retching
Introduction
Introduction Retching refers to the patient's voice and movements of vomiting, but there is no sound and no spit, or only foaming and no food spit. The retching is generally characterized by food stagnation, liver stagnation, stomach deficiency and cold type, stomach cold type, stomach deficiency type, and stomach type. Those who retire, stomach gas is reversed. But vomiting and vomiting, spit and nothing. "Stomach deficiency and qi inversion, Yitang Pizhuru soup, Wushao soup. Stomach in the cold, should be semi-summer dry ginger powder, Lizhong soup. Stomach heat, Yi Huangqi plus Banxia ginger soup, Huanglian Jiedu soup. Less Yin dysmenorrhea and vomiting under the pulse, Yibaitong Tang, Tongmai Sini Decoction.
Cause
Cause
Causes of nausea and retching, such as eating cold food damage to the spleen and stomach leading to chronic pharyngitis, chronic gastritis and indigestion, can cause gastrointestinal discomfort. Causes nausea and retching symptoms. There are several cases in detail:
First, severe stomach disorders, decreased stomach function, stomach yin injury, stomach ups and downs can cause nausea and retching symptoms, more common in vomiting, low, weak heart, mouth is not thirsty, pale tongue and so on. In addition, if long-term life is irregular, fatigue, and mental stress, the body's resistance will be reduced, bacteria and viruses will be easily infected repeatedly, causing chronic pharyngitis leading to nausea and retching.
Second, digestive tract infections such as acute gastroenteritis, acute intestinal obstruction, peritonitis, pancreatitis, cholecystitis, encephalitis, meningitis, hypertensive encephalopathy are all likely to cause nausea and retching. Then there is taking antibiotics, pregnancy vomiting, indigestion and so on. These are the causes of nausea and retching.
Third, the most easily overlooked cause of nausea and retching is viral hepatitis. Because viral hepatitis does not have any symptoms in the absence of disease, viral hepatitis can be accompanied by nausea, vomiting, fatigue, loss of appetite, etc. Situation, especially hepatitis B, liver function damage during the onset of severe disease, the continuous replication of viral DNA will lead to the occurrence of various symptoms.
Examine
an examination
Related inspection
Determination of gestational estriol (E3) endoscopy cholangiography galactosemia screening
First, physical examination
Conduct a comprehensive physical examination based on medical history.
Second, laboratory inspection
Laboratory examinations must be summarized and analyzed based on objective data learned from medical history and physical examination, from which several diagnostic possibilities may be proposed, and further consideration should be given to those examinations to confirm the diagnosis. Such as blood, urine routine, biochemical examination, liver function, hepatitis B and so on.
Third, other inspections
1. Gastroscopic examination can detect inflammation, ulcers, tumors and vascular lesions of the esophagus, stomach and duodenum. Colonoscopy can detect lesions of the colon and rectum.
2. X-ray digestive tract barium meal examination and barium enema is also an important examination method for digestive tract diseases, especially to understand the gastrointestinal tract movement function, wall disease and luminal stenosis, but it can not be small lesions display. Patients who cannot undergo endoscopy can choose X-ray examination, which complements each other.
3. B-ultrasound includes color B-ultrasound. B-ultrasound is very accurate for the examination of organs such as hepatobiliary, pancreas, spleen and kidney. It is the first choice for these organs.
Diagnosis
Differential diagnosis
The retching must be differentiated from the symptoms such as hernia and hiccups:
The sound of suffocation is long, and the gas is reversed from the stomach. The hiccup sound is short and frequent, and its sound is sent to the throat. Those who retire, the patient is vomiting, but there is no sound, or only a small amount of foam and no food spit.
