An Unusual Case of Psychogenic Vomiting in A 23-Year-Old Female Following Her Sister’s Marriage

Abstract

Background: Psychogenic vomiting is a condition where a person vomits without a physical cause. It often occurs due to psychological factors, such as stress, anxiety, or emotional distress. This type of vomiting can be a distressing and debilitating symptom, affecting daily life and well-being. While it may not pose a direct physical threat, it can lead to dehydration, malnutrition, and social isolation. Understanding the underlying psychological factors can be crucial in treating psychogenic vomiting effectively. Case Presentation: This case report presents a 23-year-old female with a three-year history of recurrent vomiting episodes that began after her sister’s marriage. Despite extensive gastrointestinal investigations, no organic cause was identified. The patient reported feelings of inadequacy, anxiety, and loss associated with her sister’s departure. A diagnosis of psychogenic vomiting was made, and the patient was treated with a combination of selective serotonin reuptake inhibitors (SSRIs) and cognitive-behavioral therapy (CBT). Conclusion: Significant improvement in symptoms was observed, highlighting the importance of considering psychological factors in the management of unexplained gastrointestinal complaints. This case highlights the need of considering psychological factors when patients present with unexplained gastrointestinal issues and highlights the benefits of interdisciplinary approaches in the treatment of psychogenic disorders.