VOMITING IN ACUTE ABDOMEN

VOMITING IN ACUTE ABDOMEN

we will discuss the vomiting symptoms in case of acute abdomen because it is an important and give us good idea about the causes of the disease as follow we note it is onset frequency and character and the amount and composition of the vomiting 1- onset and frequency in most case of acute abdomen vomiting occurs once or twice soon after the onset of the pain early frequent and profuse vomiting is suggestive of acute intestinal
obstruction 2-character there are two main type forcible or projectile vomiting and passive or regurgitant vomiting first forcible vomiting is the usual type in most cases of acute abdomen and is typically seen in high intestinal obstruction the act of vomiting is associated with powerful contraction of the stomach and abdominal muscles so that the vomitus is ejected violently and sprays out some distance secondly regurgitant vomiting which occurs in acute dilatation of the stomach paralytic ileus and diffuse peritonitis the act of the vomiting is effortless we will describe  the nature of the vomitus the initial vomit usually consists of acid contents in which food particles can be recognized  in peritonitis and intestinal obstruction a progressive change in the appearance of the vomitus is characteristic first recently ingested food is vomited next clear mucoid  fluid then bile and finally brown offensive material (faeculant vomiting) because of altered blood but contains no faeces  true faecal vomiting is very rare it occurs only in gastrocolic fistula bilious vomiting is usual in abdominal colic but the vomitus never bile stained in pyloric stenosis or obstruction

tags:acute,vomiting,abdomen