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.