Gagging:
a- Psychogenic -starts in mind, very difficult to treat
b- Stomatogenic -starts in body (usually dentures), treatable
c- Dental causes:
1- Lack of retention
2- Poor occlusion
3- Insufficient or excessive palatal seal.
4- Crowded tongue due to a thick palate or poor tooth placement
5- Excessive salivation
6- Excessive vertical dimension (often seen in new dentures).
And
Denture over-extension onto the soft palate may stimulate a gag reflex directly by continuous contact or indirectly by intermittent contact brought about by the activity of the soft palate or posterior third of the tongue.
An under-extended denture (or an unstable denture from occlusal interferences) will lack a posterior seal, will dislodge intermittently, irritate the posterior third of the tongue and thus cause nausea.
A palpable and thickened posterior border will also irritate the tongue. Interference with tongue space, as in an excessively large vertical dimension which causes compensatory protrusion of the tongue, or in a narrow arch which forces the tongue to occupy an unnatural position, may also manifest as nausea.
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Control of nausea and vomiting at home:
Nausea consists of a feeling of stomach upset or desire to vomit; Vomiting is the return of food from the stomach. Nausea can occur even when the person is not thinking about food. In addition, a person may vomit even when he has not eaten anything. Occasionally, they may vomit even when they have not experienced nausea.
Nausea or vomiting can arise from eating something that has not been well in the stomach, bacteria in food, infections or because of radiation therapy or cancer chemotherapy. Many people experience little or no vomiting or nausea with these treatments. On the other hand for other people, just thinking about going to a session of these treatments can cause nausea and vomiting. Cancer itself can cause nausea and vomiting.
Frequent vomiting can be dangerous because it can lead to dehydration (refer to the "Liquids and dehydration" section). It can also lead to the inhalation of food or liquids, which can cause asphyxiation and other problems. Talk to the cancer team about what causes nausea and vomiting, and what you can do about it.
What signs you should observe:
- Changes in eating habits.
- Bad breath.
- Smelly liquids of green or yellow color in the bedding.
- Sensation of stomach upset (stomach upset).
- Increased saliva, viscosity and sweat that may arise before vomiting.
What the patient can do:
For nausea:
- If nausea only occurs between meals, eat small portions of food frequently, and eat a snack before bedtime.
- Slowly sip cold transparent liquids (Transparent liquids are those through which you can see, such as ginger ale, apple juice, broth, tea, etc.) Also try ice pops or jelly.
- Suck on hard, sweet-smelling candies, such as lemon pills (dragees) or mints, to help eliminate the bad taste. (Do not suck candy if you have sores in your throat or mouth).
- Eat foods that are easy to digest, such as toast and salt crackers.
- Eat cold food or at room temperature so that the smell and taste are milder. Avoid fatty, fried, spicy or very sweet foods.
- Try to eat small portions of high-calorie foods that are easy to eat (such as pudding, ice cream, yogurt and milkshakes) several times a day. Use butter, oils, syrups, sauces and milk in foods to increase calories. Avoid low-fat foods unless fats cause stomach upset or other problems.
- Eat the foods you like. Many people begin to dislike red meat and meat broths during treatment. Try other sources of protein such as fish, chicken, beans and nuts.
- Acidic or sour foods may be easier to retain (unless you have mouth sores).
- Try to rest quietly while sitting in a straight posture for at least one hour after each meal.
- Distract yourself with soft music, with one of your favorite TV shows or with other people's company.
- Tell the team that treats cancer suffering from nausea, as there are many medications that can be given to relieve them.
- Take your medicine against nausea during the first signs of nausea to help prevent vomiting.
- While you are waiting for the anti-nausea medicine to take effect, try to relax and remain calm by breathing deeply.
- If nausea is given before chemotherapy or a visit to the doctor, ask about medications, hypnosis, relaxation and other psychotherapies to lessen the problem.
For vomiting:
- If you are in bed, lie on your side to avoid drowning by vomiting inhalation.
- Ask to be prescribed medication in the form of dissolvable tablets or suppositories if possible. To prevent vomiting, take the medication at the first sign of nausea.
- Try drinking liquids in the form of ice chips or frozen juice that can be taken slowly.
- After the vomiting stops, start drinking 1 teaspoon of some cold liquid every 10 minutes. Gradually increase to a full scoop. If you can retain this in the stomach after about an hour, try to take larger amounts.
a- Psychogenic -starts in mind, very difficult to treat
b- Stomatogenic -starts in body (usually dentures), treatable
c- Dental causes:
1- Lack of retention
2- Poor occlusion
3- Insufficient or excessive palatal seal.
4- Crowded tongue due to a thick palate or poor tooth placement
5- Excessive salivation
6- Excessive vertical dimension (often seen in new dentures).
And
Denture over-extension onto the soft palate may stimulate a gag reflex directly by continuous contact or indirectly by intermittent contact brought about by the activity of the soft palate or posterior third of the tongue.
