The 470th case: recurrent vomiting
10.3760/cma.j.issn.0578-1426.2019.05.016
- VernacularTitle:第470例——反复发作性呕吐
- Author:
Jia LU
1
;
Yunlu FENG
;
Lili SHI
;
Liming ZHU
;
Xiucai FANG
Author Information
1. 中国医学科学院北京协和医学院北京协和医院消化内科 100730
- Keywords:
Anxiety;
Depression;
Cyclic vomiting syndrome
- From:
Chinese Journal of Internal Medicine
2019;58(5):405-408
- CountryChina
- Language:Chinese
-
Abstract:
Patients with cyclic vomiting syndrome usually have comorbid psychological disorders,the trigger and aggravating factors of gastrointestinal symptoms.It may decrease the quality of life and the response to the conventional therapies,bring the patients to seek medical care frequently and perform unnecessary examinations,result in the waste of medical resources.We reported a 20-year-old woman with complaint of recurrent vomiting since infant,and less response to symptomatic and supportive treatment.Her vomiting relieved with antidepressant after consultation with gastroenterological specialist and psychologist.Physicians should pay more attention to recognize the comorbid psychological disorders in patients with functional gastrointestinal disorders (FGIDs),including cyclic vomiting syndrome.It is important to refer the patients with refractory symptoms to the psychologists for further professional evaluation and antidepressants.
