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Related to bilious vomiting: intussusception, pyloric stenosis


vomiting, ejection of food and other matter from the stomach through the mouth, often preceded by nausea. The process is initiated by stimulation of the vomiting center of the brain by nerve impulses from the gastrointestinal tract or other part of the body. The vomiting center then sends out nerve impulses that precipitate spasmodic muscular contractions of the stomach wall and downward spasms of the diaphragm. The pressure generated then forces up the contents of the stomach. The vomiting mechanism may be in response to local irritation (diseases or disorders of the gastrointestinal tract, overburdening of the capacity and digestive capabilities of the stomach, ingestion of harmful foods or substances) or result from a metabolic disturbance (as in pregnancy) or from disorders or stimulation of the nervous system (e.g., migraine, motion sickness, infectious disease, brain tumor or injury, disagreeable odors). Vomiting may also be a reflex action to other spasmodic conditions (whooping cough, gagging).
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The following article is from The Great Soviet Encyclopedia (1979). It might be outdated or ideologically biased.



a complex reflex action, during which the stomach contents are involuntarily expulsed through the mouth as a result of the excitation of the vomiting center, located in the medulla oblongata.

During vomiting, the pylorus undergoes a spasm and the cardia of the stomach opens. As a result of antiperistaltic contractions, food travels from the stomach to the esophagus and is expulsed to the outside by the spasmodic and jerky contraction of the respiratory musculature and muscles of the anterior abdominal wall. At the same time, the larynx rises and the epiglottis falls, which causes the glottis to close, thus preventing the vomit from entering the respiratory tract. The vomit is hindered from entering the nasal cavity by the raised soft palate.

Vomiting may be provoked by irritants acting on gastric mucosa, by the direct effect of toxins on the vomiting center, and by the stimulation of receptors, for example, in diseases of the abdominal organs, the brain, and meninges. Psychogenic and conditioned-reflex vomiting is also possible.

Vomiting is generally a defensive act because it helps remove harmful substances from the stomach. However, frequent vomiting, for example, the indomitable vomiting that occurs during pyloristenosis, may result in dehydration and disturbances of mineral metabolism and acid-base equilibrium.

Vomiting is dangerous during alcoholic intoxication and coma and when a patient is recovering from general anesthesia; atony of the epiglottis and soft palate may permit vomit to enter the nasal cavity and upper respiratory tract, which can cause asphyxia.

Vomiting is a specific symptom of many pathological conditions in such animals as carnivores, omnivores, and ruminants.


The Great Soviet Encyclopedia, 3rd Edition (1970-1979). © 2010 The Gale Group, Inc. All rights reserved.
References in periodicals archive ?
As intestinal obstruction was considered because of bilious vomiting and epigastric tenderness, a contrast-enhanced X-ray was not performed, and the patient was evaluated with abdominal US.
Seven predictors, positive heel drop test, continuous abdominal pain, migration of pain, duration of symptoms (>24 hours), bilious vomiting, guarding, and neutrophilia, were retained following multiple forward stepwise LR analysis of clinical and biochemical predictors.
Parents will often describe yellow vomit as containing 'bile' and it is important to elicit the actual colour of the vomit, as for medical/surgical purposes, bilious vomiting is green, rather than yellow (as sometimes described by parents).
A 43-year-old woman [body mass index (BMI) 27.4 kg/[m.sup.2] with a past medical history of morbid obesity (BMI 53.1 kg/[m.sup.2]) had progressively worsening upper abdominal pain and distention with associated bilious vomiting. She also reported constipation for 1 week.
This condition accounts for one third of non bilious vomiting occurance in infants and is the most common reason for laparotomy before age 1 year.7
A seven-year-old girl was referred to the regional paediatric surgical unit with bilious vomiting. She was previously asymptomatic until one month before this admission when she developed a severe headache and had a seizure.
One of the most common symptoms is bilious vomiting that requires an emergent workup for bowel obstruction.
The first red flag is the presence of severe GI symptoms, such as bilious vomiting, abdominal tenderness, and/or severe abdominal pain, said Dr.
Five patients reported chronic symptoms of nausea, bilious vomiting, and cramplike abdominal pain.
The clinical criteria for SBO was abdominal pain with distension, bilious vomiting and constipation for 2-5 days.
However, he refused oral feeds, becoming lethargic and experiencing episodes of bilious vomiting. Feeding was withheld and intravenous fluids reintroduced.
It manifests in adults with intermittent colic and bilious vomiting [4].