Childhood Chronic Nausea: Is It Just a Queasy Stomach?

Chronic nausea is an increasingly acknowledged complaint in children. It is commonly encountered in association with functional gastrointestinal (GI) disorders but can also occur in isolation. As such, there is no pediatric diagnostic classification for chronic idiopathic nausea. The pathophysiology...

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Bibliographic Details
Published in:Current gastroenterology reports 2014, Vol.16 (7), p.395-395, Article 395
Main Authors: Kovacic, Katja, Li, B U. K.
Format: Article
Language:English
Subjects:
Abdomen
Adults
Antiemetics - therapeutic use
Anxiety
Child
Childhood
Chronic Disease
Classification
Comorbidity
Dumping syndrome
Gastric Emptying - physiology
Gastroenterology
Headaches
Humans
Irritable bowel syndrome
Medicine
Medicine & Public Health
Migraine
Nausea
Nausea - drug therapy
Nausea - etiology
Nausea - physiopathology
Nervous system
Pain
Pediatric Gastroenterology (S Orenstein
Pediatrics
Phenotype
Section Editor
Teenagers
Topical Collection on Pediatric Gastroenterology
Vomiting
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Summary:Chronic nausea is an increasingly acknowledged complaint in children. It is commonly encountered in association with functional gastrointestinal (GI) disorders but can also occur in isolation. As such, there is no pediatric diagnostic classification for chronic idiopathic nausea. The pathophysiology appears complex, from foregut motor and sensory disturbances to autonomic imbalance and CNS influences. Also, there is scarcity of specific treatments that target this highly bothersome symptom. Treatment is mainly empiric or aimed at other functional complaints. Our retrospective data indicate a high prevalence of comorbid conditions in children with chronic nausea. These include migraines, autonomic disturbances, sleep problems, fatigue, and anxiety. Identifying specific features and targeting these therapeutically may be essential for improved treatment outcomes.
ISSN:1522-8037
1534-312X
DOI:10.1007/s11894-014-0395-z