Nervous vomiting

Introduction Neurological vomiting This manifestation of recurrent vomiting, no organic disease as the basis, does not meet the diagnostic criteria for mental illness, there is no obvious other symptoms except vomiting, vomiting is often related to psychosocial factors. Clinically, the initial symptoms are common, and careful observation and exploration of motivation factors are often re-diagnosed as other mental disorders. It happens mostly due to unpleasant circumstances or psychological stress. Repeated involuntary vomiting episodes usually occur after eating, sudden jet vomiting, no obvious nausea and other discomfort, no appetite, eating after vomiting, no weight loss, no endocrine disorders, often rickets Sexual character.

Cause

1. Emotional confusion caused by various factors, such as sudden separation from parents, strong stimulation, death of relatives, etc.

2. Responding to thoughts and experiences that are unpleasant or abhorrent, such as a girl who goes to school to meet a behavior that causes brains to smash out due to a car accident, and then vomits when she sees the tofu food.

3. Excessive mental stress, such as encountering various types of examinations, especially some girls, is particularly nervous, and often has a history of past attacks.

4. As a means of opposing parents. When a child is over-stimulated or when a parent forces the child to do something they are unwilling to do, some children may vomit to object.

5. As a means of exerting pressure on the family. Some parents, who love and indulge their children, sometimes use vomiting to put pressure on their parents. For example, children who are afraid of going to school or attending kindergarten often have vomiting in the morning, and no vomiting occurs on weekends or holidays. If the mother forces the child to eat or overfeed, the child can also vomit to resist.

an examination

Related inspection

Cerebrospinal fluid calcium cerebrospinal fluid potassium

General physical examination and auxiliary examination did not find any organic diseases.

Symptoms:

1. It happens due to unpleasant environmental or psychological stress. A recurrent involuntary vomiting episode, the vomit is the food that has just been eaten. It usually occurs after eating, sudden jet vomiting, no obvious nausea and other discomfort, does not affect appetite, can eat after vomiting.

2. Do not lose more weight, keep more than 80% of normal weight.

3. There is no endocrine disorder, often with a rickety personality.

4. There are fears of getting fat and losing weight.

5. There are no neurological and physical diseases that cause vomiting.

Differential diagnosis

Differential diagnosis of neurological vomiting:

1) Anorexia nervosa: This disease has obvious fear of getting fat and dieting, so that the body weight is significantly reduced (reducing the normal average body weight value by more than 25%). These characteristics have no neurological vomiting.

2) Neurogenic bulimia: The difference between neurological vomiting and bulimia is that there is no obvious binge eating behavior, and there is no subjective desire to be fat and to control weight.

3) snoring: patients with this disease may have vomiting, but as one of the symptoms of snoring, it is closely related to psychological factors, secondary benefits and presence or absence and suggestive correlation, patients often have obvious performance personality . The above is difficult to find in patients with neurological vomiting.

4) Physical illness leads to vomiting: history, physical examination and various tests to determine that vomiting is associated with a certain physical illness, the first to diagnose the physical disease, regardless of the diagnosis of neurological vomiting alone.

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