abstract
Nervous vomiting is also called psychogenic vomiting. It is characterized by repeated vomiting, which is based on no organic disease and is often related to psychosocial factors.
diagnose
I. Symptoms and characteristics:
Mostly because of unpleasant environment or psychological tension. Repeated and involuntary vomiting attacks usually occur after eating, with sudden jet vomiting, no obvious nausea and other discomfort, no impact on appetite, eating after vomiting, no weight loss, no endocrine disorder, and often hysterical personality.
Second, the differential diagnosis:
The neurological and physical diseases that cause vomiting need to be ruled out. No other symptoms of hysteria.
Treatment measures
First, medication:
General antispasmodic and antiemetic drugs have no obvious effect. Diazepam helps to relieve anxiety, and sulpiride is effective for some patients.
Second, behavioral therapy can achieve ideal results.
Third, psychotherapy should explain the nature, pathogenesis and prognosis of the disease to patients, and eliminate the tension, so as to actively cooperate with doctors and achieve satisfactory results.
Nervous vomiting
Neuropathic vomiting, also known as psychogenic vomiting, can be regarded as a physical reaction of mental factors. Children with this disease have obvious personality defects, and many children have hysterical personality: self-centered, suggestive, often influenced by bad psychological factors, more common in girls.
The clinical manifestation is repeated vomiting after meals, which can be jet-like in severe cases. Generally, there is no nausea, vomiting is effortless and the amount of vomiting varies. It is characterized by not affecting appetite and weight, still moving as usual, and not vomiting. Physical examination and auxiliary examination did not show any organic diseases. You can see it at any age, even babies.
Common causes of nervous vomiting
1. Emotional confusion caused by various factors, such as sudden separation from parents, intense stimulation, death of relatives, etc.
2. Reacting to unpleasant or disgusting thoughts and experiences, such as a school car accident that killed a girl, and then vomiting when she saw tofu food.
3. Excessive mental stress, such as encountering various exams, especially some girls, is particularly nervous and often has a history of previous attacks.
4. As a means to oppose parents. When children are overstimulated or parents force them to do things they don't want to do, some children may vomit to show their opposition.
5. As a means of exerting pressure on the family. Some parents spoil and indulge their children, and such children sometimes put pressure on their parents by vomiting. For example, children who are afraid of going to school or kindergarten often vomit in the morning, but not on weekends or holidays; For another example, if a mother forces her child to eat or overeat, the child can vomit to resist.
Treatment of nervous vomiting
Mainly rely on the discovery and reconciliation of unhealthy psychological factors, drug symptomatic treatment has little effect.
Children should arrange their lives reasonably, including diet system, strengthen physical exercise and increase physiological sleep time. People around you should not pay too much attention to the child's vomiting symptoms, and should avoid showing tension and worry in front of the child to improve the child's confidence in treatment.
Severe children may vomit repeatedly, leading to malnutrition, weakness, and even water and dielectric disorders. Therefore, we must pay attention to the general nutritional status of children with nervous vomiting and keep the balance of water and electricity media. In addition, a small dose of chlorpromazine can achieve the effect of calming vomiting.
Neuropathic vomiting, also known as psychogenic vomiting, is a kind of recurrent vomiting without organic diseases, which is more common in women. I often vomit suddenly after meals, and generally have no obvious nausea. Vomiting is effortless, and the amount of vomiting is not much, which does not affect appetite and food intake. It is often eaten after vomiting, so most of them have no obvious nutritional disorders. Nervous vomiting is accompanied by exaggeration, affectation, easy to be hinted, sudden attack, and the interval is completely normal. In addition, some patients are exposed to some unpleasant stimuli, such as certain foods, drugs and even some scenery, which can also cause vomiting.
The treatment of nervous vomiting mainly includes: paying attention to correcting patients' bad eating habits, guiding patients to establish a good living order and living environment, and reducing stimulating factors; Carry out necessary psychological treatment, encourage patients to relieve their worries, enhance their confidence in overcoming the disease, establish a good relationship between doctors and patients, and carry out suggestive treatment when necessary; Some patients can be given sedatives or antidepressants, and those with delayed gastric emptying can be given metoclopramide, ephedrine or cyproheptadine, phenytoin sodium and other drugs. Patients with frequent vomiting can be added with anticholinergic drugs such as atropine and scopolamine. You can also choose Banxia plus Fuling decoction and other traditional Chinese medicine prescriptions combined with acupuncture, physical therapy and other methods for treatment.