An under-extended denture (or an unstable denture from occlusal interferences) will lack a posterior seal, will dislodge intermittently, irritate the posterior third of the tongue and thus cause nausea.
A palpable and thickened posterior border will also irritate the tongue. Interference with tongue space, as in an excessively large vertical dimension which causes compensatory protrusion of the tongue, or in a narrow arch which forces the tongue to occupy an unnatural position, may also manifest as nausea.
------------------------------
Control of nausea and vomiting at home:
Nausea consists of a feeling of stomach upset or desire to vomit; Vomiting is the return of food from the stomach. Nausea can occur even when the person is not thinking about food. In addition, a person may vomit even when he has not eaten anything. Occasionally, they may vomit even when they have not experienced nausea.
Nausea or vomiting can arise from eating something that has not been well in the stomach, bacteria in food, infections or because of radiation therapy or cancer chemotherapy. Many people experience little or no vomiting or nausea with these treatments. On the other hand for other people, just thinking about going to a session of these treatments can cause nausea and vomiting. Cancer itself can cause nausea and vomiting.
Frequent vomiting can be dangerous because it can lead to dehydration (refer to the "Liquids and dehydration" section). It can also lead to the inhalation of food or liquids, which can cause asphyxiation and other problems. Talk to the cancer team about what causes nausea and vomiting, and what you can do about it.
What signs you should observe:
- Changes in eating habits.
- Bad breath.
- Smelly liquids of green or yellow color in the bedding.
- Sensation of stomach upset (stomach upset).
- Increased saliva, viscosity and sweat that may arise before vomiting.
What the patient can do:
For nausea:
- If nausea only occurs between meals, eat small portions of food frequently, and eat a snack before bedtime.
- Slowly sip cold transparent liquids (Transparent liquids are those through which you can see, such as ginger ale, apple juice, broth, tea, etc.) Also try ice pops or jelly.
- Suck on hard, sweet-smelling candies, such as lemon pills (dragees) or mints, to help eliminate the bad taste. (Do not suck candy if you have sores in your throat or mouth).
- Eat foods that are easy to digest, such as toast and salt crackers.
- Eat cold food or at room temperature so that the smell and taste are milder. Avoid fatty, fried, spicy or very sweet foods.
- Try to eat small portions of high-calorie foods that are easy to eat (such as pudding, ice cream, yogurt and milkshakes) several times a day. Use butter, oils, syrups, sauces and milk in foods to increase calories. Avoid low-fat foods unless fats cause stomach upset or other problems.
- Eat the foods you like. Many people begin to dislike red meat and meat broths during treatment. Try other sources of protein such as fish, chicken, beans and nuts.
- Acidic or sour foods may be easier to retain (unless you have mouth sores).
- Try to rest quietly while sitting in a straight posture for at least one hour after each meal.
- Distract yourself with soft music, with one of your favorite TV shows or with other people's company.
- Tell the team that treats cancer suffering from nausea, as there are many medications that can be given to relieve them.
- Take your medicine against nausea during the first signs of nausea to help prevent vomiting.
- While you are waiting for the anti-nausea medicine to take effect, try to relax and remain calm by breathing deeply.
- If nausea is given before chemotherapy or a visit to the doctor, ask about medications, hypnosis, relaxation and other psychotherapies to lessen the problem.
For vomiting:
- If you are in bed, lie on your side to avoid drowning by vomiting inhalation.
- Ask to be prescribed medication in the form of dissolvable tablets or suppositories if possible. To prevent vomiting, take the medication at the first sign of nausea.
- Try drinking liquids in the form of ice chips or frozen juice that can be taken slowly.
- After the vomiting stops, start drinking 1 teaspoon of some cold liquid every 10 minutes. Gradually increase to a full scoop. If you can retain this in the stomach after about an hour, try to take larger amounts.
What the patient caregiver can do:
- When the patient feels nauseous, offer to prepare meals or ask other people to prepare them to reduce the discomfort caused by food odors. Use kitchen fans to reduce odors.
- Cover or store foods that have strong or unpleasant odors.
- Use plastic cutlery instead of metal that can produce a bitter taste.
- If the patient is vomiting for a few days, get his weight daily during the same time of day to determine how severe he is dehydrating.
- Ask about medicines to prevent vomiting.
- Observe the patient to see if he suffers dizziness, weakness or confusion.
- Try to help the patient avoid constipation and dehydration. Both things can make nausea worse.
Call the team that treats the cancer if the patient:
- I could have inhaled some of the vomited material.
- Vomits more than three times per hour for three hours or more.
- Vomits blood or a material that looks like ground coffee.
- You cannot drink more than four cups of liquids or ice chips a day or you cannot eat for more than two days.
- You can't take your medications.
- It weakens, tides or presents confusion.
You have a weight loss of 1 kg (approx. 2 pounds) in 1 or 2 days (this implies that the patient is losing water quickly and could be dehydrated).
- It has a dark yellow color in the urine and does not require urination as often or as usual.
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