Intractable vomiting in diabetic patients

Larissa Avilés-Santa, Timothy K Wolff, Philip Raskin

Research output: Contribution to journalArticle

Abstract

Intractable nausea and vomiting have been described in individuals without any underlying physical etiology explaining these complaints. Physical or emotional abuse has been described in individuals suffering from these symptoms and associated with somatoform disorders manifesting primarily as gastrointestinal complaints. We present five patients with long-standing Type 1 diabetes who suffered from intractable vomiting. Personality disorders, profound depression and emotional abuse dramatically influenced the course of these patients' illness. In most of the patients, physical symptoms remarkably improved after identification and removal of the triggering factors. Therefore, psychogenic vomiting must be considered among the differential diagnoses of intractable nausea and vomiting, especially in individuals with chronic illnesses. A careful search for a physical etiology and medical treatment that does not cause relief of symptoms should suggest that there is almost certainly a psychological issue at the root of the problem.

Original languageEnglish (US)
Pages (from-to)145-152
Number of pages8
JournalJournal of Diabetes and Its Complications
Volume17
Issue number3
DOIs
StatePublished - Jan 1 2003

Keywords

  • Diabetes
  • Psychogenic vomiting

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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