Pre-nausea pathophysiology
It has been described that alterations in heart rate can occur as well as the release of vasopressin from the posterior pituitary. Diagnosis
Patient history
Taking a thorough patient history may reveal important clues to the cause of nausea and vomiting. If the patients symptoms have an acute onset, then drugs, toxins, and infections are likely. In contrast, a long-standing history of nausea will point towards a chronic illness as the culprit. The timing of nausea and vomiting after eating food is an important factor to pay attention to. Symptoms that occur within an hour of eating may indicate an obstruction proximal to the small intestine, such as gastroparesis or pyloric stenosis. An obstruction further down in the intestine or colon will cause delayed vomiting. An infectious cause of nausea and vomiting such as gastroenteritis may present several hours to days after the food was ingested. The contents of the emesis is a valuable clue towards determining the cause. Bits of fecal matter in the emesis indicate obstruction in the distal intestine or the colon. Emesis that is of a bilious nature (greenish in color) localizes the obstruction to a point past the stomach. Emesis of undigested food points to an obstruction prior to the gastric outlet, such as achalasia or Zenkers diverticulum. If patient experiences reduced abdominal pain after vomiting, then obstruction is a likely etiology. However, vomiting does not relieve the pain brought on by pancreatitis or cholecystitis.
Pegasys may refer to:

A brand name of the medication peginterferon alfa-2a
Pegasys, Inc., a Japanese software company that develops the TMPGEnc family of video encoding/editing programs
Pegasus (disambiguation)