Paidi Gokul, Jean Marie, Oduwole Ayobami, Gautam Nodana, Kapoor Karan, Paidi Ramprasad
Family Medicine, The Medina Clinic, Grandview, USA.
Psychiatry, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.
Cureus. 2022 Jun 15;14(6):e25959. doi: 10.7759/cureus.25959. eCollection 2022 Jun.
Psychogenic vomiting is defined as recurrent vomiting without any known discernible organic reasons, or functional vomiting occurring from psychological stress. The overall clinical presentation of psychogenic vomiting suggests a wide range of disability levels, such as stress disorders, mood changes, depression, sexual problems, personality disorders, learned responses, conversion disorders, and illness problems. Non-pharmacological treatment modalities are important as medication for psychogenic vomiting such as individual and group psychotherapy, supportive and behavioral therapy, and family and marital therapy. In this case report, a 25-year-old male with schizophrenia on medication presented to an outpatient clinic with the primary complaint of recurrent vomiting. After ruling out pathologic and physiologic causes of vomiting. It was classified as psychogenic vomiting.
心因性呕吐被定义为反复呕吐且无任何已知可辨别的器质性原因,或因心理压力而发生的功能性呕吐。心因性呕吐的总体临床表现提示了广泛的残疾水平,如应激障碍、情绪变化、抑郁、性问题、人格障碍、习得性反应、转换障碍和疾病问题。非药物治疗方式作为心因性呕吐的治疗手段很重要,如个体和团体心理治疗、支持性和行为治疗以及家庭和婚姻治疗。在本病例报告中,一名正在服药治疗的25岁男性精神分裂症患者因反复呕吐的主要诉求前来门诊就诊。在排除呕吐的病理和生理原因后,将其归类为心因性呕吐。