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Some generalizations are in order to help you evaluate the most common
symptoms of disease. These questions may be asked: When did it begin?
What were you doing when the problem started? Have you ever had such a
problem before? What measures seem to give relief? Has the disease
progressed; or, is it getting better? Are there measures that promote comfort?
Where does the primary problem seem to be located? Are there other
symptoms that appeared to begin at the same time?
This approach to history taking, whether applied to pain, headache,
stomachache, and many other common symptoms, will help you elicit the true
story of illness in a direct and constructive manner.

Loss of Appetite
The medical term for this is anorexia. This symptom may be associated
with a disease of the digestive system, such as an ulcer, or some problem
located elsewhere in the body, such as an infection or emotional reaction.

Nausea and Vomiting
Nausea is a feeling of discomfort in the region of the stomach, often
associated with loss of appetite. When vomiting occurs, the patient throws up
the contents from the stomach through his mouth. This action results from a
sudden strong contraction of the diaphragm and stomach muscles. Strong
emotional reactions, effects of drugs or their withdrawal, excessive fatigue,
and many diseases such as ulcer, appendicitis, gallstones, even brain tumor,
are examples of diseases that produce nausea and vomiting.

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