$Unique_ID{BRK00900}
$Pretitle{Mental and Emotional Conditions, Digestive System}
$Title{Can a Person Who is Not Sick Just Throw Up Because They Want To?}
$Subject{vomiting bulimia}
$Volume{E-23, I-23}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


Can a Person Who is Not Sick Just Throw Up Because They Want To?


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QUESTION:  Can a person who is not sick just throw up because they want to?
Isn't vomiting a sign of some illness in the stomach?  We are having a bit of
trouble that can be helped by these answers.

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ANSWER:  I think there must be more going on than the scant information
contained in your letter.  And while my information may be helpful, I truly
doubt that it is enough to solve your problems.  The answer is a clear "Yes",
there are some people who can vomit at will.  While vomiting is present in
many diseases, many of the gastrointestinal tract, and some extremely serious
conditions involving infections and diseases of the central nervous system, it
may also occur in less important situations.  In many cases in can be a part
of an emotional or "distasteful" situation, and be a reaction to anxiety or
fear.  It may be an expression of hostility or contempt, a means of obtaining
special consideration or attention.  And it may not be easy to discover the
real meaning or underlying cause for this type of vomiting, as in many cases,
the patient is not aware of the reasons on a conscious level.  Any patient
with repeated episodes of vomiting, especially in cases where no nausea is
present, must be fully examined to rule out the possibility of physical
disorders, before any diagnosis implying an emotional cause can be made.  A
finding of "psychogenic" vomiting may be made, then requiring the appropriate
follow up care and treatment.  This is not something to take lightly, nor do I
feel you can resolve the problem in a conflict at the supper table.  It is
apparent to me that there is some deep seated condition here.  Take my advice,
and seek professional help.
ÿ
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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
