Psychogenic vomiting: a case report and review of literature

ABSTRACT

Background: Psychogenic vomiting syndrome is a disorder of unknown aetiology and pathogenesis. This condition characterized by recurrent vomiting has been less studied and researched. The major challenges with this condition are that availing of psychiatric services is least thought of and the guidelines for treatment of this condition are not clear, leading to a lot of dilemma on the part of the clinician due to lack of awareness of the psychological etiological factors and in turn increasing the burden on the patient and family. Case description A middle aged Asian woman with a diagnosis of psychogenic vomiting was successfully managed with psycho-education, supportive psychotherapy and behaviour interventions. Discussion: The exact aetiopathogenesis of psychogenic vomiting is still not known, and clear treatment guidelines are still not established. The same challenge was faced by the clinicians in the above case too. Conclusion: There is a need for further research and training for general practitioners in identifying and managing psychogenic vomiting, and also a need for consensus diagnostic and treatment guidelines.