![]() ![]() It can cause dyspnea either postoperatively or as a result of an underlying structural abnormality. Gastric dilatation, however, rarely causes serious difficulties and is self-limiting. The causes of gastric dilatation, which can occur in all age groups, are poorly understood. The nasogastric tube was removed 2 days after insertion, with no sequelae. The following morning an x-ray scan revealed a diminished gastric bubble and no evidence of free air or bowel obstruction. His pulse dropped to 107 beats/min his RR was 20 breaths/min and his BP was 122/57 mm Hg. The wheeze disappeared from his lungs and the air entry returned to normal on the left. The patient had prompt relief of his symptoms. A nasogastric tube was placed and subsequently drained 1 L of fluid. There was no intestinal dilatation or evidence of any other air fluid levels. A chest x-ray scan revealed the previously noted pleural effusion on the right and a large gastric bubble pushing on the left diaphragm ( Figure 1). An electrocardiogram revealed no acute ischemic changes. The left lung had decreased air entry in the base and was diffusely wheezy. The right lung had decreased air entry with wheeze from the previously documented pleural effusion. His oxygen saturation was 92% on admission it had been 96%. On admission his vital signs had been the following: pulse of 77 beats/min, RR of 12 breaths/min, and BP of 111/64 mm Hg. Measurement of his vital signs revealed the following: pulse of 136 beats/min, respiratory rate (RR) of 26 breaths/min, and blood pressure (BP) of 129/70 mm Hg. Before the physician’s arrival, the nursing staff had administered salbutamol and ipratropium, with no effect.ĭuring the preceding day, he had complained of epigastric discomfort and nausea. At the request of the nursing staff, the hospitalist attended the patient late in the evening. He suffered from numerous morbidities: chronic renal failure, requiring peritoneal dialysis inoperable ischemic heart disease congestive heart failure gastroesophageal reflux hyperlipidemia and a right pleural effusion, requiring drainage. For additional information visit Linking to and Using Content from MedlinePlus.An 86-year-old man developed acute dyspnea in a community hospital. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Acute necrotizing ulcerative gingivitis (ANUG)Ī.D.A.M., Inc.Some diseases that may cause breath odor are: Some medicines, including insulin shots, triamterene, and paraldehyde.Vitamin supplements (especially in large doses).Tonsils with deep crypts and sulfur granules.Gum disease ( gingivitis, gingivostomatitis, ANUG).Object stuck in the nose (usually happens in kids) often a white, yellow, or bloody discharge from one nostril.Eating certain foods, such as cabbage, garlic, or raw onions. ![]()
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