Psychogenic Vomiting 1976-1981, Follow-up Treatment Results up to 1996
PENKHAE LIMSILA, M.D. *
Affiliation : * Yuwaprasart Waithayopathum, Child Psychiatric Hospital, Patron: H.R.H Princess Galyani Vadhana. Sumut Prakan 10270, Thailand. t Presented to the staff of the Infant Mental Health Group and Mental Health Service of the Royal Children's Hospital and the Child Faculty (Victorion Branch) of the Royal Australian New Zealand College of Psychiatrists on I Oth of May, 1996.
Abstract
During the period from 1976 to 1981, six children suffering from severe vomiting caused
by psychological problems were admitted to Yuwaprasart Waithayopathum Hospital. These
patients had been admitted to general hospitals from four to over ten times for the treatment of
chronic recurrent vomiting, in each case the vomiting was very severe which caused dehydration.
Three cases received surgical treatment, but abnormalities in the abdominal cavity were not seen
in any of them. The treatment in Yuwaprasart Waithayopathum Hospital consisted of symp-
tomatic treatment, medication, psychotherapy, behavior therapy, recreational therapy, occu-
pational therapy, learning in special classes and family psychotherapy.
Follow-up treatment results up to 1996 (20 years). The result revealed that five patients
improved and were normal with subsequent discontinuation of all medication except one female
patient who had moved with her family to another country.
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