non-gastrointestinal disorders. However, in a significant percentage of patients without an obvious underlying cause, CNV poses a significant diagnostic challenge to the evaluating physician. AREAS COVERED: A comprehensive clinical history and physical examination form the foundation for further diagnostic work-up. In the present review, we discuss the diagnostic approach to CNV, highlighting the epidemiology, pathophysiology, causes, and modes of evaluation of this condition. Specific investigations, carefully guided by clinical assessment and tailored for each patient, would be more beneficial in diagnosing CNV than empirically performing a blanket of investigations. EXPERT OPINION: Whilst CNV remains a historically challenging diagnostic and therapeutic dilemma, research into this topic is limited. Hence, there is a growing call for more research into diagnostic modalities for CNV. With scientific advancement and further research, it is hoped that easy-to-use, cheap, noninvasive novel diagnostic modalities for CNV will be available soon.
Description: Indexed in MEDLINE.
URI: http://repository.kln.ac.lk/handle/123456789/24545
ISSN: 1747-4124
Appears in Collections:Journal/Magazine Articles

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