What to do about nervous vomiting?

Some people experience frequent vomiting, and women are more likely to experience it than men. However, this vomiting is not a sign of pregnancy, but a disease called neurogenic vomiting. This disease is mostly caused by external factors, especially excessive psychological stress is a major cause of nervous vomiting, so people should pay attention to it.

1. Overview

Neurogenic vomiting refers to a group of mental disorders characterized by spontaneous or deliberate recurrent vomiting of recently consumed food. The disease is not accompanied by other obvious symptoms and has no obvious organic lesions as its basis. Most patients do not have a fear of gaining weight or a desire to lose weight. A few patients are afraid of gaining weight and want to lose weight, but there is no obvious weight loss. The disease is more common in women than in men and usually occurs in early and middle adulthood.

2. Causes

Neurogenic vomiting is often related to psychosocial factors and usually occurs under conditions of tension, bad mood, inner conflict, etc. Some patients have hysterical characteristics such as egocentrism, susceptibility to suggestion, emotional exaggeration and affectation.

3. Clinical manifestations

Generally, vomiting occurs after eating, without obvious nausea or other discomfort.

The disease recurred under similar circumstances later. Patients with vomiting deny that they are afraid of being fat and have the desire to lose weight. They are very concerned about their own health and often eat after vomiting, or even eat while vomiting. Vomiting does not affect their appetite for the next meal. Because the patient's total food intake does not decrease, there is no significant weight loss, and the weight usually remains above 80% of the normal weight. There is no endocrine disorder etc.

4. Inspection

General physical examination and auxiliary examination did not reveal any organic disease

Neurologic and medical causes of vomiting should be excluded. Ask about other symptoms.

5. Treatment

Treatment of neurogenic vomiting requires a combination of psychotherapy and medication.

Treatment. By clarifying the psychosocial factors related to neurotic vomiting, helping patients understand the psychological significance of vomiting, and providing targeted explanations, counseling, and supportive treatments; cognitive-behavioral therapy, aversion therapy, or behavioral therapy such as positive reinforcement can also be used to reduce vomiting behavior. In terms of drug treatment, symptomatic supportive treatment is carried out according to the severity of vomiting and the results of laboratory tests on water, electrolytes, and acid-base balance, such as giving vitamins and energy mixtures; symptomatic treatment of vomiting symptoms is carried out, and a small dose of intravenous drip of sulpiride is effective for vomiting. Drugs with anti-anxiety effects, such as antidepressants and antianxiety drugs, are also helpful in relieving symptoms.