Section 16 — Nausea, Vomiting, Eructations, etc.

These terms stand for different things. It is necessary to make the distinction in writing your case.

Eructations (belching of wind).

Is it frequent ?

When does it usually come on ?

Does it last long at a time ?

What relieves it ?

What makes it worse ?

Does it relieve the stomach, pain in any place, the throat, or do you feel better generally after belching ?

Have you pain anywhere before or during belching ?

Is the amount of wind great or small ?

Does it come up easily or with difficulty ?

Is there any other trouble that always accompanies it ?

Is there any bloating of the stomach or abdomen ?

Do you try to belch but cannot ?

Any nausea with it ?

Any taste with it ?

Acid, like almond, like apples, bitter, greasy, fetid or foul, hot, rancid, salty, sweetish, etc. ?

State in your own language what the taste is like.

Have you gagging ?

When and under what circumstances ?

Any cow, accompanying troubles ?

How does it affect you ?

Have you at any time heartburn (an uneasy, burning feeling in the stomach ?)

Any accompanying troubles ?

How does it affect you ?

Have you at any time hiccoughing ?

When does it come on ?

How often ?

Any pain ?

Any accompanying troubles ?

How does it affect you ?

What relieves it ?

Have you at any time regurgitation of food (spitting up food in small quantity without vomiting ?

Give particulars.

Nausea (qualmishness, squeamishness, loathing, sickness at the stomach).

Where is the nausea located, or from where does it seem to come ?

Does it come and go, or is it constant when present ?

Does it always come on at a particular time ?

What seems to cause it ?

Is there any other trouble or pain that always comes before it or with it ?

How does it affect you ?

Describe the feeling in your own words. Does it come on suddenly or gradually ?

What relieves it ?

What makes it worse ?

Is there with it any fai tness f inting dizziness, paleness, weakness ?

Do you vomit or retch with the nausea ?

Is there any sweating with it ?

Where is the sweat ?

Is the sweat warm or cold ?

Do you feel that it would relieve you to vomit ?

Is there simple nausea, or do you feel deathly sick ?

Retching (to make an effort, or straining to vomit without vomiting).

What causes it ?

When does it come on ?

Does it cause pain anywhere ?

How does it affect you ?

(Consult Nausea and Vomiting.)

Vomiting (emptying the stomach of its contents ; pawns.

Give a minute description of what you vomit as to the appearance, consistency, color, taste, quantity etc.

Is it acid, acrid, like of an egg, bilious, bitter, black, or blood, bluish, brown, like coffee grounds, cold, curdle, fecal, fetid or foul, fluid, frothy, glairy, greasy, green, jelly-like, milk, milky, mucous, musty, of pus or matter like rice water, salty, sweetish, watery, white, of worms, yellow ?

Is it constant, copious, what you drink, what you eat, difficult, painful, periodic, spasmodic, violent, forcible slow in coming on, sudden, coming on quickly ?

When does it come ?

After eating, after drinking, after chill, from choking, from coffee, from cold, with colic, in convulsions, with cough, with cramps, during teething, with eructations, with eruptions on the skin, after exercise, during expectoration, in fever, from pain, from colic, when hawking, with heat, with hiccough, lying down, rising up, sitting up, standing, from motion, in the morning, when riding, after sleep, from smoking, before stool, on stooping, with sunstroke, swallowing, with thirst, with weakness ?

Is there anything, any position, food or drink, or application that aggravate the vomiting, or relieves it ?

Are there any accompanying troubles ?

How does it affect you ?

Make a full statement of anything else that may occur to you regarding the vomiting.

Waterbrash (pain or hot feeling in the stomach with a rising of water to the mouth).

When does it come on ?

What is the amount ?

What is the taste ?

How does it affect you ?