nervous vomiting
Introduction
Introduction to neurological vomiting Neuropathic vomiting, also known as psychogenic vomiting, refers to a group of psychological disorders that cause spontaneous or deliberate induction of repeated vomiting. Neuropathic vomiting does not affect the appetite of the next meal. It is often associated with unpleasant mood, psychological stress, and inner conflict. There is no organic disease. There may be fear of getting fat and losing weight, but because the total food intake is not reduced, so the weight No significant reduction. Some patients have hysterical personality, which is characterized by self-centeredness, good performance, and cues. basic knowledge The proportion of illness: 0.02% Susceptible people: no specific population Mode of infection: non-infectious Complications: malnutrition
Cause
Cause of neuropathic vomiting
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, showing particularly nervous, and often have a history of past attacks.
4. As a means of opposing parents, when children are over-stimulated or when parents force their children to do things they are not willing 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, such as children who are afraid of going to school or attending kindergarten, vomiting often occurs in the morning, and weekends. Or vomiting does not occur on holidays; if the mother forces the child to eat or overfeed, the child can also vomit to resist.
Prevention
Neurological vomiting prevention
The prevention of neurological vomiting mainly depends on the psychological factors of finding and solving bad drugs, and the symptomatic treatment of drugs is less effective. Children should be reasonably arranged to live, including diet, exercise and physical sleep. People around you should not pay too much attention to the child's vomiting symptoms, and should avoid showing nervousness and concern in front of the child to improve their confidence in treatment. Severe children may have repeated vomiting, causing malnutrition, physical weakness, and even water and dielectric disturbances. Therefore, we must pay attention to the systemic nutritional status of children with neurological vomiting and maintain the balance of water and electricity. In addition, low-dose chlorpromazine can achieve sedative vomiting.
Complication
Neurological vomiting complications Complications malnutrition
Severe children may have repeated vomiting, causing malnutrition, physical weakness, and even water and dielectric disturbances.
Symptom
Neurological vomiting symptoms common symptoms nausea tension
Mostly due to unpleasant environmental or psychological stress, repeated involuntary vomiting episodes usually occur after eating, sudden jet vomiting, no obvious nausea and other discomfort, no appetite, vomiting can eat, more weight Not relieved, no endocrine disorders, often have a rickety personality.
Examine
Neurological vomiting
General physical examination and auxiliary examination did not find any organic diseases.
Diagnosis
Diagnosis of neurological vomiting
According to the patient's clinical symptoms, the diagnosis of vomiting caused by anorexia, bulimia nervosa and rickets can be diagnosed.
Differential diagnosis
Nervous and physical illnesses that cause vomiting need to be ruled out, and there are no other symptoms of rickets.
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, neurotic vomiting and neurogenic bulimia differ in that there is no obvious binge eating behavior, and there is no subjective desire to be afraid of fat and weight control.
3) snoring, patients with this disease may have vomiting, but as one of the symptoms of snoring, there are closely related to psychological factors, secondary benefits and the presence or absence of implicature and other characteristics, patients often have obvious performance personality These are difficult to detect in patients with neurological vomiting.
4) Physical illness leads to vomiting, medical history, physical examination and various examinations. Clear vomiting is related to certain physical diseases. First, the physical disease is diagnosed, and the diagnosis of neurological vomiting alone is not considered.
