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Query: UMLS:C0027497 (nausea)
 23,468 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The hypothesis that reflux of upper intestinal content, particularly of bile acids (BA), is responsible for a unique postgastrectomy syndrome, alkaline reflux gastritis, was tested on 28 occasions in 21 postoperative patients (14 symptomatic patients, 7 controls). Parameters evaluated: recumbent (rec.), upright, p.c. intragastric pH, {BA}, net BA reflux per hour, specific BA fractions, fasting and p.c. gastrin, maximal acid output (MAO), gastric emptying of solids by delta-scintigraphy), and the severity of nonstomal histologic gastritis, the "gastritis score," graded 0-15 by an independent senior pathologist. For the entire group, gastritis severity correlated positively with intragastric {BA} and net BA reflux per hour, both in recumbency and p.c. Five symptomatic patients demonstrated rec. and p.c. {BA} and net BA reflux per hour greater than two standard deviations from comparable mean values in control patients. They differed significantly from the remaining symptomatic patients as follows: increased intragastric {BA} and net BA reflux per hour, increased intragastric pH and decreased MAO. They also demonstrated a more severe grade of gastritis. Lithocholic acid was present in their reflux content significantly more often. Bilious vomiting was also more frequent. No other differences could be identified, either objectively or clinically, between the symptomatic groups. Four patients with excessive reflux underwent Roux-en-Y revision and restudy 6-22 months later. BA reflux was completely abolished, histologic gastritis improved, hematocrit rose, MAO increased, and gastric emptying slowed. Burning pain, bilious vomiting, and symptoms of esophageal reflux were eliminated. Vomiting and nausea were improved. Diarrhea was unchanged. The objective criteria outlined can identify symptomatic postgastrectomy patients with a greater than normal reflux and gastritis. Clinical criteria alone cannot. Revisional surgery in these patients eliminates reflux, improves gastritis, and produces symptomatic improvement. The hypothesis under consideration is strengthened but not proven.
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PMID:Alkaline reflux gastritis. An objective assessment of its diagnosis and treatment. 741 26

Sixty-two dogs with problems when travelling in the car took part in a non-blinded study aimed at differentiating groups of dogs on the basis of the pattern of signs shown by individual dogs and their response to treatment with a collar impregnated with dog-appeasing pheromone (DAP) for six weeks and general behavioural advice. The dogs were taken out in the owner's car at least twice weekly for nine weeks, and their behaviour was assessed every three weeks to determine the frequency of 21 behavioural signs. On the basis of these signs and by using principal components analysis, the dogs were grouped into five well defined groups, defined as 'excitable', 'nausea', 'tense', 'attention-seeking' and 'elimination'. For the purpose of statistical analysis, the attention-seeking and elimination groups were combined when assessing the effect of the treatment. All the groups showed some statistically significant improvements after treatment, but their responses were not uniform. The greatest perceived improvement was among the nausea group and the least was among the excitable group. In the groups for which there were sufficient data for analysis, there was little evidence of a relapse in most of the signs in the three to five months after the collar had been removed.
Vet Rec 2006 Jul 29
PMID:Signs of travel-related problems in dogs and their response to treatment with dog-appeasing pheromone. 1687 80