Hu Iva, Alef Rachel
Psychiatry, Hospital Corporation of America (HCA) Healthcare, Tamarac, USA.
Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Cureus. 2024 Sep 25;16(9):e70191. doi: 10.7759/cureus.70191. eCollection 2024 Sep.
Belching is a common physiological occurrence, but it becomes bothersome when it occurs excessively and disrupts one's quality of life. It is hypothesized that psychiatric diagnoses may be an etiology and exacerbation for intractable belching. Case presentation: We present a case report of a female in her 70s with a psychiatric history of major depressive disorder (MDD) and generalized anxiety disorder (GAD) with symptoms of intractable belching. This patient was diagnosed with supragastric belching (SGB), which is likely behaviorally induced as a result of her psychiatric comorbidities.
In patients presenting with intractable belching, along with other intractable somatic symptoms, psychiatric comorbidities should be considered as a possible etiology or contributing factor. Especially with known psychiatric comorbidities, patients should have maximized psychiatric treatment (including pharmacotherapy and cognitive behavioral therapy) in order to be managed most effectively.
嗳气是一种常见的生理现象，但当它过度发生并干扰人的生活质量时，就会变得令人烦恼。据推测，精神疾病诊断可能是顽固性嗳气的病因及加重因素。病例报告：我们报告一例70多岁女性患者，有重度抑郁症（MDD）和广泛性焦虑症（GAD）的精神病史，伴有顽固性嗳气症状。该患者被诊断为胃上嗳气（SGB），这可能是由其精神疾病共病行为诱发的。
在出现顽固性嗳气的患者中，连同其他顽固性躯体症状，精神疾病共病应被视为可能的病因或促成因素。特别是对于已知有精神疾病共病的患者，应进行最大化的精神治疗（包括药物治疗和认知行为疗法），以便最有效地进行管理。
