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Vomiting - Definition, Etiology, Signs and Symptoms

Nursing Care Plan for Vomiting

Definition

Vomiting is spending exclusively stomach contents through the mouth with the help of contraction of the abdominal muscles. Need to distinguish between regurgitation, rumination, or gastroesophageal reflux.

Regurgitation is the expulsion of material from the pharynx, or esophagus, usually characterized by the presence of undigested food or blood.

Rumination is the compulsively focused attention on the symptoms of one's distress, and on its possible causes and consequences, as opposed to its solutions. Rumination is similar to worry except rumination focuses on bad feelings and experiences from the past, whereas worry is concerned with potential bad events in the future. Both rumination and worry are associated with anxiety and other negative emotional states.

Gastroesophageal reflux disease (GERD) is a condition in which the stomach contents leak backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This can irritate the esophagus and cause heartburn and other symptoms.


Etiology
  • Congenital abnormalities of the gastrointestinal tract, irritation of the stomach, esophageal atresia, atresia / stenosis, Hirschsprung, high intracranial pressure, how to feed or drink is wrong, and others.
  • In the newborn period more factors such as infections (urinary tract infections, hepatitis, peritonitis, etc.)
  • Psychological disorders, such as depression or anxiety state , especially in older children.


Signs and Symptoms
There are several disorders that can be identified as a result of vomiting, namely :
  • Vomiting occurred a few hours after the release of mucus, which is sometimes accompanied by a little blood. This may have been due to irritation from a number of materials ingested during the birth process. Vomiting sometimes persist after first feeding.
  • Vomiting that occurs in the first days of birth, in large quantities, is not projective, not green , and tend to settle usually occurs as a result of small bowel obstruction.
  • Projectile vomiting occurring greenish and not a sign of stenosis of the pylorus.
  • Increased intracranial pressure and milk allergy.
  • Vomiting that occurs in children who appear healthy. Due to incorrect feeding techniques or psychosocial factors.
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