Table 13.2
Causes of vomiting and diarrhoea
Vomiting Diarrhoea

Physiological e.g. possetting in babies Travel/motion sickness

GI infection, e.g. viral gastroenteritis, food poisoning

Other infection (particularly children)—tonsillitis, otitis media

Other GI causes: GI obstruction, pyloric stenosis, ‘acute abdomen’

CNS causes: raised intracranial pressure, head injury, migraine, vertigo

Metabolic causes: pregnancy, uraemia, ketoacidosis

Psychiatric causes: anorexia, bulimia Malignancy

Drugs and toxins, e.g. alcohol, opioids, cytotoxic agents

Acute diarrhoea

Dietary indiscretion

Infection, e.g. food poisoning, travellers’ diarrhoea

Constipation with overflow

Pseudomembranous colitis—recent history of oral antibiotics

Onset of inflammatory bowel disease or other chronic diarrhoea

Chronic diarrhoea

See Table 13.11, graphic p. 407

Vomiting Diarrhoea

Physiological e.g. possetting in babies Travel/motion sickness

GI infection, e.g. viral gastroenteritis, food poisoning

Other infection (particularly children)—tonsillitis, otitis media

Other GI causes: GI obstruction, pyloric stenosis, ‘acute abdomen’

CNS causes: raised intracranial pressure, head injury, migraine, vertigo

Metabolic causes: pregnancy, uraemia, ketoacidosis

Psychiatric causes: anorexia, bulimia Malignancy

Drugs and toxins, e.g. alcohol, opioids, cytotoxic agents

Acute diarrhoea

Dietary indiscretion

Infection, e.g. food poisoning, travellers’ diarrhoea

Constipation with overflow

Pseudomembranous colitis—recent history of oral antibiotics

Onset of inflammatory bowel disease or other chronic diarrhoea

Chronic diarrhoea

See Table 13.11, graphic p. 407

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