Vomiting and feeling fat--coincidence of achalasia and bulimia nervosa.
Int J Eat Disord
; 42(1): 90-2, 2009 Jan.
Article
em En
| MEDLINE
| ID: mdl-18704920
ABSTRACT
OBJECTIVE:
In clinical practice it is often difficult to distinguish between organic and psychological vomiting.METHOD:
We present a case of a 34-year-old woman with an 18-month history of vomiting with the initial diagnosis of bulimia nervosa (BN). However, the patient showed an unusual vomiting behavior. Therefore, further somatic diagnostic procedures were carried out leading to the additional diagnosis of achalasia. After successful interventional and surgical treatment for achalasia, further psychotherapeutic interventions were necessary because of worsening of the BN symptoms. A certain disturbed eating behavior seemed to persist at 3-year follow-up, while the medical condition had improved.CONCLUSION:
It needs to be emphasized that careful diagnostic steps are indispensable to distinguish between psychological vomiting and organic vomiting. In case of two separate diseases a suitable treatment regime for each is required.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vômito
/
Acalasia Esofágica
/
Bulimia Nervosa
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Int J Eat Disord
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Alemanha