Doctor's Notes on Ciguatera Fish Poisoning
Ciguatera is a type of food poisoning caused by eating fish contaminated by the ciguatera toxin found concentrated in fish organs. The toxin is commonly found concentrated in large reef fish, such as grouper, red snapper, sea bass, barracuda, eel, amberjack, and Spanish mackerel. Most fish that carry ciguatera toxin are found in the Caribbean Sea, Hawaii, and coastal Central America.Symptoms of ciguatera fish poisoning (ciguatera toxin) usually begin 6 to 8 hours after eating contaminated fish but can occur anywhere from 2 to 24 hours after ingestion and include nausea, vomiting, diarrhea, muscle pain, numbness, tingling, abdominal pain, dizziness, spinning sensation (vertigo), feeling of hot and cold sensation reversal, and feeling of teeth being loose, and itching. Symptoms of severe ciguatera fish poisoning (ciguatera toxin) include shortness of breath, salivation, tearing, chills, rashes, itching, paralysis, slow heart rate, coma, and low blood pressure (hypotension).
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Abdominal Pain (Adults)Abdominal pain in adults can range from a mild stomach ache to severe pain. Examples of causes of abdominal pain in adults include appendicitis, gallbladder disease, gastric ulcers, pancreatitis, heart attack, kidney stones, diverticulitis, shingles, spider bites, and more. Information about when to seek medical care for abdominal pain is also provided.
DiarrheaDiarrhea can be caused by bacterial or viral infections, parasites, intestinal diseases or conditions, reactions to medications, and food intolerance or allergies. Symptoms of diarrhea include watery stools, abdominal cramping, fever, and dehydration. Most cases of diarrhea can be treated at home. In some cases (in the elderly, small children, or those with severe or chronic medical conditions) may need to be hospitalized due to dehydration.
Stomach Pain (Abdominal Pain) in ChildrenAbdominal pain in children can range from trivial to life-threatening. Symptoms of abdominal pain range from vomiting, diarrhea, fever, groin pain, urinary problems, or skin rash. The location of the abdominal pain may be around the belly button, occurs only at night, while eating. The pain pain also may be intermittent. Treatment of abdominal pain in children is depends on the cause. Possible causes of abdominal pain in children include infections, food related (food allergy or food poisoning), poisoning from medication, food, household products, appendicitis, diabetes, or spider bites.
VertigoVertigo, a feeling or perception that the environment around you is moving or spinning can be caused by inner ear inflammation, Benign paroxysmal positional vertigo, Meniere's disease, migraine, tumor, head trauma, or multiple sclerosis. Typical symptoms of true vertigo include nausea, sweating, vomiting, and abnormal eye movements. Treatment depends upon the cause of vertigo.
Vomiting and NauseaVomiting and nausea are common complaints that accompany many conditions and diseases. A few common causes of vomiting and nausea include food poisoning, viruses, vertigo, head injuries, gallbladder disease, appendicitis, migraine, brain tumors, and infections. Treatment of vomiting and nausea depend on the cause of the symptoms.
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.