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Wednesday, April 16, 2014
Dementia and Nausea/Vomiting
Can dementia cause recurrent nausea and vomiting?
The patient is 94 years old and has significant mental deficits. She is incontinent and hypersensitive to pain. About every 2 weeks she has a major temper outburst which is followed by 2 days of upset stomach.
Nausea and vomiting are not typically associated with dementia. They can be side effects of cholinesterase inhibitors, though, or due to any number of other causes that are very hard to sort out in patients with advanced dementia who can't communicate adequately. I would recommend a thorough evaluation by a gerontologist to look for a medical cause.
David Q Beversdorf, MD
Assistant Professor of Clinical Neurobehavior and Neurology
College of Medicine
The Ohio State University