The psychiatric disorders related to the onset of vomiting were either a major depression or a conversion disorder. Severe start with suggestions for mild and moderate, then consider the following. If intractable nausea and vomiting at end of life, consider palliative sedation. The treatment for such a condition is a challenge in. Fifty nine patients admitted with a diagnosis of psychogenic vomiting were classified into five patterns of vomiting. Psychogenic nausea and vomiting is defined as vomiting without any obvious organic pathology or vomiting with a psychological etiology. Links to pubmed are also available for selected references. Get a printable copy pdf file of the complete article 518k, or click on a page image below to browse page by page. Some types of mental or emotional problems can cause, increase or prolong pain. Clinical features include persistent vomiting, dehydration, ketosis, electrolyte disturbances.
Pdf treatment of chronic psychogenic vomiting in an. Hyperemesis gravidarum is a severe form of nausea and vomiting, affects one in 200 pregnant women. Diagnostic tests, hospitalization, and psychiatric evaluation are associated. It differs from anorexia nervosa or bulimorexia because it lacks the characteristic features of body image distortion, abnormal fear of weight gain, or selfinduced vomiting. For anticipatory nausea and vomiting psychogenic factors. Behavioral treatment of psychogenic vomiting among. Get a printable copy pdf file of the complete article 746k, or click on a page image below to browse page by page. The patient who couldnt stop vomiting mdedge psychiatry. Numerous treatment modalities have been implemented in cases of psychogenic vomiting, including such folk remedies as drinking cider vinegar, sucking. Continuousvomitingwasusuallydueto aconversiondisorder, whilein manycases ofhabitual.
Escitalopram may be an effective treatment for psychogenic nausea and vomiting associated with depression. After treatment with 10 mgday escitalopram, her episodes of nausea and vomiting decreased. Psychogenic vomiting is a form of chronic emesis where the etiology is unrelated to a primary anatomic or physiologic defect. We use cookies to improve our service and to tailor our content and advertising to you. Thepsychiatricdisordersrelated to the onset ofvomiting were either a major depression or a conversion disorder. Full text full text is available as a scanned copy of the original print version. More info you can manage your cookie settings via your browser at any time.