Vomits, Constipation and Bowel Obstruction
Vomits, Constipation and Bowel Obstruction
Dr James Davies Palliative Medicine Consultant September 2019
Objectives
? Assessment of vomiting ? Managing vomiting ? Constipation ? Bowel obstruction
Some terms
? Nausea and vomiting are distinct entities
? Nausea ? the subjective feeling of the need to vomit or retch
? Vomiting (emesis) ? oral expulsion of GI contents (active)
? Regurgitation ? effortless passage of gastric contents into the mouth
? Retching ? muscular events of vomiting without the expulsion of vomitus
? Dyspepsia ? epigastric burning, gnawing, bloating, pain
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