BMJ  2006;332:1438 (17 June), doi:10.1136/bmj.332.7555.1438

Practice

Interactive case report

A 22 year old man with persistent regurgitation and vomiting: case presentation

¹ Oesophageal Laboratory, St Thomas' Hospital, London SE1 7EH, ² Department of Gastroenterology, St Thomas' Hospital

The first 150 words of the full text of this article appear below.

This is the first of a three part case report where we invite readers to take part in considering the diagnosis and management of a case using the rapid response feature on bmj.com. Next week we will report the case progression and in four weeks' time we will report the outcome and summarise the responses.

Kenneth Neville is a 22 year old student who presented to his general practitioner at the age of 18 with regurgitation and vomiting after meals. These symptoms became a recurrent problem, but laboratory investigations including full blood count and renal and liver function tests gave normal results. As a child Mr Neville had had frequent chest infections. His mother had been very concerned about his health and often took him to the doctors. He had reflux disease and asthma diagnosed. His asthma remains difficult to control despite the use of inhalers, sodium cromoglicate, and . . . [Full text of this article]

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Relevant Article

A 22 year old man with persistent regurgitation and vomiting: case outcome

Mark Fox, Alasdair Young, Roy Anggiansah, Angela Anggiansah, and Jeremy Sanderson
BMJ 2006 333: 133. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

• Fox, M., Young, A., Anggiansah, R., Anggiansah, A., Sanderson, J. (2006). A 22 year old man with persistent regurgitation and vomiting: case outcome.. BMJ 333: 133-133 [Full text]  
• (2006). A 22 year old man with persistent regurgitation and vomiting. BMJ 333: 95-95 [Full text]  
• (2006). A 22 year old man with persistent regurgitation and vomiting. BMJ 333: 33-33 [Full text]  

Rapid Responses:

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A 22 year old man with persistent regurgitation and vomiting

Ahmad Abass El-Khattib El-Khattib
bmj.com, 16 Jun 2006 [Full text]

Cow's milk is for calves

Theo Fenton
bmj.com, 16 Jun 2006 [Full text]

Google

Stephen R Workman
bmj.com, 16 Jun 2006 [Full text]

Persistent vomiting

J Jeffrey Ford
bmj.com, 16 Jun 2006 [Full text]

Structural problem

Alexandra M Ames
bmj.com, 17 Jun 2006 [Full text]

Is there a fixable problem?

douglas gilroy
bmj.com, 18 Jun 2006 [Full text]

PS

douglas gilroy
bmj.com, 18 Jun 2006 [Full text]

?Visceral Arterial Pathology

Andrew Harris
bmj.com, 18 Jun 2006 [Full text]

What about his brain?

Stephen Head
bmj.com, 18 Jun 2006 [Full text]

Puzzling problem

Anthony N Glaser
bmj.com, 19 Jun 2006 [Full text]

As a hospital doctor.......

Eugene Campbell
bmj.com, 19 Jun 2006 [Full text]

Physical or psychological

alexander Williams
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Type A Personality with Functional Symptoms

Amer I Sheikh
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Authors Response

Mark R Fox, et al.
bmj.com, 19 Jun 2006 [Full text]

? Cannabinoid hyperemesis

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Abdominal Epilepsy ?

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A Genetic Disorder?

Richard J Hunt
bmj.com, 21 Jun 2006 [Full text]

22 year old with persistent regurgitation and vomiting - a psychological cause?

Claudia E Goodman
bmj.com, 21 Jun 2006 [Full text]

What about the emotions?

Abraham H Brafman
bmj.com, 22 Jun 2006 [Full text]

22 yo with persistent vomiting

karen ross
bmj.com, 22 Jun 2006 [Full text]

A 22 year old man with persistent regurgitation and vomiting: case presentation

Alan Thomas Clarke
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Thinking outside the box..

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