Gastroparesis, Nausea, & Constipation 위마비증, 메스꺼움, 변비
2025. 10. 2. 02:20ㆍIn Canada/nursing study
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Digestive Conditions Table | 소화기 질환 요약 표
| Category | Gastroparesis 위마비증 |
Nausea 메스꺼움 |
Constipation 변비 |
| Definition 정의 |
Stomach muscles don’t move food properly, causing delayed emptying. 위 근육이 제대로 작동하지 않아 음식이 천천히 배출됨 |
Uncomfortable feeling in the stomach with urge to vomit. 구역질이 나고 토할 것 같은 불편한 느낌 |
Difficulty passing stool or infrequent bowel movements. 배변이 어렵거나 횟수가 적은 상태 |
| Symptoms 증상 |
- Early fullness - Bloating - Nausea/vomiting - Upper stomach pain 빠른 포만감, 복부 팽만, 메스꺼움/구토, 상복부 통증 |
- Queasy stomach - Sweating - Salivation - Urge to vomit 속이 울렁거림, 식은땀, 침 분비 증가, 구토 욕구 |
- Fewer than 3 stools/week - Hard, dry stools - Straining - Feeling of incomplete emptying 주 3회 미만 배변, 딱딱하고 건조한 변, 힘주기, 잔변감 |
| Safety Tips 안전 수칙 |
- Eat small, low-fat meals - Avoid high-fiber foods - Manage blood sugar (if diabetic) 소량 저지방 식사, 고섬유질 음식 피하기, 혈당 관리 |
- Avoid strong smells - Stay hydrated - Rest and avoid triggers 강한 냄새 피하기, 수분 섭취, 휴식 및 유발 요인 피하기 |
- Eat high-fiber foods - Drink plenty of water - Exercise regularly 고섬유질 음식 섭취, 충분한 수분 섭취, 규칙적인 운동 |
| Tests 검사 |
- Gastric emptying study - Endoscopy - Blood tests 위 배출 검사, 내시경, 혈액 검사 |
- Blood tests - GI evaluation - Pregnancy test (if applicable) 혈액 검사, 위장 검사, 임신 테스트 (필요 시) |
- Physical exam - Stool tests - Colonoscopy (if chronic) 신체 검사, 대변 검사, 대장내시경 (만성일 경우) |
| Treatments 치료 |
- Prokinetic drugs - Anti-nausea meds - Dietary changes 위 운동 촉진제, 항구토제, 식이 조절 |
- Antiemetics (e.g. ondansetron) - Ginger, mint tea - Avoid fatty/spicy foods 항구토제, 생강/민트차, 기름진/매운 음식 피하기 |
- Laxatives (if needed) - Fiber supplements - Lifestyle changes 완하제, 섬유질 보충제, 생활 습관 개선 |
1. Gastroparesis
What is it?
- The stomach muscles don’t work properly → food moves slowly (or not at all) from the stomach into the small intestine.
- Often linked to diabetes, surgery, or nerve damage.
Key Signs & Symptoms:
- Nausea, vomiting (especially undigested food)
- Feeling full quickly (early satiety)
- Bloating, abdominal pain
- Poor appetite, weight loss
Safety Tips:
- Eat small, frequent meals (avoid high fat & high fiber, they slow emptying)
- Keep blood sugar well controlled (if diabetic)
- Sit upright after eating, don’t lie down right away
- Report vomiting blood or severe pain
Tests / Treatments Ordered:
- Gastric emptying study (to see how fast food leaves stomach)
- Endoscopy (to rule out blockage)
- Blood sugar tests (if diabetic)
Common Treatments:
- Diet changes (small, soft meals)
- Prokinetic meds (metoclopramide, erythromycin – help stomach empty)
- Antiemetics (for nausea)
- In severe cases: feeding tube or gastric pacemaker
2. Nausea
What is it?
- A queasy feeling in the stomach, often with the urge to vomit.
- Symptom, not a disease – can come from infection, pregnancy, motion sickness, medications, or GI problems.
Key Signs & Symptoms:
- Upset stomach
- Sweating
- Dizziness/lightheadedness
- May lead to vomiting
Safety Tips:
- Stay hydrated (sip fluids, ice chips)
- Avoid strong odors, greasy or spicy food
- Sit upright after eating
- Seek help if vomiting blood, severe dehydration, or sudden severe abdominal pain
Tests / Treatments Ordered:
- Based on cause: blood tests, imaging, or GI studies
- Sometimes no tests if short-term and mild
Common Treatments:
- Antiemetics (ondansetron, dimenhydrinate)
- Ginger, acupressure bands (for mild cases)
- Treat underlying cause (infection, meds, etc.)
3. Constipation
What is it?
- Infrequent, hard, or difficult bowel movements.
- Often caused by low fiber, dehydration, inactivity, or medications.
Key Signs & Symptoms:
- Hard, dry stools
- Straining when trying to pass stool
- Fewer than 3 bowel movements per week
- Abdominal pain or bloating
Safety Tips:
- Drink enough fluids (unless restricted)
- Eat more fiber (fruits, veggies, whole grains)
- Stay active
- Don’t ignore the urge to go
- Seek help if severe pain, blood in stool, or sudden change in bowel habits
Tests / Treatments Ordered:
- Abdominal X-ray (sometimes)
- Blood tests (thyroid, electrolytes) if persistent
- Colonoscopy (if red flags like blood in stool or weight loss)
Common Treatments:
- Lifestyle changes (diet, exercise, hydration)
- Stool softeners (docusate)
- Laxatives (polyethylene glycol, senna, lactulose)
- Enemas or suppositories (if severe)
Quick comparison:
- Gastroparesis = stomach empties too slowly → nausea, fullness, vomiting
- Nausea = symptom, many possible causes
- Constipation = slow/blocked bowel movements, hard stools
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