Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 8: Nausea (continued)

Debra J. Helper, MD

Within the context of IBD, nausea can be due to any of a number of causes seen in individuals without IBD or it may be due to a recurrence of the disease, a complication of the disease, or a side effect of therapy. • Gastroesophageal reflux disease or peptic disease • Small bowel or gastric outlet obstruction due to stricture or adhesions • Active IBD, especially Crohn’s disease of the upper gastrointestinal (GI) tract • Medication side effect • Adrenal insufficiency (in patients previously on chronic corticosteroid therapy) • Liver…