A case report on a patient suffering from recurrent vomiting episodes, whose condition improved markedly during pregnancy and breast feeding.
BACKGROUND
The normal physiology of the gastrointestinal tract has been only cursorily examined. Consequently, the pathophysiology of disturbances of the gastrointestinal functions is poorly known. Recurrent vomiting is one of many functional conditions for which it is difficult to find an explanation and to treat. In the following a case is described of a patient presenting with recurrent vomiting episodes, whose condition improved spontaneously during pregnancy and breast feeding.


METHODS
A woman with recurrent vomiting episodes over several years was examined by esophagogastroduodenoscopy. This showed a non-peristaltic ventricle. Treatment with the procinetic drug cisapride (Prepulsid) improved the peristalsis and reduced the symptoms. During pregnancy and breast feeding, she was free of symptoms, in spite of having discontinued her medication with cisapride (Prepulsid).


CONCLUSIONS
The fact that the patient improved during pregnancy and breast feeding, would seem to indicate the involvement of factors in the physiology of pregnancy and breast feeding that are of importance for gastric motility. This deserves further investigation.
Ohlsson
Bodil
B
From the Department of Clinical Sciences, Division of Gastroenterology, Entrance 35, 205 02 Malmö, Lund University, Sweden. bodil.ohlsson@med.lu.se
D000109:Acetylcholine / Q000502:physiology; D000328:Adult; D001942:Breast Feeding; D020117:Cisapride / Q000494:pharmacology / Q000627:therapeutic use; D016145:Endoscopy, Digestive System; D005260:Female; D005746:Gastric Emptying / Q000502:physiology; D005769:Gastrointestinal Motility / Q000502:physiology*; D006801:Humans; D010528:Peristalsis / Q000187:drug effects / Q000502:physiology; D011247:Pregnancy / Q000502:physiology*; D012008:Recurrence; D012075:Remission, Spontaneous; D012701:Serotonin / Q000502:physiology; D017366:Serotonin Receptor Agonists / Q000494:pharmacology / Q000627:therapeutic use; D014839:Vomiting / Q000188:drug therapy / Q000503:physiopathology*
D017366:Serotonin Receptor Agonists; D012701:Serotonin; D000109:Acetylcholine; D020117:Cisapride