Psychogenic vomiting refers to vomiting associated with emotional distress and anxiety. It can occur in cases of emotional stress, repetitive vomiting, or cyclic vomiting in children. Symptoms include a prolonged history of vomiting that occurs with or shortly after meals. Signs include appearance of adequate nutrition and no weight loss from baseline. Associated conditions include major depression and anxiety disorders.
Psychogenic vomiting refers to vomiting associated with emotional distress and anxiety. It can occur in cases of emotional stress, repetitive vomiting, or cyclic vomiting in children. Symptoms include a prolonged history of vomiting that occurs with or shortly after meals. Signs include appearance of adequate nutrition and no weight loss from baseline. Associated conditions include major depression and anxiety disorders.
Psychogenic vomiting refers to vomiting associated with emotional distress and anxiety. It can occur in cases of emotional stress, repetitive vomiting, or cyclic vomiting in children. Symptoms include a prolonged history of vomiting that occurs with or shortly after meals. Signs include appearance of adequate nutrition and no weight loss from baseline. Associated conditions include major depression and anxiety disorders.
Vomiting associated with emotional distress and anxiety.
(http://www.medilexicon.com/medicaldictionary.php?t=99424) Cases !. "motional #tress 2. #rreptitios Vomiting $. Cyclic Vomiting in Children #ymptoms !. %rotracted history o& Vomiting 2. Vomiting occrs with meals or shortly therea&ter #igns !. 'ppearance o& ade(ate ntrition 2. )o weight loss &rom *aseline 'ssociated Conditions !. +a,or -epression 2. 'nxiety -isorder (http://www.&pnote*oo..com//0/%sych/%sychgncVmtng.htm) Postoperative nausea and vomiting 1he term acute postoperati2e nasea and 2omiting is de&ined
as any episode o& nasea or 2omiting that occrs within 24 hors
o& recei2ing anesthesia. 'lthogh signi&icant progress has *een
made in pre2enting this type o& nasea and 2omiting3 it still
occrs in 245 to $45 o& patients a&ter srgery. Mechanism 0n postoperati2e nasea and 2omiting3 a wide range o& stimli
contri*te to the emetic response. +ost anesthetic agents and
opioids stimlate the 2omiting center indirectly throgh the
C16. 'ssociated &actors that directly stimlate the 2omiting
center inclde sensory inpt (2isal3 ol&actory3 and pain) and
the 2esti*lar apparats. )itros oxide directly stimlates
the gastrointestinal tract3 which acti2ates the 2omiting center. Causes Preoperative Factors. 1he occrrence o& postoperati2e nasea and 2omiting is in&lenced
*y se2eral &actors1he ris. is higher in adlts than
in children3 in women than in men3 and in patients with a history
o& motion sic.ness or pre2ios postoperati2e nasea and 2omiting Postoperative Factors. -ring the postoperati2e period3 the 2 most common cases o&
nasea and 2omiting are nrelie2ed pain (especially 2isceral
or pel2ic) and the opioids prescri*ed to control the pain. http://ccn.aacn,ornals.org/cgi/content/&ll/2$/!/$! Cyclic vomiting syndrome (7# "nglish) or cyclical vomiting syndrome (78 "nglish) (CVS) is a condition whose symptoms are recrring attac.s o& intense nasea3 2omoting and sometimes a*dominal pain and/or headaches or migraines. CV# can a&&ect *oth children and adlts. 0t was &irst descri*ed in the !9th centry with one o& the earliest re&erences *eing that o& #amel /ee in !992. :nset o& the condition is possi*le at any age *t is seen to occr more o&ten in a yong age. ;hy anyone de2elops it is not clear since it is o& n.nown etiology. 1here is a strong sggestion o& maternal inheritance. %ersons who s&&er &rom migraines in some cases also ha2e Cyclic Vomiting #yndrome. Background CV# di&&ers &rom other &orms o& 2omiting as it is an acte condition. #&&erers may 2omit or retch six to twel2e times an hor and an episode may last &rom a &ew hors to well o2er 2 or $ wee.s. #ome people &ind it hard to concei2e how anyone can 2omit a&ter that length o& time3 as the stomach will ha2e emptied a&ter the &irst &ew emeses. 'cid3 *ile and (i& the 2omiting is se2ere) *lood may *e 2omited. #ome s&&erers will intentionally ingest water to redce the irritation o& *ile and acid on the esophags dring emeses. <etween episodes the s&&erer is sally otherwise normal and healthy. 1he median dration o& an episode is 4! hors (=i > ?leisher !999). 0n approximately hal& o& s&&erers the attac.s3 or episodes3 occr in a time related manner. "ach attac. is stereotypical3 i.e. in any gi2en indi2idal their timing3 &re(ency and se2erity o& attac.s is similar. "pisodes may happen e2ery &ew days or e2ery &ew months. ?or some there is not a pattern in time that can *e recogni@ed. #ome s&&erers ha2e a warning o& an attac.3 they may experience a prodrome3 sally intense nasea and pallor. 1he ma,ority o& s&&erers3 *t not all can identi&y AtriggersA that may precipitate an attac.. 1he most common are 2arios &oods3 in&ections (sch as colds)3 extreme physical exertion3 lac. o& sleep3 and psychological stresses *oth positi2e and negati2e. -ring an attac. a s&&erer may *e light sensiti2e (photopho*ic)3 sond sensiti2e (phonopho*ic) and may ta.e on a semiBconscios state (=indley > 'ndrews3 C %ediatric /astorenterol > )tr 244D) Diagnostic criteria 1he case o& CV# has not *een determined3 there are no diagnostic tests &or CV#. #e2eral other medical conditions can mimic the same symptoms3 and it is important to rle these ot. 0& all other possi*le cases ha2e *een exclded a diagnosis o& CV# may *e appropriate. 1here are esta*lished criteria to aid diagnosis o& CV#3 essential criteria are !. ' history o& three or more periods o& intense3 acte nasea3 and nremitting 2omiting lasting hors to days 2. 0nter2ening symptomB&ree inter2als3 lasting wee.s to months $. "xclsion o& meta*olic3 gastrointestinal or central ner2os system strctral or *iochemical disease e.g. indi2idals with speci&ic physical cases (e.g. intestinal malrotation) Treatment 1here is no set cre &or Cyclic Vomiting #yndrome3 *t there are medications that can *e sed to treat3 inter2ene in3 and pre2ent attac.s. 1here is a growing *ody o& p*lications on either indi2idal cases or experiences o& cohorts o& CV# patients. 1reatment is sally on an indi2idal *asis3 *ased on trial and error. 1he most common therapetic strategies &or those already in an attac. are maintenance o& salt *alance *y appropriate intra2enos &lids andE in some cases3 sedation. Fa2ing 2omited &or a long period prior to attending a hospital3 patients are typically se2erely dehydrated and s&&er &rom massi2e 2olme depletion. '*orti2e therapy has limited sccess3 *t &or a nm*er o& patients potent antiBemetic drgs sch as ondansetron (6o&ran) or granisetron (8ytril)3 drona*inol (+arinol)3 and more recently dextromethorphan (Coricidin) may *e help&l in either pre2enting an attac.3 a*orting an attac. or redcing the se2erity o& an attac.. http://en.wi.ipedia.org/wi.i/CyclicG2omitingGsyndrome