CLINICAL DIAGNOSTIC MANUAL
Vomiting without weight loss is a symptom that can be associated with various gastrointestinal and extra-gastrointestinal conditions. Unlike vomiting with weight loss, this symptom typically does not significantly compromise the patient’s nutritional status.
However, the presence of recurrent or persistent vomiting necessitates a diagnostic evaluation to identify the underlying cause and prevent complications such as dehydration and electrolyte imbalance.
Pathology | Symptoms and Clinical Signs | Suspected Diagnosis | Confirmatory Diagnosis |
Oesophageal ulcer | Retrosternal pain, dysphagia, vomiting, heartburn, regurgitation | History of gastroesophageal reflux, physical examination | Oesophageal endoscopy, biopsy |
Pharyngeal pouch (Zenker’s diverticulum) | Dysphagia, regurgitation of undigested food, halitosis, sensation of a foreign body in the neck | Medical history, physical examination | Contrast oesophagram, endoscopy |
Achalasia | Dysphagia for solids and liquids, nocturnal regurgitation, chest pain, vomiting | Medical history, physical examination | Oesophageal manometry, oesophagogram, endoscopy |
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