Fecal vomiting

Fecal vomiting
Other namesFeculent vomiting, stercoraceous vomiting, copremesis

Fecal vomiting or copremesis is a kind of vomiting wherein the material vomited is of fecal origin. It is a common symptom of gastrojejunocolic fistula and intestinal obstruction in the ileum.[1][2] Fecal vomiting is often accompanied by an odor of feces on the breath and other gastrointestinal symptoms, including abdominal pain, abdominal distension, dehydration, and diarrhea.[2][3] In severe cases of bowel obstruction or constipation (such as those related to clozapine treatment) fecal vomiting has been identified as a cause of death.[4]

Fecal vomiting occurs when the bowel is obstructed for some reason, and intestinal contents cannot move normally. Peristaltic waves occur in an attempt to decompress the intestine, and the strong contractions of the intestinal muscles push the contents backwards through the pyloric sphincter into the stomach, where they are then vomited.[3]

Fecal vomiting can also occur in cats.[5]

Fecal vomiting does not include vomiting of the proximal small intestine contents, which commonly occurs during vomiting.[6]

Fecal vomiting has been cited in liver cancer, ovarian cancer, and colorectal cancer cases.

References

  1. ↑ Kece, Can; Dalgic, Tahsin; Nadir, Isılay; Baydar, Behlul; Nessar, Gurel; Ozdil, Burhan; Bostanci, E. Birol (2010-01-01). "Current Diagnosis and Management of Gastrojejunocolic Fistula". Case Reports in Gastroenterology. 4 (2): 173–177. doi:10.1159/000314048. ISSN 1662-0631. PMC 2929411. PMID 20805940.
  2. 1 2 Smeltzer, Suzanne C. O'Connell; Bare, Brenda G.; Hinkle, Janice L.; Cheever, Kerry H. (2010-01-01). Brunner & Suddarth's Textbook of Medical-surgical Nursing. Lippincott Williams & Wilkins. ISBN 9780781785891.
  3. 1 2 Wilkins, Lippincott Williams & (2007-07-01). Portable Signs and Symptoms. Lippincott Williams & Wilkins. ISBN 9781582556796.
  4. ↑ Hibbard, Katharine R.; Propst, Arthur; Frank, Daniel E.; Wyse, Jonathan (2009-08-01). "Fatalities associated with clozapine-related constipation and bowel obstruction: a literature review and two case reports". Psychosomatics. 50 (4): 416–419. doi:10.1176/appi.psy.50.4.416. ISSN 1545-7206. PMID 19687183.
  5. ↑ DVM, Debra M. Eldredge; DVM, Delbert G. Carlson; DVM, Liisa D. Carlson; MD, James M. Giffin (2008-01-07). Cat Owner's Home Veterinary Handbook. John Wiley & Sons. ISBN 9780470227671.
  6. ↑ "Physiology of Vomiting". www.vivo.colostate.edu. Retrieved 2017-12-26.
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